Volume 14, Issue 1, Pages (January 2012)

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Presentation transcript:

Volume 14, Issue 1, Pages 26-31 (January 2012) Roux-en-Y drainage of a pancreatic fistula for disconnected pancreatic duct syndrome after acute necrotizing pancreatitis Erik G. Pearson, Courtney L. Scaife, Sean J. Mulvihill, Robert E. Glasgow HPB Volume 14, Issue 1, Pages 26-31 (January 2012) DOI: 10.1111/j.1477-2574.2011.00397.x Copyright © 2012 International Hepato-Pancreato-Biliary Association Terms and Conditions

Figure 1 Roux-en-Y pancreatic fistula tract-jejunosomy for disconnected pancreatic duct syndrome. (a) Dissection of a pancreatic fistula associated with an external pancreatic drainage catheter left through the root of the transverse mesocolon at the time of the initial pancreatic necrosectomy. (b) Opening of a fistula tract and the placement of stay sutures. (c) Construction of Roux-en-Y pancreatic fistula tract jejunosomy. (d) Completed anastomosis HPB 2012 14, 26-31DOI: (10.1111/j.1477-2574.2011.00397.x) Copyright © 2012 International Hepato-Pancreato-Biliary Association Terms and Conditions

Figure 2 Contrast-enhanced computed tomography of disconnected pancreatic duct treatment. (a) Surgical drain sitting in the pancreatic bed corresponding to the region of the pancreatic neck and body after debridement of these areas during pancreatic necrosectomy (arrow) The pancreatic fistula arises from viable pancreas anatomically to the left of the disrupted duct. (b) One-year follow-up computed tomography (CT) post internal drainage by Roux-en-Y fistula tract jejunostomy (arrow) HPB 2012 14, 26-31DOI: (10.1111/j.1477-2574.2011.00397.x) Copyright © 2012 International Hepato-Pancreato-Biliary Association Terms and Conditions

Figure 3 Magnetic resonance cholangiopancreatography (MRCP) of disconnected pancreatic duct syndrome. Disconnected pancreatic duct between viable pancreas A and ampulla B. The arrow denotes area of missing pancreatic duct HPB 2012 14, 26-31DOI: (10.1111/j.1477-2574.2011.00397.x) Copyright © 2012 International Hepato-Pancreato-Biliary Association Terms and Conditions