Double self-expandable total-coated metal stent for gastrojejunal leak after pancreatoduodenectomy

Abstract

A 64-year-old female patient underwent pancreatoduodenectomy (PD) for a pancreatic neoplasm. Because the mass was close to the portal vein and there was a celiac trunk stenosis, aorto-hepatic artery bypass also was performed. Histologic examination showed a ductal pancreatic carcinoma (pT4 pTN1 G2). On day 15 after the surgery, she developed sepsis with a pancreatic leak and wound dehiscence with a high-output gastrojejunal leak (GJL), approximating 500 mL/day. Two months after resolution of sepsis, the high-output GJL and wound dehiscence persisted.