Abstract
Context: Pancreaticopleural fistula is a rare complication estimated to occur in 0.5% of the patients with pancreatitis and even extremely rare in surgically altered anatomy (e.g. Roux-en-Y anastomosis) patients. The conventional ERCP is difficult to treat pancreaticopleural fistula in a patient with complex upper GI anatomy because of long anatomical route. Case report: We represent a case of a 47-year-old female with remote subtotal gastrectomy with Roux-en-Y gastrojejunostomy admitted with recurrent left pleural effusion due to pancreaticopleural fistula. After failed ERCP through the anatomical route, pancreaticopleural fistula was treated successfully with laparoscopy-assisted transjejunal ERCP. Conclusion: Laparoscopy-assisted ERCP is a useful modality in patients with surgically altered anatomy.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 69-71 |
| Number of pages | 3 |
| Journal | Journal of the Pancreas |
| Volume | 11 |
| Issue number | 1 |
| State | Published - Jan 1 2010 |
Keywords
- Anastomosis, Roux-en-Y
- Cholangiopancreatography, endoscopic retrograde
- Hydrothorax
- Pancreatic fistula /therapy
ASJC Scopus subject areas
- Endocrinology, Diabetes and Metabolism
- Hepatology
- Endocrinology