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Endoscopic Ultrasound-Guided Transgastric Drainage of an Intra-Abdominal Abscess following Gastrectomy
Clinical Endoscopy ; : 373-376, 2019.
Article Dans Anglais | WPRIM | ID: wpr-763449
ABSTRACT
Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreatic fistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needle puncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenal anastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible even in post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period following gastrectomy.
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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tumeurs de l'estomac / Ponctions / Drainage / Échographie / Fistule pancréatique / Abcès abdominal / Abcès / Désunion anastomotique / Gastrectomie / Aiguilles Type d'étude: Etude diagnostique Limites du sujet: Humains langue: Anglais Texte intégral: Clinical Endoscopy Année: 2019 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tumeurs de l'estomac / Ponctions / Drainage / Échographie / Fistule pancréatique / Abcès abdominal / Abcès / Désunion anastomotique / Gastrectomie / Aiguilles Type d'étude: Etude diagnostique Limites du sujet: Humains langue: Anglais Texte intégral: Clinical Endoscopy Année: 2019 Type: Article