Intrabiliary Acetylcysteine Infusion for Biliary Obstruction in a Case of Chronic Pancreatitis with Pancreatic Head IPMN

Autor:	Paul K. Vincent, Hasim Ahamed, Rajesh Gopalakrishna, Ramachandran Menon, Rama P. Venu
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	acetylcysteine cholangitis ipmn chronic pancreatitis Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Journal of Digestive Endoscopy, Vol 11, Iss 02, Pp 163-164 (2020)
Druh dokumentu:	article
ISSN:	0976-5042 0976-5050
DOI:	10.1055/s-0040-1709791
Popis:	Successful biliary drainage in case of intraductal papillary mucinous neoplasm (IPMN) with thick mucus by ERCP and internal drainage alone is usually inadequate. The mucolytic properties of acetylcysteine can offer a therapeutic benefit in this setting. We report a 50-year-old man with chronic pancreatitis and IPMN who had recurrent episodes of biliary obstruction due to mucous occlusion, despite multiple stent exchanges. A nasobiliary catheter was placed and infusion of acetylcysteine was performed which resulted in significant improvement of jaundice. He later underwent surgery after nutritional rehabilitation. This case report highlights the role of intrabiliary acetylcysteine infusions for mucous occlusions in IPMN.
Databáze:	Directory of Open Access Journals
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