Disconnected pancreatic duct syndrome.

Disconnected pancreatic duct syndrome (DPDS) is characterised by disruption of the main pancreatic duct with a loss of continuity between the pancreatic duct and the gastrointestinal tract caused by ductal necrosis after severe acute necrotising pancreatitis treated medically, by percutaneous drainage, or necrosectomy. There are no clear epidemiological data on the real incidence of DPDS; approximately 10%–30% of patients with severe acute pancreatitis could develop DPDS. The existing literature is scarce, the terminology is confusing and therapeutic algorithms are not clearly defined. Both endoscopic management and surgical management have been described. We have performed a systematic review of the literature on DPDS. # 2013 AEC. Published by Elsevier España, S.L. All rights reserved. Sı́ndrome del ducto pancreático desconectado