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Intraoperative pancreatography using an endoscopic naso-pancreatic drainage tube for the prevention of pancreatic fistula after local pancreatic resection


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Title: Intraoperative pancreatography using an endoscopic naso-pancreatic drainage tube for the prevention of pancreatic fistula after local pancreatic resection
Authors: Kuroki, Tamotsu / Tajima, Yoshitsugu / Tsuneoka, Noritsugu / Adachi, Tomohiko / Kanematsu, Takashi
Issue Date: Mar-2009
Publisher: Thieme
Citation: Hepato-Gastroenterology, 56(90), pp.535-537; 2009
Abstract: Background: Local pancreatic resections can avoid the unnecessary resection of the normal pancreatic parenchyma in comparison with standard pancreatic resection. However, the incidence of pancreatic fistula after local pancreatic resection is high, and still responsible for most morbidity and mortality. Methods: We reviewed 6 patients who underwent intraoperative pancreatography using an endoscopic naso-pancreatic drainage (ENPD) tube during local pancreatic resection for the prevention of postoperative pancreatic fistula. Results: One patient had injury to the main pancreatic duct during surgery, and transient pancreatic fistula of grade B occurred. In this patient, ENPD tube was left in place for the management the pancreatic fistula, resulted in a favorable outcome. Other 5 patients showed no postoperative complications including pancreatic fistula. Conclusions: Intraoperative pancreatography using ENPD tube is a simple technique and useful for the prevention of pancreatic fistula after local pancreatic resection.
Keywords: Pancreatic fistula / pancreatic local resection / ENPD / pancreatography
URI: http://hdl.handle.net/10069/23100
ISSN: 01726390
PubMed ID: 19579637
Relational Links: http://www.iasg.org/
Rights: © H.G.E. Update Medical Publishing.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/23100

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