Endoscopic Ultrasound-Guided Transgastric Drainage of an Intra-Abdominal Abscess following Gastrectomy
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Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulasand intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastricdrainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominalabscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distalgastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreaticfistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needlepuncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenalanastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible evenin post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period followinggastrectomy.
Abstract
Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulasand intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastricdrainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominalabscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distalgastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreaticfistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needlepuncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenalanastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible evenin post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period followinggastrectomy.
참고문헌 (12)
- Sasako M, "D2 lymphadenectomy alone or with para-aortic nodal dissection for gastric cancer", N Engl J Med, 359, pp.453~462 (2008)
- Kassi F, "Predictive factors for failure of percutaneous drainage of postoperative abscess after abdominal surgery", Am J Surg, 207, pp.915~921 (2014)
- Itoi T, "EUS-guided pancreatic pseudocyst drainage: simultaneous placement of stents and nasocystic catheter using double-guidewire technique", Dig Endosc, 21(Suppl 1), pp.S53~S56 (2009)
- Tilara A, "Endoscopic ultrasound-guided transmural drainage of postoperative pancreatic collections", J Am Coll Surg, 218, pp.33~40 (2014)
- Onodera M, "Endoscopic ultrasound-guided transmural drainage for pancreatic fistula or pancreatic duct dilation after pancreatic surgery", Surg Endosc, 26, pp.1710~1717 (2012)
- Itoi T, "Late bleeding after EUS-guided transjejunal drainage of a pancreatic pseudocyst in a Rouxen-Y patient", Dig Endosc, 23(Suppl 1), pp.51~53 (2011)
- Larghi A, "EUS-guided cystojejunostomy for drainage of a pseudocyst in a patient with Billroth II gastrectomy", Gastrointest Endosc, 73, pp.169~171 (2011)
- Varadarajulu S, "Graded dilation technique for EUS-guided drainage of peripancreatic fluid collections : an assessment of outcomes and complications and technical proficiency(with video)", Gastrointest Endosc, 68, pp.656~666 (2008)
- Bassi C, "Postoperative pancreatic fistula:an international study group (ISGPF) definition", Surgery, 138, pp.8~13 (2005)
- van Sonnenberg E, "Percutaneous abscess drainage : update", World J Surg, 25, pp.362~369 (2001)
- Gupta T, "EUS-guided transmural drainage of postoperative collections", Gastrointest Endosc, 76, pp.1259~1265 (2012)
- Varadarajulu S, "EUS-guided therapy for management of peripancreatic fluid collections after distal pancreatectomy in 20 consecutive patients", Gastrointest Endosc, 74, pp.418~423 (2011)