Document Detail

Continuous irrigation with suction started at early days after pancreatic surgery prevents severe complications.
MedLine Citation:
PMID:  18613443     Owner:  NLM     Status:  MEDLINE    
The management of pancreatic leakage is important after pancreatic resection because such leakagge can be associated with additional complications. In this paper, we present a new therapy "irrigation with suction" after pancreatic surgery. The addition of suction permits the start of irrigation early after surgery and prevents severe post-operative complications. Between January 1995 and June 2003, 29 consecutive patients underwent surgical treatment of the pancreas for a variety of indications. Among them, 18 patients were treated with continuous irrigation with suction prophylactically. In these 29 patients, we did not encounter any additional complications such as intraabdominal hemorrhage or abscess formation. A representative case report demonstrates the application of this treatment. The irrigation with suction therapy was started on the first post-operative day after the pylorus-preserving pancreatoduodenectomy with left lobectomy of the liver. CT with irrigation of contrast reagent showed that the reagent did not spread to the uninvolved abdominal area, and the patient did not develop hemorrhage or abscess. It seems that continuous irrigation with suction therapy was effective in preventing additional serious complications after pancreatic resection.
Shigeaki Sawada; Fuminori Yamagishi; Syuuichiro Suzuki; Jiro Matsuoha; Hideki Arai; Kazuhiro Tsukada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  55     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-07-10     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  725-8     Citation Subset:  IM    
Department of Second Surgery, Faculty of Medicine, University of Toyama, Japan.
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MeSH Terms
Aged, 80 and over
Middle Aged
Pancreatectomy / adverse effects*
Postoperative Care / methods*
Postoperative Complications / prevention & control
Severity of Illness Index
Time Factors

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