Percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis in the management of a case of intractable pancreatic cutaneous fistula.
In the treatment of postoperative pancreatic cutaneous fistula, various non-surgical techniques are recommended due to the potential complications from repeated operation in the presence of marked inflammatory changes and adhesions. We describe herein the case of a 70-year-old Japanese man with an intractable pancreatic cutaneous fistula following pancreatoduodenectomy, in whom successful treatment was achieved through percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis. Non-surgical percutaneous intervention may be a useful modality to treat an intractable external pancreatic fistula in accordance with the underlying cause of fistula formation.
Satoh
H
H
Department of Gastroenterological Surgery, Saga Medical School, Japan.
Hirohashi
Y
Y
Katano
M
M
Yamamoto
H
H
Hisatsugu
T
T
D000368:Aged; D002404:Catheterization; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D010193:Pancreaticojejunostomy / Q000009:adverse effects*; D012871:Skin Diseases / Q000209:etiology / Q000628:therapy*