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KMID : 1038120190520040373
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Clinical Endoscopy
2019 Volume.52 No. 4 p.373 ~ p.376
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Endoscopic Ultrasound-Guided Transgastric Drainage of an IntraAbdominal Abscess following Gastrectomy
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Kikuchi Satoru
Kubota Tetsushi
Kuroda Shinji
Nishizaki Masahiko
Kagawa Shunsuke
Kato Hironari
Okada Hiroyuki
Fujiwara Toshiyoshi
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Abstract
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Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreatic fistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needle puncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenal anastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible even in post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period following gastrectomy.
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KEYWORD
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Endoscopic ultrasound, Postoperative intra-abdominal abscess, Transgastric drainage
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