Journal of Surgical Education
Volume 64, Issue 4 , Pages 220-223 , July 2007

Late Pancreaticojejunostomy Stent Migration and Hepatic Abscess after Whipple Procedure

  • Masoud Rezvani, MD

      Affiliations

    • Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania
    • ,
  • Paul V. O’Moore, MD

      Affiliations

    • Department of Radiology, Abington Memorial Hospital, Abington, Pennsylvania
    • ,
  • Christopher M. Pezzi, MD

      Affiliations

    • Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania
    • Corresponding Author InformationCorrespondence: Inquiries to Christopher M. Pezzi, MD, Department of Surgery, Abington Memorial Hospital, 1245 Highland Ave., Suite 604, Abington, PA 19001; fax: (215) 481-2159

References 

  1. Butturini G, Marcucci S, Molinari E, et al. Complications after pancreaticoduodenectomy: the problem of current definitions. J Hepatobiliary Pancreat Surg. 2006;13::207–211
  2. Roder JD, Stein HJ, Böttcher KA, Busch R, Heidecke CD, Siewert JR. Stented versus nonstented pancreaticojejunostomy after pancreatoduodenectomy: a prospective study. Ann Surg. 1999;229:41–48
  3. Takano S, Ito Y, Watanabe Y, Yokoyama T, Kubota N, Iwai S. Pancreaticojejunostomy versus pancreaticoduodenectomy in reconstruction following pancreaticoduodenectomy. Br J Surg. 2000;87:423–427
  4. Tani M, Onishi H, Kinoshita H, et al. The evaluation of duct-to-mucosal pancreaticojejunostomy in pancreaticoduodenectomy. World J Surg. 2005;29:76–79
  5. Imaizumi T, Harada N, Hatori T, Fukuda A, Takasaki K. Stenting is unnecessary in duct-to-mucosa pancreaticojejunostomy even in the normal pancreas. Pancreatology. 2002;2:116–121
  6. Winter JM, Cameron JL, Campbell KA, et al. Does pancreatic duct stenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? (Results of a prospective randomized trial). J Gastrointest Surg. 2006;10:1280–1290
  7. Howard JM. Pancreatojejunostomy: leakage is a preventable complication of the Whipple resection. J Am Coll Surg. 1997;184:454–457
  8. Strasberg SM, Drebin JA, Mokadam NA, et al. Prospective trial of a blood supply-based technique of pancreaticojejunostomy; effect on anastomotic failure in Whipple procedure. J Am Coll Surg. 2002;194:746–760
  9. Sutton CD, Garcea G, White SA, et al. Isolated Roux-loop pancreaticojejunostomy: a series of 61 patients with zero postoperative pancreaticoenteric leaks. J Gastrointest Surg. 2004;8:701–705
  10. Lillemoe KD, Cameron JL, Kim MP, et al. Does fibrin glue sealant decrease the rate of pancreatic fistula after pancreaticoduodenectomy? (Results of a prospective randomized trial). J Gastrointest Surg. 2004;8:766–772
  11. Yeo CJ, Cameron JL, Maher MM, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Ann Surg. 1995;222:580–588
  12. Yeo CJ, Cameron JL, Lillemoe KD, et al. Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy? (Results of a prospective randomized placebo-controlled trial). Ann Surg. 2000;232:419–429
  13. Warshaw AL, Winter JM, Cameron JL, Campbell KA, Chang DC, et al. Does pancreatic duct stenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? (Results of a prospective randomized trial). J Gastrointest Surg. 2006;10:1290
  14. Ohwada S, Tanahashi Y, Ogawa T, et al. In situ vs ex situ pancreatic duct stents of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy with Billroth I-type reconstruction. Arch Surg. 2002;137:1289–1293
  15. Ammori BJ, White CM. Proximal migration of transanastomotic pancreatic stent following pancreaticoduodenectomy and pancreaticojejunostomy. Int J Pancreatol. 1999;25:211–215
  16. Biffl WL, Moore EE. Pancreaticojejunal stent migration resulting in “bezoar ileus.”. Am J Surg. 2000;180:115–116

PII: S1931-7204(07)00060-8

doi: 10.1016/j.jsurg.2007.03.002

Journal of Surgical Education
Volume 64, Issue 4 , Pages 220-223 , July 2007

Article Tools

* Image Usage & Resolution