Laparoscopy assisted transjejunal ERCP for treatment of pancreaticopleural fistula

Atif Saleem, Mark D. Sawyer, Todd H. Baron

Research output: Contribution to journalArticle

5 Scopus citations

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 languageEnglish (US)
Pages (from-to)69-71
Number of pages3
JournalJournal of the Pancreas
Volume11
Issue number1
StatePublished - 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

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