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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...
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| Published in: | Cardiovascular and interventional radiology 1999-01, Vol.22 (1), p.25-28 |
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| Main Authors: | , , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c345t-9e9d87b0f3f9afc96c32607fda8c38b01d8333b11e2d1dadb5e3220ccda0d3fd3 |
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| container_end_page | 28 |
| container_issue | 1 |
| container_start_page | 25 |
| container_title | Cardiovascular and interventional radiology |
| container_volume | 22 |
| creator | SAMI AASSAR, O LABERGE, J. M GORDON, R. L WILSON, M. W MULVIHILL, S. J WAY, L. W KERLAN, R. K |
| description | 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. |
| doi_str_mv | 10.1007/s002709900324 |
| format | article |
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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.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s002709900324</identifier><identifier>PMID: 9929541</identifier><identifier>CODEN: CAIRDG</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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</subject><ispartof>Cardiovascular and interventional radiology, 1999-01, Vol.22 (1), p.25-28</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-9e9d87b0f3f9afc96c32607fda8c38b01d8333b11e2d1dadb5e3220ccda0d3fd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1721343$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9929541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21080338$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>SAMI AASSAR, O</creatorcontrib><creatorcontrib>LABERGE, J. M</creatorcontrib><creatorcontrib>GORDON, R. L</creatorcontrib><creatorcontrib>WILSON, M. W</creatorcontrib><creatorcontrib>MULVIHILL, S. J</creatorcontrib><creatorcontrib>WAY, L. W</creatorcontrib><creatorcontrib>KERLAN, R. K</creatorcontrib><title>Percutaneous management of abscess and fistula following pancreaticoduodenectomy</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>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.</description><subject>Abdominal Abscess - diagnostic imaging</subject><subject>Abdominal Abscess - etiology</subject><subject>Abdominal Abscess - therapy</subject><subject>ABSCESSES</subject><subject>Adult</subject><subject>Aged</subject><subject>Biliary Fistula - diagnostic imaging</subject><subject>Biliary Fistula - etiology</subject><subject>Biliary Fistula - therapy</subject><subject>Biliary Tract Diseases - diagnostic imaging</subject><subject>Biliary Tract Diseases - etiology</subject><subject>Biliary Tract Diseases - therapy</subject><subject>Biological and medical sciences</subject><subject>BODY FLUIDS</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>INJECTION</subject><subject>Intestinal Fistula - diagnostic imaging</subject><subject>Intestinal Fistula - etiology</subject><subject>Intestinal Fistula - therapy</subject><subject>Jejunal Diseases - diagnostic imaging</subject><subject>Jejunal Diseases - etiology</subject><subject>Jejunal Diseases - therapy</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>PATIENTS</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>SMALL INTESTINE</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>VASCULAR DISEASES</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNpVkEtLxDAUhYMo4zi6dCkUFHfVm9w-kqUMvmDAWSi4K2keY6VtxiZF5t_boUVxdRfn43DPR8g5hRsKkN96AJaDEADIkgMypwmyGHj2fkjmQPMkpmlKj8mJ958ANOUsnZGZEEykCZ2T9dp0qg-yNa73USNbuTGNaUPkbCRLr4z3kWx1ZCsf-lpG1tW1-67aTbSVreqMDJVyunfatEYF1-xOyZGVtTdn012Qt4f71-VTvHp5fF7erWKFSRpiYYTmeQkWrZBWiUwhyyC3WnKFvASqOSKWlBqmqZa6TA0yBkppCRqtxgW5HHudD1XhVRWM-lCu3b9RMAocEPlAXY_UtnNfvfGhaKphVF2Pg4tMpHzQRwcwHkHVOe87Y4ttVzWy2xUUir3n4p_ngb-YivuyMfqXnsQO-dWUS69kbbvBVuX_SnNGMUH8AbRkhiU</recordid><startdate>19990101</startdate><enddate>19990101</enddate><creator>SAMI AASSAR, O</creator><creator>LABERGE, J. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>VASCULAR DISEASES</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAMI AASSAR, O</creatorcontrib><creatorcontrib>LABERGE, J. M</creatorcontrib><creatorcontrib>GORDON, R. L</creatorcontrib><creatorcontrib>WILSON, M. W</creatorcontrib><creatorcontrib>MULVIHILL, S. J</creatorcontrib><creatorcontrib>WAY, L. W</creatorcontrib><creatorcontrib>KERLAN, R. 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K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous management of abscess and fistula following pancreaticoduodenectomy</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>1999-01-01</date><risdate>1999</risdate><volume>22</volume><issue>1</issue><spage>25</spage><epage>28</epage><pages>25-28</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><coden>CAIRDG</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>9929541</pmid><doi>10.1007/s002709900324</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 1999-01, Vol.22 (1), p.25-28 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_21080338 |
| source | Springer Link |
| 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 |
| title | Percutaneous management of abscess and fistula following pancreaticoduodenectomy |
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