Percutaneous Transfistulous Interventions for Intractable Pancreatic Fistula
Figure 2
Percutaneous transfistulous pancreatojejunostomy (PTPJ). Firstly, abscess around the pancreatojejunostomy is drained percutaneously. Then, drainage catheters are inserted into the pancreatic duct (PTPD procedure) and jejunum, respectively. A guide wire inserted into the jejunum via the drainage tube is grasped by a basket catheter and led externally from percutaneous transhepatic biliary drainage (PTBD) route (a and b). A drainage catheter is inversely inserted into the remnant pancreatic duct over the guide wire (c and d).
