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Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach

Percutaneous drainage, percutaneous transgastric drainage, and endoscopic ultrasound (EUS)-guided transgastric drainage are primarily utilized for drainage of fluid collections dorsal to the stomach. Percutaneous transgastric drainage is performed with computed tomography (CT) guidance, but it requi...

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Autores principales: Tsutsui, Nobuhiro, Suzuki, Yutaka, Saito, Nobuhiro, Ohdaira, Hironori, Yamanouchi, Eigoro, Yoshida, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972130/
https://www.ncbi.nlm.nih.gov/pubmed/27288748
http://dx.doi.org/10.1016/j.ijscr.2016.04.054
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author Tsutsui, Nobuhiro
Suzuki, Yutaka
Saito, Nobuhiro
Ohdaira, Hironori
Yamanouchi, Eigoro
Yoshida, Masashi
author_facet Tsutsui, Nobuhiro
Suzuki, Yutaka
Saito, Nobuhiro
Ohdaira, Hironori
Yamanouchi, Eigoro
Yoshida, Masashi
author_sort Tsutsui, Nobuhiro
collection PubMed
description Percutaneous drainage, percutaneous transgastric drainage, and endoscopic ultrasound (EUS)-guided transgastric drainage are primarily utilized for drainage of fluid collections dorsal to the stomach. Percutaneous transgastric drainage is performed with computed tomography (CT) guidance, but it requires inflation of a balloon in the stomach, and gastric peristalsis makes it difficult to ensure a reliable puncture route via the stomach. Using endoscopy-assisted CT-guidance, we were able to safely and effectively perform percutaneous transgastric drainage. A 69-year-old man underwent a pancreaticoduodenectomy for cancer of the inferior section of the common bile duct. Postoperative day 5, the amylase value of the drainage fluid was 1,232 IU/L, we diagnosed a pancreatic fistula developed as a result of pancreaticojejunal anastomotic failure and we performed drainage at the drain which was placed in the foramen of Winslow intraoperatively, however fluid collection dorsal to the stomach was detected on a follow-up abdominal CT scan, and the fluid was a high value of amylase, we judged the drain was not working well and the pancreatic fistula occured. Endoscopy-assisted, CT-guided percutaneous transgastric drainage was therefore performed, and the pancreatic fistula was successfully closed the fistula.
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spelling pubmed-49721302016-08-10 Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach Tsutsui, Nobuhiro Suzuki, Yutaka Saito, Nobuhiro Ohdaira, Hironori Yamanouchi, Eigoro Yoshida, Masashi Int J Surg Case Rep Case Report Percutaneous drainage, percutaneous transgastric drainage, and endoscopic ultrasound (EUS)-guided transgastric drainage are primarily utilized for drainage of fluid collections dorsal to the stomach. Percutaneous transgastric drainage is performed with computed tomography (CT) guidance, but it requires inflation of a balloon in the stomach, and gastric peristalsis makes it difficult to ensure a reliable puncture route via the stomach. Using endoscopy-assisted CT-guidance, we were able to safely and effectively perform percutaneous transgastric drainage. A 69-year-old man underwent a pancreaticoduodenectomy for cancer of the inferior section of the common bile duct. Postoperative day 5, the amylase value of the drainage fluid was 1,232 IU/L, we diagnosed a pancreatic fistula developed as a result of pancreaticojejunal anastomotic failure and we performed drainage at the drain which was placed in the foramen of Winslow intraoperatively, however fluid collection dorsal to the stomach was detected on a follow-up abdominal CT scan, and the fluid was a high value of amylase, we judged the drain was not working well and the pancreatic fistula occured. Endoscopy-assisted, CT-guided percutaneous transgastric drainage was therefore performed, and the pancreatic fistula was successfully closed the fistula. Elsevier 2016-05-06 /pmc/articles/PMC4972130/ /pubmed/27288748 http://dx.doi.org/10.1016/j.ijscr.2016.04.054 Text en © 2016 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tsutsui, Nobuhiro
Suzuki, Yutaka
Saito, Nobuhiro
Ohdaira, Hironori
Yamanouchi, Eigoro
Yoshida, Masashi
Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title_full Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title_fullStr Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title_full_unstemmed Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title_short Endoscopic computerized tomography guided percutaneous trans-gastric drainage: A case report on this hybrid approach
title_sort endoscopic computerized tomography guided percutaneous trans-gastric drainage: a case report on this hybrid approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972130/
https://www.ncbi.nlm.nih.gov/pubmed/27288748
http://dx.doi.org/10.1016/j.ijscr.2016.04.054
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