Percutaneous management of abscess and fistula following pancreaticoduodenectomy

To evaluate the efficacy of percutaneous drainage of fluid collections following pancreaticoduodenectomy (Whipple's procedure). We performed a retrospective review of 19 patients referred to our service with fluid collections following pancreaticoduodenectomy. The presence of associated enteric...

Full description

Saved in:
Bibliographic Details
Published in:Cardiovascular and interventional radiology 1999-01, Vol.22 (1), p.25-28
Main Authors: SAMI AASSAR, O, LABERGE, J. M, GORDON, R. L, WILSON, M. W, MULVIHILL, S. J, WAY, L. W, KERLAN, R. K
Format: Article
Language:English
Subjects:
Abdominal Abscess - diagnostic imaging
Abdominal Abscess - etiology
Abdominal Abscess - therapy
ABSCESSES
Adult
Aged
Biliary Fistula - diagnostic imaging
Biliary Fistula - etiology
Biliary Fistula - therapy
Biliary Tract Diseases - diagnostic imaging
Biliary Tract Diseases - etiology
Biliary Tract Diseases - therapy
Biological and medical sciences
BODY FLUIDS
Drainage - methods
Female
Follow-Up Studies
Humans
INJECTION
Intestinal Fistula - diagnostic imaging
Intestinal Fistula - etiology
Intestinal Fistula - therapy
Jejunal Diseases - diagnostic imaging
Jejunal Diseases - etiology
Jejunal Diseases - therapy
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Pancreaticoduodenectomy - adverse effects
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
Retrospective Studies
SMALL INTESTINE
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tomography, X-Ray Computed
Treatment Outcome
VASCULAR DISEASES
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate the efficacy of percutaneous drainage of fluid collections following pancreaticoduodenectomy (Whipple's procedure). We performed a retrospective review of 19 patients referred to our service with fluid collections following pancreaticoduodenectomy. The presence of associated enteric or biliary fistulas, the route(s) of access for image-guided drainage, the incidence of positive bacterial cultures, and the duration and success of percutaneous management were recorded. Fistulous communication to the jejunum in the region of the pancreatico-jejunal anastomosis was demonstrable in all 19 patients by gentle contrast injection into drainage tubes. Three patients had concurrent biliary fistulas. In 18 of 19 patients, fluid samples yielded positive bacterial cultures. Successful percutaneous evacuation of fluid was achieved in 17 of 19 patients (89%). The mean duration of drainage was 31 days. Percutaneous drainage of abscess following pancreaticoduodenectomy is effective in virtually all patients despite the coexistence of enteric and biliary fistulas.
ISSN:0174-1551
1432-086X
DOI:10.1007/s002709900324