Disrupted pancreatic duct treated with a combination of endoscopic cystoduodenostomy and pancreatic duct fistualization through a pseudocyst wall using a lumen‐apposing metal stent
| Autor: | Robert M. Wilechansky, Ali Khan, Amrita Sethi |
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| Rok vydání: | 2016 |
| Předmět: |
Pancreatic duct
medicine.medical_specialty business.industry medicine.medical_treatment Gastroenterology Stent Lumen (anatomy) Nutritional status 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Recurrent pancreatitis 030220 oncology & carcinogenesis Pancreatic duct stent medicine 030211 gastroenterology & hepatology Radiology Nuclear Medicine and imaging Radiology Cystoduodenostomy business Duct (anatomy) |
| Zdroj: | Digestive Endoscopy. 29:226-228 |
| ISSN: | 1443-1661 0915-5635 |
| DOI: | 10.1111/den.12768 |
| Popis: | The management of disconnected pancreatic duct syndrome is complex and is increasingly approached using emerging endoscopic techniques. Here, we present a case of recurrent pancreatitis in an elderly woman complicated by pseudocyst formation and complete pancreatic duct disruption. Her condition was treated with a novel combination of transpapillary stenting and cystduodenostomy in which a pancreatic duct stent was placed into an opening in the pseudocyst wall via lumen-apposing metal stent. This allowed for effective drainage into the gastrointestinal tract and resolution of duct disruption. Post-procedure, the patient has had recovery of nutritional status and no further recurrence of pancreatic fluid collection. Endoscopic approaches to complete pancreatic duct disruption represent a viable and less invasive alternative to surgical management in selected cases. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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