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DOI: 10.1055/s-0041-1724360
Endoscopic Management of Anastomotic Leak After Resective Surgery for Colonic-Infiltrating Pancreatic Cancer
A 39-year-old man underwent colonic resection and distal splenopancreasectomy for colonic-infiltrating pancreatic cancer. The patient experienced fever and abdominal pain 5days after surgery. CT-scan documented a 10cm intra-abdominal collection in splenic loggia. Endoscopy showed a large fistulous orifice opening beyond the colo-colonic junction with wide access to the peri-anastomotic cavity. We placed two double-pigtail stent across the leak. Size collection progressively reduced and the pig-tails were finally removed after 5 weeks. Endoscopy at 6 months showed a completely regular anastomosis. Stent placement, promoting granulation-tissue formation, allowed to treat successfully anastomotic leak with conservative approach, without needing of a protective ileostomy.
Citation: Di Mitri R, Bonaccorso A, Mocciaro F et al. OP101V ENDOSCOPIC MANAGEMENT OF ANASTOMOTIC LEAK AFTER RESECTIVE SURGERY FOR COLONIC-INFILTRATING PANCREATIC CANCER. Endoscopy 2021; 53: S43.
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Publication History
Article published online:
19 March 2021
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