Abstract
We report two cases postoperative pancreatic fistula treated using endoscopic transgastric drainage, one involving a 30-year-old woman and the other a 58-year-old man. The woman had undergone distal pancreatectomy for mucinous cystic pancreatic-tail adenoma one month earlier was hospitalized due to abdominal distension from pancreatic fluid collecting in the residual pancreas behind the stomach. The man's pancreatic fluid collection was limited following distal pancreatectomy for pancreatic cancer. Both were diagnosed with postoperative pancreatic fistulas and underwent endoscopic transgastric drainage, following which fluid collection decreased and drainage tubes were removed endoscopically. No fluid collection recurred. Endoscopic transgastric drainage, frequently reported for treating pancreatic pseudocysts, is thus effective in treating pancreatic fluid collection due to postoperative pancreatic fistulas close to the stomach.
