Closure of pancreatoduodenal fistula using vascular occluding coil embolization and fibrin glue injection: a case study.
10.14701/kjhbps.2013.17.2.75
- Author:
Kun Moo CHOI
1
;
Young Don KIM
;
Jae Hong AHN
Author Information
1. Department of Surgery, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. goodnews@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Pancreatoduodenal fistula;
Embolization;
Fibrin glue
- MeSH:
Abscess;
Catheters;
Drainage;
Fibrin;
Fibrin Tissue Adhesive;
Fistula;
Hospitalization;
Humans
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2013;17(2):75-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
The conventional management of pancreatoenteric fistulas and pancreatic abscess with aggressive surgery or percutaneous drainage catheter placement are associated with increased surgery-related morbidity and mortality, and a longer hospitalization. We report here a case of successful closing pancreatoduodenal fistula, which remained open after the percutaneous catheter drainage of pancreatic abscess, by using vascular coil embolization and fibrin glue injection. This procedure is a less invasive, more effective and better tolerated strategy for the management of pancreatoenteric fistula in a selected group of high risk patients and needs further investigation.