ANASTOMOTIC ULCERATION OF THE GASTROJEJUNOSTOMY AFTER PANCREATICODUODENECTOMY

A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy

Pancreaticoduodenectomy (Whipple's procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with seve...

Endoscopic vacuum therapy in the management of anastomotic insufficiency after pancreaticoduodenectomy.

A 68-year-old patient with a pT3pN2 duodenal adenocarcinoma underwent pancreaticoduodenectomy. Because the jejunal loop was anastomosed with a previous gastroenterostomy, endoscopic examination of the pancreatic and biliary anastomoses was easily feasible. On the 5th postoperative day, the patient developed septic shock and multiorgan failure; bilious secretions were noted coming from the abdom...

Small bowel perforation caused by pancreaticojejunal anastomotic stent migration after pancreaticoduodenectomy for periampullary carcinoma.

CONTEXT Pancreaticoduodenectomy is the gold standard for patients with resectable periampullary carcinoma. The protection of the anastomosis by positioning of an intraluminal stent is a technique used to lower the frequency of anastomotic fistulas. However the use of anastomotic stents is still debated and stent related complications are reported. CASE REPORT A fifty-three-year old male under...

Aspects of Nutrition after Vagotomy and Gastrojejunostomy.

The Success of Endoscopic Stenting for Anastomotic Stricture of Hepaticojejunostomy after Pancreaticoduodenectomy in a Child with Pancreatic Injury

The management of pancreaticoduodenectomy (PD) complications for pancreatic injuries in children is rarely reported. We performed PD for an 8-year-old boy with severe pancreatic injury due to a traffic accident. However, the patient suffered from anastomotic stricture of hepaticojejunostomy. We performed repeated double balloon endoscopy (DBE) dilation and stenting for the anastomotic stricture...