Drug Discoveries & Therapeutics
Online ISSN : 1881-784X
Print ISSN : 1881-7831
ISSN-L : 1881-7831
The percutaneous tandem drainage technique for radical treatment of intractable hepaticojejunostomy leakage
Hisashi KosakaMasaki KaiboriShuji KariyaYutaka UenoKosuke MatsuiHidekazu YamamotoHideyuki MatsushimaTakahiro HamamotoMitsugu Sekimoto
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2021 Volume 15 Issue 3 Pages 169-170


The principal concept of the percutaneous tandem drainage procedure for an intractable hepaticojejunostomy (HJ) leakage is to decrease the amount of fluid and divide the fluid-filled cavity into several small cavities, which can then be drained individually. Percutaneous abscess drainage (PAD) has a role in drainage of the fluid cavity, whereas percutaneous trans-anastomotic jejunum drainage (PTAJD) has a role in drainage to reduce the bile fluid and digestive juices. A decrease in fluid induces effective drainage of the fluid cavity by PAD. A negative pressure suction drain accelerates reduction of the fluid cavity. PAD is removed when the localized fluid cavity has collapsed. PTAJD is finally removed after a clamping test is performed. Since 2020, we performed the percutaneous tandem drainage for two patients, and an intractable HJ leakage was gently resolved within 3 months without any adverse event. The percutaneous tandem drainage technique is safe for steady drain management of an intractable HJ leakage.

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© 2021 International Research and Cooperation Association for Bio & Socio-Sciences Advancement
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