Endoscopic management of pancreatic ascites due to duct disruption following acute necrotizing pancreatitis

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Factors and outcomes associated with pancreatic duct disruption in patients with acute necrotizing pancreatitis.

BACKGROUND AND AIMS Acute necrotizing pancreatitis (ANP) can affect main pancreatic duct (MPD) as well as parenchyma. However, the incidence and outcomes of MPD disruption has not been well studied in the setting of ANP. METHODS This retrospective study investigated 84 of 465 patients with ANP who underwent magnetic resonance cholangiopancreatography and/or endoscopic retrograde cholangiopanc...

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Endoscopic management of pancreatic duct disruption following a bullet injury: a case report.

CONTEXT A pancreatic fistula is the most common complication of pancreatic injury. Although spontaneous closure of pancreatic ductal disruption has been reported, surgical treatment is accepted as the single most carried-out intervention in major ductal injury. We report a case of pancreatic duct disruption due to a bullet injury managed successfully by endoscopic pancreatic duct stenting. CA...

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Endoscopic Management of Acute Pancreatitis

Determining the cause of acute pancreatitis is not usually difficult. Acute pancreatitis results most commonly from alcohol abuse or gallstone disease. These etiologies account for 60-80% of the cases. Medications, infection, metabolic, traumatic, toxins, hereditary, post-ERCP, postoperative, etc. are causative in about 10-20%. In these cases the relationship of the episode of pancreatitis to t...

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Complete pancreatic duct disruption in an isolated pancreatic injury: successful endoscopic management

Isolated pancreatic injury is uncommon and the management is challenging. Presentation is mostly delayed in such cases. We report a case of 26-year-old male, who was referred to our centre due to blunt abdominal trauma of 48 h duration with pain abdomen and vomiting. He was haemodynamically stable and was subjected to endoscopy after few hours of admission, but failed to cannulate the main panc...

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Strategy of Endoscopic Pancreatic Duct Drainage for Recurrent Chronic Pancreatitis

Recurrent chronic obstructive pancreatitis is attributed to pancreatic flow obstruction caused by PD stenosis, pancreatolithiasis, pancreas divisum, etc., and the consequent increased internal pressure in the caudal PD [1-3]. Methods of PD decompression include surgical procedures, such as pancreatectomy and pancreaticojejunostomy, as well as endoscopic PD stenting combined with extracorporeal ...

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ژورنال

عنوان ژورنال: JGH Open

سال: 2018

ISSN: 2397-9070,2397-9070

DOI: 10.1002/jgh3.12113