title: [Successful endoscopic removal of pancreatic catheter after Whipple resection being effective for improving repeated pancreatitis-a case report].
abstract: A 54-year-old man had repeated pancreatitis since three years after pylorus-preserving pancreatoduodenectomy (PpPD) and reconstruction by the modified Child method. Since abdominal pain appeared after meals, a pancreatic duct tube was removed endoscopically, which resulted in an improvement. It has been postulated that a pancreatic duct tube, used at the anastomosis between the pancreas and gastrointestinal tract, is spontaneously dislodged or creates a spatial gap with the wall of the main pancreatic duct enough to let the pancreatic juice outflow. However, endoscopic removal of the tube remained in place was significantly effective. We here discussed this case with reference of previous published reports.
authors.affiliation: Department of Internal Medicine, Toho University Ohashi Medical Center, Japan. h-shigoka@oha.toho-u.ac.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Shigoka
authors.forename: Takeo
authors.initials: T
authors.lastname: Ukita
authors.forename: Tomoko
authors.initials: T
authors.lastname: Nambu
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Omuta
authors.forename: Takuro
authors.initials: T
authors.lastname: Endo
authors.forename: Iruru
authors.initials: I
authors.lastname: Maetani
mesh_terms: D002404:Catheterization; D016145:Endoscopy, Digestive System; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications