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Intraoperative gastrojejunoscopy‐assisted fistulojejunostomy for postoperative pancreatic fistula
Author(s) -
Toihata Tasuku,
Hashimoto Daisuke,
Hayashi Hiromitsu,
Chikamoto Akira,
Beppu Toru,
Baba Hideo
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12130
Subject(s) - medicine , pancreatic fistula , pancreaticoduodenectomy , anastomosis , surgery , pancreas , fistula , jejunum , complication , general surgery , resection
Postoperative pancreatic fistula is a known complication after pancreaticojejunostomy. When an anastomosis collapses completely, two‐stage reconstruction is necessary. Herein, we describe the case of a 70‐year‐old woman who underwent subtotal stomach‐preserving pancreaticoduodenectomy with pancreaticojejunostomy after she had developed a severe postoperative pancreatic fistula. The pancreaticojejunostomy was divided, and an external pancreatic drainage tube was placed. Four months later, fistulojejunostomy between the pancreas and the stump of the jejunum was performed successfully using intraoperative gastrojejunoscopy.