Endoscopic intracavitary pull-through vacuum treatment of an insufficient pancreaticogastrostomy

Endoscopic intracavitary pull-through vacuum treatment of an insufficient pancreaticogastrostomy.

A 73-year-old patient underwent pyloruspreserving pancreatic head resection due to a branch-duct type intraductal papillary mucinous neoplasm. At Day 7, repeat laparotomy was performed because of elevated amylase concentrations in the abdominal drains. During the procedure, signs of pancreatitis were observed but no pancreaticogastrostomy leak was seen. Drains provided continuous irrigation. At...

Endoscopic intracavitary vacuum therapy of Boerhaave's syndrome: a case report.

Successful two-sided sponge pull-through treatment of anastomotic leakage following pancreaticoduodenectomy with pancreaticogastrostomy.

A 66-year-old man with pancreatic cancer developed an anastomotic leakage of the pancreaticogastrostomy 15 days after pylorus-preserving pancreaticoduodenectomy. An easy-flow drain was identified endoscopically in the extraluminal cavity. Two-sided sponge (TSS) treatment was initiated [1]. A gastric tube was attached to the outer end of the drain with adhesive tape (Opsite Flexfix; Smith & Neph...

Endoscopic ultrasound-guided pancreaticogastrostomy reconstruction.

creaticogastrostomy anastomosis some− times occurs after surgical pancreatic re− section and pancreaticogastrostomy, re− sulting in abdominal pain and aggrava− tion of diabetes as a result of ductal hypertension [1]. Endoscopic ultrasound− (EUS−)guided pancreaticogastrostomy has been reported as a method for reduc− ing ductal hypertension in patients with chronic pancreatitis. We report a patie...

Treatment of pulmonary aspergilloma by endoscopic intracavitary instillation of ketoconazole.

The authors report a case of pulmonary aspergilloma in which a fungus ball was visualized and a biopsy specimen was obtained at fiberoptic bronchoscopy. The fungus ball was successfully treated with bronchoscopic instillation of ketoconazole. It appears that this approach can be useful in the treatment of patients who are high-risk candidates for pulmonary resection.