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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 195-197

Pancreatic duct leak in a case of post Whipple surgery: Managed by endoscopic ultrasound guided pancreatogastrostomy


1 Institute of Digestive and Hepatobiliary Sciences, Gurgaon, India
2 Institute of GI Surgery, Medanta, The Medicity, Gurgaon, India

Correspondence Address:
Rajesh Puri
Institute of Digestive and Hepatobiliary Sciences, Gurgaon
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.138795

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Endoscopic ultrasound (EUS) or endoscopic retrograde cholangiopancreatography (ERCP) provides an option of minimal invasive intervention over surgery. EUS-guided pancreatogastrostomy (EPH) is particularly useful in patients with altered anatomy where ERCP is not feasible. This paper reports a case of post Whipple surgery pancreatic ductal leak and external pancreatic fistula, which was managed by EPH. The patient had uneventful post-procedure course and were asymptomatic at 6 months.


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