Abstract Text Pancreaticojejunal anastomosis (PJA) dehiscence and necrosis with peritoneal collection
(PC) represent a challenging complication of pancreatic surgery. This is the case
of a 65-year-old male patient after pylorus preserving pancreaticoduodectomy. PC drainage
was performed by placing a Niti-S™ NAGI™ stent (12mm x 20mm) across the dehiscence.
Seven days later, previous CT-scan confirmation of PC resolution and because of stent
proximity to the splenic vein, the NAGI was endoscopically removed. The tip of the
colonoscope was gently pushed in order to perform a retroperitoneoscopy which allowed
to cannulate the main duct of the residual post-surgical edematous pancreatic tail;
a fc-SEMS (6mm x 80mm) was placed to drain the pancreatic juice in the jejunal limb
far away from the PJA. Three months later the fc-SEMS was removed. To date, the patient
is asymptomatic [1]
[2].
Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/a41477d3-0cc3-4ec0-ac3b-3eef1a9eca89/Uploads/16849_Basile.mp4
