Transgastric pancreatic duct drain

Transgastric pancreatic duct drain

Chronic pancreaticocutaneous fistulas can be difficult to treat.  This paper presents a snare-target technique for draining a non-dilated pancreatic duct into the stomach, thus diverting pancreatic fluid away from the pancreaticocutaneous fistula to allow it to heal.  Internal or internal/external transgastric pancreatic duct or fistula drains were placed in 6 patients.  After an average of 4 months of drainage, all 6 patients had resolution of the cutaneous fistula.  2 patients developed a pseudocyst but no recurrent fistula after drain removal, and the other 4 had no pseudocyst or fistula after an average of 27 months follow up (range 6-74 months).

Reference: Boas FE, Kadivar F, Kelly PD, Drebin JA, Vollmer CM, Shlansky-Goldberg RD.  (2015) “Targeted transgastric drainage of isolated pancreatic duct segments to cure persistent pancreaticocutaneous fistulas from pancreatitis.” Journal of Vascular and Interventional Radiology.  26(2):247-51.

Accession: CL0650

Study description: Abdomen^1_ROUTNE_ABD_PEL (Adult)