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

作     者：Bahtiyar Muhammedoğlu Oguzhan Fatih Ay 

作者机构：Department of General SurgeryKahramanmaras Sutcuİmam University Medical FacultyKahramanmaras 46040Türkiye Department of General SurgeryKahramanmaras Necip Fazıl City HospitalKahramanmaras 46140Türkiye 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第9期

页      面：3041-3047页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Pancreas cancer Whipple procedure Gastrojejunostomy Leakage Endos-copic management Case report 

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 *** SUMMARY This case report will assess the management of a GJ leak in a 71-year-old male patient following the Whipple *** 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 *** patient,who had bile in the drains and incision during follow-up,underwent endoscopic examination on the 21st day after the *** opening of approximately 4 mm was observed in the GJ anastomosis during *** titanium clips were used to close the *** drainage of bile decreased to less than 50 mL on the first day after the procedure,and the patient s oral intake was *** Current literature reports a GJ leakage rate of 0.54%following Whipple surgery,with clinical findings lasting on average between 4-34 *** 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 *** case report is the first to docu-ment endoscopic treatment of GJ leaks following the classic Whipple procedure.