Endoscopic transgastric drainage of postoperative abdominal abscess after laparoscopic-assisted distal gastrectomy

Tetsushi Kubota, Shunsuke Kagawa, Satoru Kikuchi, Shinji Kuroda, Masahiko Nishizaki, Yoshiko Mori, Hiroyuki Kishimoto, Takeshi Nagasaka, Hironari Kato, Toshiyoshi Fujiwara

Research output: Contribution to journalArticle

Abstract

Although rare, intra-abdominal abscess is one possible postoperative complication of gastrectomy for gastric cancer that requires proper management. Generally, CT-guided or echo-guided percutaneous drainage is the first choice as a less-invasive approach, but percutaneous puncture is sometimes difficult because of surrounding viscera. In our case, an obese woman developed intra-abdominal abscess after laparoscopic distal gastrectomy for gastric cancer. The abscess was surrounded by abdominal organs and was difficult to puncture percutaneously. The patient was therefore treated by endoscopic ultrasonography (EUS)-guided drainage through the wall of the remnant stomach. We successfully achieved safe EUS-guided drainage, because EUS clearly showed perigastric abscess and the common hepatic artery. This case demonstrates trans-gastric drainage of perigastric abscess as a safe, less-invasive procedure, even for the remnant stomach after laparoscopic distal gastrectomy.

Original languageEnglish
Pages (from-to)208-214
Number of pages7
JournalJapanese Journal of Gastroenterological Surgery
Volume48
Issue number3
DOIs
Publication statusPublished - 2015

Keywords

  • Abdominal abscess
  • After LADG
  • Endoscopic transgastric drainage

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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