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Percutaneous transfistulous pancreatic duct drainage and interventional pancreatojejunostomy as a treatment option for intractable pancreatic fistula.

Hirota M, Kanemitsu K, Takamori H, Chikamoto A, Hayashi N, Horino K, Baba H

Department of Surgery, Kumamoto Regional Medical Center, Kumamoto-city, Japan. mhirota@krmc.or.jp

We present 2 techniques for treatment of intractable pancreatic fistula: percutaneous transfistulous pancreatic duct drainage and interventional pancreatojejunostomy. Percutaneous transfistulous pancreatic duct drainage can be effective for intractable fistulas that communicate with the main pancreatic duct. Because drainage itself is not enough for a complete cure of this complication when it occurs in cases after pancreatoduodenectomy (PD), interventional pancreatojejunostomy is applicable.

Published 21 July 2008 in Am J Surg, 196(2): 280-4.
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