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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 28, 2008; 14(44): 6867-6868
Published online Nov 28, 2008. doi: 10.3748/wjg.14.6867
Published online Nov 28, 2008. doi: 10.3748/wjg.14.6867
Endoscopic Ultrasound-guided drainage of an abdominal fluid collection following Whipple’s resection
Asif Jah, Neville Jamieson, Emmanuel Huguet, Raaj Praseedom, Department of Hepatobiliary and Transplant Surgery, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, United Kingdom
William Griffiths, Department of Gastroenterology and Hepatology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, United Kingdom
Nicholas Carroll, Department of Radiology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, United Kingdom
Author contributions: Jah A collected the data on the patient; Jah A and Praseedom R wrote the manuscript; Jamieson N and Huguet E critically reviewed the manuscript; Griffiths W and Carroll N performed the endoscopic ultrasound guided drainage.
Correspondence to: Raaj Praseedom, Consultant Hepatobiliary and Transplant Surgeon, Box 201, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, United Kingdom. raaj.praseedom@addenbrookes.nhs.uk
Telephone: +44-1223-256040 Fax: +44-1223-216015
Received: July 27, 2008
Revised: November 12, 2008
Accepted: November 19, 2008
Published online: November 28, 2008
Revised: November 12, 2008
Accepted: November 19, 2008
Published online: November 28, 2008
Abstract
Percutaneous aspiration and drainage of post-operative abdominal fluid collections is a well established standard technique. However, some fluid collections are not amenable to percutaneous drainage either due to location or the presence of surrounding visceral structures. Endoscopic Ultrasound (EUS) has been widely used for the drainage of pancreatitis-related abdominal fluid collections. However, there are no reports on the use of this technique in the post-operative setting. We report a case where the EUS-guided technique was used to drain a percutaneously inaccessible post-operative collection which had developed after Whipple’s resection.
Keywords: Endoscopic ultrasound, Pancreatectomy, Whipple’s resection