A Case of Rendezvous Dilation under Laparotomy for Pancreaticojejunostomy Stricture after Pancreaticoduodenectomy

Symptomatic anastomotic stenosis necessitates treatment, with an endoscopic approach generally preferred as the first-line option. When endoscopic visualization of the anastomosis proves challenging, an ultrasound endoscope can be utilized to puncture the main pancreatic duct from the stomach and establish a connection to the jejunum (the "rendezvous" method). If endoscopic interventions are unsuccessful, surgical intervention is warranted. Surgical management often involves anastomotic resection and reanastomosis. In this case, a less invasive surgical "rendezvous" approach was successfully employed, which may offer a valuable surgical alternative for managing pancreatico-enterostomy stenosis after pancreaticoduodenectomy.

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Publication Details

Journal
Surgical Case Reports
Published
2025-01-01
DOI
https://doi.org/10.70352/scrj.cr.25-0042
Primary Topic
Pancreatic and Hepatic Oncology Research
Type
article
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article

A Case of Rendezvous Dilation under Laparotomy for Pancreaticojejunostomy Stricture after Pancreaticoduodenectomy

Daisuke Douchi, Shuichi Aoki, Masamichi Mizuma, Mitsuhiro Shimura et al.
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Surgical Case Reports
Pancreatic and Hepatic Oncology Research
article

A Case of Rendezvous Dilation under Laparotomy for Pancreaticojejunostomy Stricture after Pancreaticoduodenectomy

Daisuke Douchi, Shuichi Aoki, Masamichi Mizuma, Mitsuhiro Shimura, Atsushi Masamune, A. Kusaka, Shingo Yoshimachi, Takayuki Miura, Masahiro Iseki, Takashi Kamei, Michiaki Unno, Hideaki Sato, Shimpei Maeda, Kiyoshi Kume, Masaharu Ishida, Shuichiro Hayashi
article en

Abstract

Symptomatic anastomotic stenosis necessitates treatment, with an endoscopic approach generally preferred as the first-line option. When endoscopic visualization of the anastomosis proves challenging, an ultrasound endoscope can be utilized to puncture the main pancreatic duct from the stomach and establish a connection to the jejunum (the "rendezvous" method). If endoscopic interventions are unsuccessful, surgical intervention is warranted. Surgical management often involves anastomotic resection and reanastomosis. In this case, a less invasive surgical "rendezvous" approach was successfully employed, which may offer a valuable surgical alternative for managing pancreatico-enterostomy stenosis after pancreaticoduodenectomy.

Surgical Case ReportsVol. 11(1)
Tohoku University (JP)
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Openalex Percentile: Top 85%
Pancreatic and Hepatic Oncology Research
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