Pancreatic fistula after pancreaticoduodenectomy - Alternative therapy of endoscopic ultrasound guided pancreatic duct puncture drainage.

Pancreatic fistula is a very difficult complication after pancreatic surgery(1). Endoscopic ultrasound guided drainage of pancreatic duct (EUS-PD)was a challenging endoscopic procedure that can solve the problem of postoperative pancreatic fistula. However, EUS-PD cannot be completed in patients with undilated pancreatic ducts. Here, we present a case of fistula-digestive anastomosis in the treatment of postoperative pancreatic fistula.