Double self-expandable total-coated metal stent for gastrojejunal leak after pancreatoduodenectomy.

摘要

A 64-year-old female patient underwent pancreatoduo-denectomy (PD) for a pancreatic neoplasm. Because the mass was close to the portal vein and there was a celiac trunk stenosis, aorto-hepatic artery bypass also was performed. Histologic examination showed a ductal pancreatic carcinoma (pT4 pTNl G2). On day 15 after the surgery, she developed sepsis with a pancreatic leak and wound dehis-cence with a high-output gastrojejunal leak (GJL), approximating 500 mL/day. Two months after resolution of sepsis, the high-output GJL and wound dehiscence persisted. Because of the impossibility of further surgical intervention, upper endoscopy was performed with placement of 2 overlapping, covered, self-expandable, metal-coated stents ([SEMS] Niti-S esophageal covered stent, 28 mm x 10 cm; TaeWoong Medical Co Ltd, Seoul, Korea) (A).