Delayed pancreatic fistula after pancreaticoduodenectomy. A case report

Yasuhiro Ito, Tomoyuki Irino, Tomohisa Egawa, Shinobu Hayashi, Atsushi Nagashima

Research output: Contribution to journalArticle

Abstract

Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.

Original languageEnglish
Pages (from-to)410-412
Number of pages3
JournalJournal of the Pancreas
Volume12
Issue number4
Publication statusPublished - 2011 Jul 1
Externally publishedYes

Fingerprint

Pancreatic Fistula
Pancreaticoduodenectomy
Pylorus
Amylases
Catheters
Carcinoma

Keywords

  • Pancreatic fistula
  • Pancreaticoduodenectomy
  • Postoperative complications

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

Ito, Y., Irino, T., Egawa, T., Hayashi, S., & Nagashima, A. (2011). Delayed pancreatic fistula after pancreaticoduodenectomy. A case report. Journal of the Pancreas, 12(4), 410-412.

Delayed pancreatic fistula after pancreaticoduodenectomy. A case report. / Ito, Yasuhiro; Irino, Tomoyuki; Egawa, Tomohisa; Hayashi, Shinobu; Nagashima, Atsushi.

In: Journal of the Pancreas, Vol. 12, No. 4, 01.07.2011, p. 410-412.

Research output: Contribution to journalArticle

Ito, Y, Irino, T, Egawa, T, Hayashi, S & Nagashima, A 2011, 'Delayed pancreatic fistula after pancreaticoduodenectomy. A case report', Journal of the Pancreas, vol. 12, no. 4, pp. 410-412.
Ito Y, Irino T, Egawa T, Hayashi S, Nagashima A. Delayed pancreatic fistula after pancreaticoduodenectomy. A case report. Journal of the Pancreas. 2011 Jul 1;12(4):410-412.
Ito, Yasuhiro ; Irino, Tomoyuki ; Egawa, Tomohisa ; Hayashi, Shinobu ; Nagashima, Atsushi. / Delayed pancreatic fistula after pancreaticoduodenectomy. A case report. In: Journal of the Pancreas. 2011 ; Vol. 12, No. 4. pp. 410-412.
@article{ac053ef30e0a43278492b2521aa9e092,
title = "Delayed pancreatic fistula after pancreaticoduodenectomy. A case report",
abstract = "Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.",
keywords = "Pancreatic fistula, Pancreaticoduodenectomy, Postoperative complications",
author = "Yasuhiro Ito and Tomoyuki Irino and Tomohisa Egawa and Shinobu Hayashi and Atsushi Nagashima",
year = "2011",
month = "7",
day = "1",
language = "English",
volume = "12",
pages = "410--412",
journal = "Journal of the Pancreas",
issn = "1590-8577",
publisher = "E.S. Burioni Ricerche Bibliografiche",
number = "4",

}

TY - JOUR

T1 - Delayed pancreatic fistula after pancreaticoduodenectomy. A case report

AU - Ito, Yasuhiro

AU - Irino, Tomoyuki

AU - Egawa, Tomohisa

AU - Hayashi, Shinobu

AU - Nagashima, Atsushi

PY - 2011/7/1

Y1 - 2011/7/1

N2 - Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.

AB - Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.

KW - Pancreatic fistula

KW - Pancreaticoduodenectomy

KW - Postoperative complications

UR - http://www.scopus.com/inward/record.url?scp=79960211525&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960211525&partnerID=8YFLogxK

M3 - Article

VL - 12

SP - 410

EP - 412

JO - Journal of the Pancreas

JF - Journal of the Pancreas

SN - 1590-8577

IS - 4

ER -