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Endoscopic Ultrasound-Guided Transgastric Drainage of an IntraAbdominal Abscess following Gastrectomy
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Satoru Kikuchi, Tetsushi Kubota, Shinji Kuroda, Masahiko Nishizaki, Shunsuke Kagawa, Hironari Kato, Hiroyuki Okada, Toshiyoshi Fujiwara
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Clin Endosc 2019;52(4):373-376. Published online February 15, 2019
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DOI: https://doi.org/10.5946/ce.2018.134
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 Abstract
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- 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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Citations
Citations to this article as recorded by  - A Case of Intra-abdominal Abcess following a Pancreatic Fistula after Gastrectomy Treated with Endoscopic Ultrasound-guided Transgastric Drainage
Kenichi ISHIBAYASHI, Toshikatsu TSUJI, Daisuke YAMAMOTO, Hirotaka KITAMURA, Shinichi KADOYA, Hiroyuki BANDO
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2020; 81(6): 1097. CrossRef
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