Endoscopic Nasopancreatic Drainage Contributes to Early Resolution of Postgastrectomy Gastropancreatic Fistula
A 76-year-old man experienced abdominal pain 43 days after gastric cancer resection. Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserte...
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| Veröffentlicht in: | Internal Medicine 2024/02/15, Vol.63(4), pp.487-491 |
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| container_title | Internal Medicine |
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| creator | Minami, Ryogo Nakahodo, Jun Kikuyama, Masataka Chiba, Kazuro Tabata, Hiroki Tachibana, Ayu Kamisawa, Terumi |
| description | A 76-year-old man experienced abdominal pain 43 days after gastric cancer resection. Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserted. Seven days later, no leakage of the contrast medium from the duct was observed, and the patient was discharged 22 days after endoscopic nasopancreatic duct drainage. Endoscopic nasopancreatic duct drainage prevents pancreatic juice leakage and promotes gastric ulcer healing. |
| doi_str_mv | 10.2169/internalmedicine.1500-22 |
| format | Article |
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Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserted. Seven days later, no leakage of the contrast medium from the duct was observed, and the patient was discharged 22 days after endoscopic nasopancreatic duct drainage. Endoscopic nasopancreatic duct drainage prevents pancreatic juice leakage and promotes gastric ulcer healing.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.1500-22</identifier><identifier>PMID: 37407450</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aged ; Case Report ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Computed tomography ; Contrast media ; Drainage - methods ; endoscopic nasopancreatic drainage ; Fistula ; Fistulae ; Gastric cancer ; Humans ; Male ; Pancreas - diagnostic imaging ; Pancreas - surgery ; Pancreatic Ducts ; pancreatic fistula ; Pancreatic Fistula - diagnostic imaging ; Pancreatic Fistula - etiology ; Pancreatic Fistula - surgery ; Pancreatic Juice ; Pancreatography ; Wound drainage</subject><ispartof>Internal Medicine, 2024/02/15, Vol.63(4), pp.487-491</ispartof><rights>2024 by The Japanese Society of Internal Medicine</rights><rights>2024. 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Med.</addtitle><date>2024-02-15</date><risdate>2024</risdate><volume>63</volume><issue>4</issue><spage>487</spage><epage>491</epage><pages>487-491</pages><artnum>1500-22</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 76-year-old man experienced abdominal pain 43 days after gastric cancer resection. Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserted. Seven days later, no leakage of the contrast medium from the duct was observed, and the patient was discharged 22 days after endoscopic nasopancreatic duct drainage. 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| subjects | Aged Case Report Cholangiopancreatography, Endoscopic Retrograde - methods Computed tomography Contrast media Drainage - methods endoscopic nasopancreatic drainage Fistula Fistulae Gastric cancer Humans Male Pancreas - diagnostic imaging Pancreas - surgery Pancreatic Ducts pancreatic fistula Pancreatic Fistula - diagnostic imaging Pancreatic Fistula - etiology Pancreatic Fistula - surgery Pancreatic Juice Pancreatography Wound drainage |
| title | Endoscopic Nasopancreatic Drainage Contributes to Early Resolution of Postgastrectomy Gastropancreatic Fistula |
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