ENDOSCOPIC RESSOLUTION OF COMPLEX ADVERSE EVENTS AFTER PANCREATIC SURGERY

62 yo woman developed collection, jaundice and duodenal stenosis after pancreatectomy. After endoscopic collection drainage, ERCP shows disruption of the pancreatic duct to the collection and biliary stenosis. Two months later acute cholangitis with biliary dysruption is diagnosed. A duodenal fistula is communicated with the collection and pancreatic duct. Biliopancreatic clinical improvement but worsening of the duodenal stenosis with oral intolerance, which prevents the passage of the duodenoscope to the second duodenal portion for stent exchange. EUS-guided endoscopic gastroduodenostomy is performed and the papillary area is accessed retrogradely. These complex postsurgical complications could be resolved by combining several endoscopic techniques.

Publication History

Article published online:
14 April 2022