Nasogastric tube placement into the hepaticojejunostomy anastomosis in pancreaticoduodenectomy : a simple surgical technique for prevention of bile leak :a simple surgical technique for prevention of bile leak

Bulent Kaya; Yetkin Ozcabi; Iksan Tasdelen; Ender Onur; Kemal Memisoglu

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저자정보: Bulent Kaya (Fatih Sultan Mehmet Training and Research Hospital) Yetkin Ozcabi (Fatih Sultan Mehmet Training and Research Hospital) Iksan Tasdelen (Fatih Sultan Mehmet Training and Research Hospital) Ender Onur (Fatih Sultan Mehmet Training and Research Hospital) Kemal Memisoglu (Fatih Sultan Mehmet Training and Research Hospital)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제2호

발행연도: 2016.5

수록면: 89 - 92 (4page)

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Hepaticojejunostomy is an important part of many surgical procedures including pancreaticoduodenectomy. Biliary leakage from hepaticojejunostomy may be associated with intraabdominal abscess formation, biliary peritonitis, and even mortality. A 72-year-old female patient was admitted to our hospital with obstructive jaundice. After initial evaluation, she was diagnosed with distal common bile duct obstruction without accurate diagnosis. Before planned pancreaticoduodenectomy, biliary drainage with a T-tube was performed due to the presence of cholangitis. After the first operation, pancreaticoduodenectomy was performed. Postinflammatory changes around the hilar region made the hepaticojejunostomy risky. A bilio-digestive anastomosis was performed using a new technique. A nasogastric tube was placed into the common bile duct proximal to the anastomosis. The postoperative course of the patient was uneventful. The use of a nasogastric tube as a stent in risky hepaticojejunostomies is a simple technique that can be beneficial.

#Hepaticojejunostomy #Biliary drainage #Anastomosis #Nasogastric tube

참고문헌 (10)

참고문헌 신청

Winter JM, Cameron JL, Campbell KA, Arnold MA, Chang DC, Coleman J, et al. 1423 pancreaticoduodenectomies for pancreatic cancer: a single-institution experience. J Gastrointest Surg 2006; 10:1199-1210.

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de Castro SM, Kuhlmann KF, Busch OR, van Delden OM, Laméris JS, van Gulik TM, et al. Incidence and management of biliary leakage after hepaticojejunostomy. J Gastrointest Surg 2005;9:1163-1171.

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