KMID : 0985520150200040228
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Korean Journal of Pancreas and Biliary Tract 2015 Volume.20 No. 4 p.228 ~ p.233
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Endoscopic Ultrasound-guided Drainage of Fluid Collection on Lesser Sac after Pancreaticoduodenectomy Not Accessible to Percutaneous Drainage
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ÃÖûÁ¶:Choi Chung-Jo
¹®¼ºÈÆ:Moon Sung-Hoon/±èÁ¾Çõ:Kim Jong-Hyeok/¹ÚÁö¿ø:Park Ji-Won/±è¼ºÀº:Kim Sung-Eun/¹ÚÃæ±â:Park Choong-Kee/ÀüÀå¿ë:Jeon Jang-Yong
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Abstract
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Postoperative fluid collection is a major complication after pancreaticoduodenectomy and can lead to increased mortality and hospital length of stay. External drainage has widely been used for postoperative fluid collections. Recently, EUS-guided drainage has also been used successfully in treating postoperative fluid collections. A 60-year-old woman was admitted due to weight loss and jaundice. She underwent pancreaticoduodenectomy for cholangiocarcinoma of the common bile duct. After 2 weeks, she had fever with abdominal pain and leukocytosis. CT showed a increased fluid collection in superior recess of lesser sac and EUS-guided drainage was performed. The symptoms resolved without any complication after drainage. This is the first case report of EUS-guided drainage for lesser sac in Korea.
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KEYWORD
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Pancreaticoduodenectomy, Postoperative complication, Endosonography, Drainage
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