| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Postoperative Drainage of the Biliary Tract and Pancreatic Duct | |
| Publish Date | 2019/09 | |
| Author | Yutaka Suzuki | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Ryota Matsuki | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Masaharu Kogure | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Tetsuya Nakazato | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Koichi Gondo | Department of Gastroenterology, Kyorin University School of Medicine |
| Author | Shunsuke Watanabe | Department of Gastroenterology, Kyorin University School of Medicine |
| Author | Masao Toki | Department of Gastroenterology, Kyorin University School of Medicine |
| Author | Toshiyuki Mori | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Nobutsugu Abe | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| Author | Yoshihiro Sakamoto | Department of Gastroenterological and general Surgery, Kyorin University School of Medicine |
| [ Summary ] | Postoperative leakage of bile and pancreatic juice secondary to fistula formation may cause severe complications, including intra-abdominal hemorrhage, abscess, and pseudocyst formation. Most patients heal spontaneously, and conservative management is usually selected in such patients. However, endoscopic treatment is performed if conservative management fails. External drainage via endoscopic nasobiliary drainage (ENBD) and endoscopic nasopancreatic drainage (ENPD) or internal drainage via endoscopic biliary drainage (EBD) and endoscopic pancreatic drainage (EPD) is performed for drainage of the biliary and pancreatic ducts. Treatment of leakage requires reduction in the pressure of the bile and pancreatic ducts. Recently, endoscopic ultrasound (EUS)-guided techniques are being increasingly used for drainage of pancreatic pseudocysts. EUS-guided drainage is a less invasive approach to treat pancreatic pseudocysts. | |