ERCP-ENDOSCOPIC CLOSURE OF PERSISTENT TERMINAL PANCREATIC DUCT LEAK UTILIZING FIBRIN SEALANT

ENDOSCOPIC CLOSURE OF PERSISTENT TERMINAL PANCREATIC DUCT LEAK UTILIZING FIBRIN SEALANT

Video Transcription

Video Summary

The video summary discusses the technique of endoscopic closure of a persistent terminal pancreatic duct leak using Fiber Ensealant. The case presented involves a 33-year-old female who experienced pancreatic and splenic lacerations due to a motor vehicle collision. Despite surgical intervention and percutaneous drainage, the patient continued to experience fluid collections and leaks. The modified endoscopic approach involved using a commercial Fiber Ensealant product connected to a modified double-lumen biliary dilation balloon catheter. The catheter was maneuvered to the site of the leak, and the fiber and sealant components were simultaneously delivered. Leak control was achieved, and follow-up showed a minimal amount of fluid remaining. This technique is recommended for terminal pancreatic duct defects. (Words: 135)

Asset Subtitle

Video Plenary - Authors: Thomas Tielleman, James Haddad, Jorge Suarez, Markus Goldschmiedt

Keywords

endoscopic closure

persistent terminal pancreatic duct leak

Fiber Ensealant

pancreatic and splenic lacerations

motor vehicle collision