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Preemptive endoluminal vacuum therapy after pancreaticoduodenectomy: A case report
Author(s) -
Flaubert Sena de Medeiros,
Epifânio Silvino do Monte,
Romero de Lima França,
Heli Clóvis de Medeiros Neto,
Juliany Medeiros Santos,
Eligio Alves Almeida Júnior,
Samuel Oliveira da Silva Júnior,
Mario Herman Santos Moura Pedreira Tavares,
Eduardo Guimarães Hourneaux de Moura
Publication year - 2020
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v12.i11.493
Subject(s) - pancreaticoduodenectomy , medicine , rescue therapy , general surgery , medical therapy , radiology , surgery , resection
Pancreaticoduodenectomy is a technically demanding operation, with reported morbidity rates of approximately 40%-50%. A novel idea is to use endoscopic vacuum therapy (EVT) in a preemptive setting to prevent anastomotic leakage and pancreatic fistulas. In a recent case series, EVT was proven to be effective in preventing leaks in patients with anastomotic ischemia. There have been no previous reports on preemptive EVT after pancreaticoduodenectomy.

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