Endoscopic Nasopancreatic Drainage Contributes to Early Resolution of Postgastrectomy Gastropancreatic Fistula

Intern Med. 2024 Feb 15;63(4):487-491. doi: 10.2169/internalmedicine.1500-22. Epub 2023 Jul 5.

Abstract

A 76-year-old man experienced abdominal pain 43 days after gastric cancer resection. Computed tomography revealed a gastric wall defect extending to the pancreas, and endoscopic retrograde pancreatography revealed a gastropancreatic fistula. Afterward, a nasopancreatic duct drainage tube was inserted. Seven days later, no leakage of the contrast medium from the duct was observed, and the patient was discharged 22 days after endoscopic nasopancreatic duct drainage. Endoscopic nasopancreatic duct drainage prevents pancreatic juice leakage and promotes gastric ulcer healing.

Keywords: endoscopic nasopancreatic drainage; pancreatic fistula.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cholangiopancreatography, Endoscopic Retrograde* / methods
  • Drainage / methods
  • Fistula*
  • Humans
  • Male
  • Pancreas / diagnostic imaging
  • Pancreas / surgery
  • Pancreatic Ducts
  • Pancreatic Fistula / diagnostic imaging
  • Pancreatic Fistula / etiology
  • Pancreatic Fistula / surgery
  • Pancreatic Juice