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Title: Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter

Abstract

Purpose: This study was designed to evaluate retrospectively the safety and efficacy of the percutaneous management of duodenal stump leakage with a Foley catheter after subtotal gastrectomy. Methods: Ten consecutive patients (M:F = 9:1, median age: 64 years) were included in this retrospective study. The duodenal stump leakages were diagnosed in all the patients within a median of 10 days (range, 6-20). At first, the patients underwent percutaneous drainage on the day of or the day after confirmation of the presence of duodenal stump leakage, and then the Foley catheters were replaced at a median of 9 days (range, 6-38) after the percutaneous drainage. Results: Foley catheters were placed successfully in the duodenal lumen of all the patients under a fluoroscopic guide. No complication was observed during and after the procedures in all the patients. All of the patients started a regular diet 1 day after the Foley catheter placement. The patients were discharged at a median of 7 days (range, 5-14) after the Foley catheter placement. The catheters were removed in an outpatient clinic 10-58 days (median, 28) after the Foley catheter placement. Conclusions: Fluoroscopy-guided percutaneous Foley catheter placement may be a safe and effective treatment option for postoperativemore » duodenal stump leakage and may allow for shorter hospital stays, earlier oral intake, and more effective control of leakage sites.« less

Authors:
; ; ;  [1]; ;  [2];  [3]
  1. Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Department of Radiology (Korea, Republic of)
  2. Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Department of Radiology (Korea, Republic of)
  3. Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Department of Radiology (Korea, Republic of)
Publication Date:
OSTI Identifier:
22208025
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 36; Journal Issue: 5; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DESIGN; DIAGNOSIS; DIET; DRAINAGE; GASTRECTOMY; HOSPITALS; INTAKE; PATIENTS; VASCULAR DISEASES

Citation Formats

Oh, Jung Suk, E-mail: oj-cumc@daum.net, Lee, Hae Giu, E-mail: hgleehfh@catholic.ac.kr, Chun, Ho Jong, Choi, Byung Gil, Lee, Sang Hoon, Hahn, Seong Tai, and Ohm, Joon Young. Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter. United States: N. p., 2013. Web. doi:10.1007/S00270-012-0518-6.
Oh, Jung Suk, E-mail: oj-cumc@daum.net, Lee, Hae Giu, E-mail: hgleehfh@catholic.ac.kr, Chun, Ho Jong, Choi, Byung Gil, Lee, Sang Hoon, Hahn, Seong Tai, & Ohm, Joon Young. Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter. United States. doi:10.1007/S00270-012-0518-6.
Oh, Jung Suk, E-mail: oj-cumc@daum.net, Lee, Hae Giu, E-mail: hgleehfh@catholic.ac.kr, Chun, Ho Jong, Choi, Byung Gil, Lee, Sang Hoon, Hahn, Seong Tai, and Ohm, Joon Young. Tue . "Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter". United States. doi:10.1007/S00270-012-0518-6.
@article{osti_22208025,
title = {Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter},
author = {Oh, Jung Suk, E-mail: oj-cumc@daum.net and Lee, Hae Giu, E-mail: hgleehfh@catholic.ac.kr and Chun, Ho Jong and Choi, Byung Gil and Lee, Sang Hoon and Hahn, Seong Tai and Ohm, Joon Young},
abstractNote = {Purpose: This study was designed to evaluate retrospectively the safety and efficacy of the percutaneous management of duodenal stump leakage with a Foley catheter after subtotal gastrectomy. Methods: Ten consecutive patients (M:F = 9:1, median age: 64 years) were included in this retrospective study. The duodenal stump leakages were diagnosed in all the patients within a median of 10 days (range, 6-20). At first, the patients underwent percutaneous drainage on the day of or the day after confirmation of the presence of duodenal stump leakage, and then the Foley catheters were replaced at a median of 9 days (range, 6-38) after the percutaneous drainage. Results: Foley catheters were placed successfully in the duodenal lumen of all the patients under a fluoroscopic guide. No complication was observed during and after the procedures in all the patients. All of the patients started a regular diet 1 day after the Foley catheter placement. The patients were discharged at a median of 7 days (range, 5-14) after the Foley catheter placement. The catheters were removed in an outpatient clinic 10-58 days (median, 28) after the Foley catheter placement. Conclusions: Fluoroscopy-guided percutaneous Foley catheter placement may be a safe and effective treatment option for postoperative duodenal stump leakage and may allow for shorter hospital stays, earlier oral intake, and more effective control of leakage sites.},
doi = {10.1007/S00270-012-0518-6},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 5,
volume = 36,
place = {United States},
year = {2013},
month = {10}
}