title: Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope.
abstract: There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.
authors.affiliation: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, Okayama, 700-8558, Japan, tomotake79@yahoo.co.jp.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tomoda
authors.forename: Hironari
authors.initials: H
authors.lastname: Kato
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Akimoto
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Noma
authors.forename: Ryo
authors.initials: R
authors.lastname: Harada
authors.forename: Shigeru
authors.initials: S
authors.lastname: Horiguchi
authors.forename: Koichiro
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okada
mesh_terms: D000236:Adenoma / Q000601:surgery; D000368:Aged; D004322:Drainage / Q000379:methods*; D004379:Duodenal Neoplasms / Q000601:surgery; D019160:Endosonography / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D010181:Pancreatic Cyst / Q000209:etiology / Q000628:therapy; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*