Year 2025 / Volume 117 / Number 10
Letter
External fistula internalization - Endoscopic ultrasound guided stent implantation between stomach and fistula in the treatment of refractory pancreatic cutaneous fistula

586-587

DOI: 10.17235/reed.2024.10440/2024

Yaot-Ting Li, Li-Chao Zhang, Ting-Ting Yu, Jiao Tian, Yan-Kun Hou, Sen-Lin Hou,

Abstract
Pancreatic cutaneous fistula is a complex condition, making it challenging to achieve favorable outcomes with conservative medical treatment. Surgical interventions often entail surgical risks and postoperative complications. Here, we present a case involving endoscopically guided stent placement between the stomach and the fistula. By internalizing the fistula, patients can potentially remove the external drainage tube, offering a novel endoscopic treatment approach for such cases.
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References
1.Fotoohi M,D'Agostino HB,Wollman B, et al. Persistent pancreatocutaneous fistula after percutaneous drainage of pancreatic fluid collections: role of cause and severity of pancreatitis. Radiology. 1999;213 (2):573-8. doi:10.1148/radiology.213.2.r99nv19573
2. Rana SS,Sharma R,Kang M, et al. Natural course of low output external pancreatic fistula in patients with disconnected pancreatic duct syndrome following acute necrotising pancreatitis. Pancreatology. 2020;20 (2):177-181. doi:10.1016/j.pan.2019.12.011
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Li Y, Zhang L, Yu T, Tian J, Hou Y, Hou S, et all. External fistula internalization - Endoscopic ultrasound guided stent implantation between stomach and fistula in the treatment of refractory pancreatic cutaneous fistula. 10440/2024


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Publication history

Received: 28/03/2024

Accepted: 23/06/2024

Online First: 11/07/2024

Published: 10/10/2025

Article Online First time: 105 days

Article editing time: 561 days


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