TREATMENT OF PANCREATIC STONES AND A MIGRATED PANCREATIC TUBE AFTER PANCREATODUODENECTOMY USING A SHORT-TYPE DOUBLE BALLOON ENTEROSCOPE : A CASE REPORT

Abstract

We report herein a 62-year-old male patient having pancreatic stones and a migrated pancreatic tube four years after undergoing pancreatoduodenectomy for intraductal papillary mucinous neoplasm of the pancreas head followed by modified Child's type reconstruction. The patient presented with epigastric pain. Imaging studies showed acute pancreatitis caused by pancreatic stones and a migrated pancreatic tube in the remnant pancreas. We performed endoscopic removal of the pancreatic stones as well as the migrated tube using a short-type double-balloon enteroscope (DBE) and a basket catheter. The DBE technique is one of the useful alternatives for the treatment of pancreatic diseases in patients with previous upper gastrointestinal surgery.