Endoscopy 2021; 53(S 01): S43
DOI: 10.1055/s-0041-1724360
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Friday, 26 March 2021 11:00 – 11:45 Endoscopic management of leaks and fistula Room 5

Endoscopic Management of Anastomotic Leak After Resective Surgery for Colonic-Infiltrating Pancreatic Cancer

R Di Mitri
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
A Bonaccorso
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
F Mocciaro
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
E Conte
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
M Amata
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
M Lo Mastro
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
P Marchesa
2   ARNAS Civico - Di Cristina - Benfratelli Hospital, Oncologic Surgery Unit, Palermo, Italy
,
D Scimeca
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
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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.



Publication History

Article published online:
19 March 2021

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