Endoscopic clipping of gastrojejunostomy leakage following Whipple procedure: A case report  

作　　者：Bahtiyar Muhammedoğlu Oguzhan Fatih Ay 

机构地区：[1]Department of General Surgery,Kahramanmaras Sutcuİmam University Medical Faculty,Kahramanmaras 46040,Türkiye [2]Department of General Surgery,Kahramanmaras Necip Fazıl City Hospital,Kahramanmaras 46140,Türkiye

出　　处：《World Journal of Gastrointestinal Surgery》2024年第9期3041-3047,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Currently,perioperative complications of classic Whipple surgery occur at a rate of approximately 40%.Common complications include delayed gastric emptying,pancreatic fistula,and bile leakage,whereas gastrojejunostomy(GJ)leakage is rare.CASE SUMMARY This case report will assess the management of a GJ leak in a 71-year-old male patient following the Whipple procedure.After surgery,the patient was trans-ferred to the clinic after four days of intensive care,where vacuum therapy was used to handle a developing subcutaneous collection.The patient,who had bile in the drains and incision during follow-up,underwent endoscopic examination on the 21st day after the operation.An opening of approximately 4 mm was observed in the GJ anastomosis during endoscopy.Five titanium clips were used to close the openings.The drainage of bile decreased to less than 50 mL on the first day after the procedure,and the patient's oral intake was opened.CONCLUSION Current literature reports a GJ leakage rate of 0.54%following Whipple surgery,with clinical findings lasting on average between 4-34 days.Surgery was the main form of therapy for this case,with a success rate of 84%,and percutaneous drai-nage was also utilized as a treatment option.This case report is the first to docu-ment endoscopic treatment of GJ leaks following the classic Whipple procedure.

关 键 词：Pancreas cancer Whipple procedure GASTROJEJUNOSTOMY LEAKAGE Endos-copic management Case report 

分 类 号：R574.3[医药卫生—消化系统]