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Clinical Journal of Gastroenterology
Published in: Clinical Journal of Gastroenterology 4/2015

01-08-2015 | Case Report

Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Authors: Takeshi Tomoda, Hironari Kato, Yutaka Akimoto, Kazuyuki Matsumoto, Naoki Yamamoto, Yasuhiro Noma, Ryo Harada, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada

Published in: Clinical Journal of Gastroenterology | Issue 4/2015

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Abstract

There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.
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Metadata
Title
Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope
Authors
Takeshi Tomoda
Hironari Kato
Yutaka Akimoto
Kazuyuki Matsumoto
Naoki Yamamoto
Yasuhiro Noma
Ryo Harada
Shigeru Horiguchi
Koichiro Tsutsumi
Hiroyuki Okada
Publication date
01-08-2015
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 4/2015
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-015-0580-0

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