title: Gastro-pancreaticostomy using a tube stent as a less invasive palliative treatment for malignant obstructive pancreatitis.
abstract: Surgical palliation of malignant obstructive pancreatitis poses a considerable burden to patients, especially those with extensive disease. We herein present a novel technique for performing gastro-pancreaticostomy using a tube stent as a less invasive palliative treatment for malignant obstructive pancreatitis. The main pancreatic duct was punctured via the wall of the pyloric antrum. After the insertion of a guidewire, a double pigtail-type tube stent with side holes was inserted into the main pancreatic duct through the wall of the pyloric antrum. This technique was useful as a means of accomplishing less invasive palliative treatment, and has the potential to improve the quality of life for patients with malignant obstructive pancreatitis.
authors.affiliation: Department of Surgery, National Hospital Organization, Fukuoka-Higashi Medical Center, Koga, Japan.
authors.forename: Mizuki
authors.initials: M
authors.lastname: Ninomiya
authors.forename: Ken
authors.initials: K
authors.lastname: Shirabe
authors.forename: Akinobu
authors.initials: A
authors.lastname: Taketomi
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Nozoe
authors.forename: Takashi
authors.initials: T
authors.lastname: Maeda
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nakashima
authors.forename: Akito
authors.initials: A
authors.lastname: Matsukuma
authors.forename: Takahiro
authors.initials: T
authors.lastname: Ezaki
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D003110:Colonic Neoplasms / Q000150:complications / Q000556:secondary*; D013505:Digestive System Surgical Procedures; D004322:Drainage; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D010166:Palliative Care; D010183:Pancreatic Ducts; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery*; D015607:Stents