Endoscopic Ultrasound-Guided Transgastric Drainage of an Intra-Abdominal Abscess following Gastrectomy
- Author:
Satoru KIKUCHI
1
;
Tetsushi KUBOTA
;
Shinji KURODA
;
Masahiko NISHIZAKI
;
Shunsuke KAGAWA
;
Hironari KATO
;
Hiroyuki OKADA
;
Toshiyoshi FUJIWARA
Author Information
- Publication Type:Case Report
- Keywords: Endoscopic ultrasound; Postoperative intra-abdominal abscess; Transgastric drainage
- MeSH: Abdominal Abscess; Abscess; Anastomotic Leak; Drainage; Gastrectomy; Humans; Needles; Pancreatic Fistula; Punctures; Stomach Neoplasms; Ultrasonography
- From:Clinical Endoscopy 2019;52(4):373-376
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreatic fistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needle puncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenal anastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible even in post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period following gastrectomy.
