title: Intraoperative gastrojejunoscopy-assisted fistulojejunostomy for postoperative pancreatic fistula.
abstract: Postoperative pancreatic fistula is a known complication after pancreaticojejunostomy. When an anastomosis collapses completely, two-stage reconstruction is necessary. Herein, we describe the case of a 70-year-old woman who underwent subtotal stomach-preserving pancreaticoduodenectomy with pancreaticojejunostomy after she had developed a severe postoperative pancreatic fistula. The pancreaticojejunostomy was divided, and an external pancreatic drainage tube was placed. Four months later, fistulojejunostomy between the pancreas and the stump of the jejunum was performed successfully using intraoperative gastrojejunoscopy.
authors.affiliation: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
authors.forename: Tasuku
authors.initials: T
authors.lastname: Toihata
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hashimoto
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Hayashi
authors.forename: Akira
authors.initials: A
authors.lastname: Chikamoto
authors.forename: Toru
authors.initials: T
authors.lastname: Beppu
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010185:Pancreatic Fistula / Q000209:etiology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy; D011183:Postoperative Complications / Q000601:surgery*
keywords: Endoscopy-assisted surgery; fistulojejunostomy; pancreatic fistula