{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T13:25:30Z","timestamp":1783689930772,"version":"3.55.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Although the mortality after a pancreaticoduodenectomy (PD) is low, it increases with post-operative pancreatic leaks. In this case, a 76-year-old male with pancreatic head adenocarcinoma after successful PD developed a 6\u00a0cm fluid collection by the pancreaticojejunostomy (PJ). Interventional radiology proceeded with percutaneous drainage. Unfortunately, the drain color changed from purulent to bilious. A contrast study confirmed the drain\u2019s position within the bowel lumen of the afferent limb. Although not the original intent, the patient progressed. Few cases describe percutaneous drainage of the blind end of the afferent limb. Here, the patient\u2019s chronic bowel dysmotility contributed to increased afferent limb pressures, jeopardizing the PJ. Placement of the intra-luminal drain allowed for source control and decompression that promoted pancreatic leak healing. Hence, percutaneous jejunostomy of the blind jejunal end after PD can serve as a minimally invasive technique for pancreatic leaks secondary to increased pressures within the afferent limb.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf930","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T12:31:41Z","timestamp":1763555501000},"source":"Crossref","is-referenced-by-count":1,"title":["Afferent limb percutaneous jejunostomy to treat pancreatic leak after pancreaticoduodenectomy: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6605-5747","authenticated-orcid":false,"given":"Carolina","family":"Orsi","sequence":"first","affiliation":[{"name":"Department of Graduate Medical Education, General Surgery, The University of Texas at Tyler Health Science Center , 11937 US HWY 271, Tyler, TX 75708 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Graduate Medical Education, General Surgery, The University of Texas at Tyler Health Science Center , 11937 US HWY 271, Tyler, TX 75708 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hishaam","family":"Ismael","sequence":"additional","affiliation":[{"name":"Department of Surgery, The University of Texas Health Science Center at Tyler , 11937 US HWY 271, Tyler, TX 75708 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"2025111907313955300_ref1","first-page":"161","article-title":"Pancreatic anastomosis leakage management following pancreaticoduodenectomy how could be manage the anastomosis leakage after 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General Hospital experience","volume":"143","author":"Veillette","year":"2008","journal-title":"Arch Surg"},{"key":"2025111907313955300_ref5","doi-asserted-by":"publisher","first-page":"2456","DOI":"10.3748\/wjg.v11.i16.2456","article-title":"Risk factors of pancreatic leakage after pancreaticoduodenectomy","volume":"11","author":"Yang","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025111907313955300_ref6","doi-asserted-by":"publisher","first-page":"5789","DOI":"10.3748\/wjg.14.5789","article-title":"Pancreatic fistula after pancreatectomy: evolving definitions, preventive strategies and modern management","volume":"14","author":"Shrikhande","year":"2008","journal-title":"World J Gastroenterol"},{"key":"2025111907313955300_ref7","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.jvir.2014.11.010","article-title":"Percutaneous drainage after afferent limb syndrome and pancreatic fistula via the blind end of the jejunal limb after pancreatoduodenectomy or bile duct resection","volume":"26","author":"Sato","year":"2015","journal-title":"J Vasc Interv Radiol"},{"key":"2025111907313955300_ref8","doi-asserted-by":"publisher","first-page":"1841","DOI":"10.1007\/s00270-021-02890-6","article-title":"Percutaneous transjejunal pancreatic duct drainage for delayed pancreatic fistula after pancreaticoduodenectomy","volume":"44","author":"Inaba","year":"2021","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["Journal of Surgical Case 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