Abstract
Case 1 : A 78-year-old man, who had undergone robot-assisted distal gastrectomy (DG) for early gastric cancer, had fever and epigastralgia. Computed tomography (CT) showed an abdominal abscess between the gastric cardia and the dorsal of pancreas. The abscess was punctured from the residual stomach with a 19-gauge needle by endoscopic ultrasonography (EUS) , and a transnasal drainage tube was placed. Twenty-seven days after replacing the internal drainage tube from the stomach, the abscess disappeared.
Case 2 : A 79-year-old man, who had undergone laparoscopy-assisted DG for advanced gastric cancer, had fever and epigastralgia. CT showed an abdominal abscess between the gastric cardia and the dorsal of pancreas and another around the duodenum. EUS-guided abscess drainage was performed from the residual stomach, and then CT-guided drainage was performed around the duodenum. The abscesses disappeared after the replacement of the internal drainage tube.
Conclusion : EUS-guided transgastric drainage might be a safe and successful treatment for abdominal abscesses after DG.
