Endoscopic fibrin glue injection for closure of pancreatocutaneous fistula following transgastric endoscopic necrosectomy

Transgastric endoscopic necrosectomy has been recently introduced as the effective and alternative management of infected pancreatic necrosis and pancreatic abscess. However, up to 40% of patients who undergo endoscopic necrosectomy may need an additional percutaneous approach for subsequent peripan...

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Bibliographic Details
Published in:	World journal of gastroenterology : WJG Vol. 14; no. 39; pp. 6093 - 6095
Main Authors:	Jang, Ji-Woong, Park, Do-Hyun, Moon, Sung-Hoon, Lee, Sang-Soo, Seo, Dong-Wan, Lee, Sung-Koo, Kim, Myung-Hwan
Format:	Journal Article
Language:	English
Published:	United States Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, South Korea 21-10-2008 The WJG Press and Baishideng
Subjects:	Adhesives - administration & dosage Case Report Endoscopy, Gastrointestinal - methods Female Fibrin - administration & dosage Humans Middle Aged Necrosis Pancreas - pathology Pancreas - surgery Pancreatic Fistula - surgery 内窥镜病理机制纤维蛋白胰腺坏死 Pancreatocutaneous fistula Infected pancreatic necrosis Fibrin glue Endoscopic necrosectomy Pancreatic abscess
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Summary:	Transgastric endoscopic necrosectomy has been recently introduced as the effective and alternative management of infected pancreatic necrosis and pancreatic abscess. However, up to 40% of patients who undergo endoscopic necrosectomy may need an additional percutaneous approach for subsequent peripancreatic fluid collection or non-resolution of pancreatic necrosis. This percutaneous approach may lead to persistent pancreatocutaneous fistula, which remains a serious problem and usually requires prolonged hospitalization, or even open-abdominal surgery. We describe the first case of pancreatocutaneous fistula and concomitant abdominal wall defect following transgastric endoscopic necrosectomy and percutaneous drainage, which were endoscopically closed with fibrin glue injection via the necrotic cavity.
Bibliography:	Endoscopic necrosectomy R576 14-1219/R Fibrin glue; Pancreatocutaneous fistula;Infected pancreatic necrosis; Pancreatic abscess;Endoscopic necrosectomy Pancreatocutaneous fistula Infected pancreatic necrosis Fibrin glue Pancreatic abscess ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Correspondence to: Do Hyun Park, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 pungnap-2dong, Songpagu, Seoul 138-736, South Korea. dhpark@amc.seoul.kr Author contributions: Jang JW, and Park DH wrote the paper; Jang JW, Park DH, and Moon SH carried out the procedures; Park DH, Seo DW, Lee SK, and Kim MH advised and informed about the knowledge. Telephone: +82-2-30103194 Fax: +82-2-4760824
ISSN:	1007-9327 2219-2840
DOI:	10.3748/wjg.14.6093