Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 28, 2006; 12(44): 7203-7205
Published online Nov 28, 2006. doi: 10.3748/wjg.v12.i44.7203
Endoscopic naso-pancreatic stent-guided single-branch resection of the pancreas for multiple intraductal papillary mucinous adenomas
Tamotsu Kuroki, Yoshitsugu Tajima, Ryuji Tsutsumi, Noritsugu Tsuneoka, Amane Kitasato, Tomohiko Adachi, Takashi Kanematsu
Tamotsu Kuroki, Yoshitsugu Tajima, Ryuji Tsutsumi, Noritsugu Tsuneoka, Amane Kitasato, Tomohiko Adachi, Takashi Kanematsu, Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Correspondence to: Tamotsu Kuroki, Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. tkuroki-gi@umin.ac.jp
Telephone: +81-95-8497316 Fax: +81-95-8497319
Received: September 15, 2006
Revised: September 28, 2006
Accepted: October 15, 2006
Published online: November 28, 2006
Abstract

In benign or low-grade malignant pancreatic tumors, complete removal of the lesion is sufficient for a cure, and thus minimal resection techniques with preservation of the pancreatic functional reserve have advantages over more extended pancreatic resections. However, a high incidence of postoperative pancreatic fistula in such procedures has been reported. Moreover, branch-type intraductal papillary mucinous neoplasms of the pancreas tend to locate in the head of the pancreas, and show less malignant potential. We describe an endoscopic naso-pancreatic stent-guided single-branch resection of the pancreas for branch-type multiple intraductal papillary mucinous adenomas, along with a gastric wall-covering method for the prevention of pancreatic leakage.

Keywords: Intraductal papillary mucinous neoplasm, Single-branch resection, Gastric wall-covering method