Top

Published in:

01-03-2015 | Case Report

Distal migration of a transanastomotic pancreatic stent resulting in bowel perforation 19 years after pancreatoduodenectomy: report of a case

Authors: Patricia M. Ortega, Gabriel Zozaya-Larequi, Jorge Arredondo, Pablo Martí-Cruchaga, Manuel Bellver, Carlos Sánchez-Justicia, Fernando Rotellar, Fernando Pardo

Published in: Surgery Today | Issue 3/2015

Abstract

A 75-year-old woman who had undergone pancreatoduodenectomy 19 years earlier was referred to us for investigation of progressive abdominal pain without conclusive preliminary complementary tests. Computed tomography enabled us to identify that the transanastomotic pancreatic stent had migrated distally, resulting in bowel perforation. She underwent surgery and the foreign body was removed.

Lowy AM, Lee JE, Pisters PW, Davidson BS, Fenoglio CJ, Stanford P, et al. Prospective, randomized trial of octreotide to prevent pancreatic fistula after pancreaticoduodenectomy for malignant disease. Ann Surg. 1997;226:632–41.CrossRefPubMedCentralPubMed

Hashimoto D, Chikamoto A, Ohmuraya M, Hirota M, Baba H. Pancreaticodigestive anastomosis and the postoperative management strategies to prevent postoperative pancreatic fistula formation after pancreaticoduodenectomy. Surg Today 2013.

Bartoli FG, Arnone GB, Ravera G, Bachi V. Pancreatic fistula and relative mortality in malignant disease after pancreaticoduodenectomy. Review and statistical meta-analysis regarding 15 years of literature. Anticancer Res. 1991;11:1831–48.PubMed

Tani M, Kawai M, Hirono S, Ina S, Miyazawa M, Shimizu A, et al. A prospective randomized controlled trial of internal versus external drainage with pancreaticojejunostomy for pancreaticoduodenectomy. Am J Surg. 2010;199:759–64.CrossRefPubMed

Kadowaki S, Miura F, Amano H, Toyota N, Wada K, Shibuya M, et al. Whereabouts of an internal short stent placed across the pancreaticojejunostomy following pancreatoduodenectomy. J Hepatobiliary Pancreat Sci. 2012;19:566–77.CrossRefPubMed

Johanson JF, Schmalz MJ, Geenen JE. Incidence and risk factors for biliary and pancreatic stent migration. Gastrointest Endosc. 1992;38:341–6.CrossRefPubMed

Ammori BJ, White CM. Proximal migration of transanastomotic pancreatic stent following pancreaticoduodenectomy and pancreaticojejunostomy. Int J Pancreatol. 1999;25:211–5.PubMed

Levy MJ, Chari S, Adler DG, Clain JE, Gostout CJ, Harewood GC, et al. Complications of temporary pancreatic stent insertion for pancreaticojejunal anastomosis during pancreaticoduodenectomy. Gastrointest Endosc. 2004;59:719–24.CrossRefPubMed

Bawany MZ, Rafiq E, Thotakura R, McPhee MD, Nawras A. Successful management of recurrent biliary colic caused by pancreatic stent migration after Whipple procedure. J Interv Gastroenterol. 2012;4:205–6.CrossRef

10.

Rezvani M, O’Moore PV, Pezzi CM. Late pancreaticojejunostomy stent migration and hepatic abscess after Whipple procedure. J Surg Educ. 2007;64:220–3.CrossRefPubMed

11.

Gonzalez F, Mesleh MG, Lukens FJ, Wallace MB, Asbun HJ, Stauffer JA. Laparoscopic central pancreatectomy and pancreaticogastrostomy for the management of a proximally migrated pancreatic stent. JOP. 2013;14:273–6.PubMed

12.

Biffl WL, Moore EE. Pancreaticojejunal stent migration resulting in “bezoar ileus”. Am J Surg. 2000;180:115–6.CrossRefPubMed

13.

Layec S, D’Halluin PN, Pagenault M, Sulpice L, Meunier B, Bretagne JF. Removal of transanastomotic pancreatic stent tubes after pancreaticoduodenectomy: a new role for double-balloon enteroscopy. Gastrointest Endosc. 2010;72:449–51.CrossRefPubMed

Title: Distal migration of a transanastomotic pancreatic stent resulting in bowel perforation 19 years after pancreatoduodenectomy: report of a case
Authors: Patricia M. Ortega
Gabriel Zozaya-Larequi
Jorge Arredondo
Pablo Martí-Cruchaga
Manuel Bellver
Carlos Sánchez-Justicia
Fernando Rotellar
Fernando Pardo
Publication date: 01-03-2015
Publisher: Springer Japan
Published in: Surgery Today / Issue 3/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0897-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Distal migration of a transanastomotic pancreatic stent resulting in bowel perforation 19 years after pancreatoduodenectomy: report of a case

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2015

A successful case of pancreaticoduodenectomy with resection of the hepatic arteries preserving a single aberrant hepatic artery for a pancreatic neuroendocrine tumor: report of a case

Clinicopathological features and surgical outcomes of adenosquamous carcinoma of the pancreas: a retrospective analysis of patients with resectable stage tumors

Gastroparesis after living-donor lobar lung transplantation: report of five cases

Perioperative nutritional therapy in liver transplantation

Pleural lavage cytology predicts recurrence and survival, even in early non-small cell lung cancer

Hemodynamic analysis and treatment of an enlarging extrahepatic portal aneurysm: report of a case