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[Disconnected panreatic duct syndrome].

Jose Manuel Ramia1, Joan Fabregat2, Manuel Pérez-Miranda3

  • 1Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara, España.

Cirugia Espanola
|July 13, 2013
PubMed
Summary

Disconnected pancreatic duct syndrome (DPDS) is a rare complication of severe pancreatitis. This systematic review examines current literature to clarify diagnosis and management of DPDS.

Keywords:
CirugíaDisconnected pancreatic duct syndromePancreasPancreatitisPáncreasReviewRevisiónSurgerySíndrome del ducto desconectado

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Gastroenterology

Context:

  • Disconnected pancreatic duct syndrome (DPDS) arises from main pancreatic duct disruption post-severe acute necrotizing pancreatitis.
  • Incidence is poorly defined, potentially affecting 10-30% of severe acute pancreatitis cases.
  • Existing literature is limited, with inconsistent terminology and undefined therapeutic strategies.

Purpose:

  • To systematically review the existing literature on disconnected pancreatic duct syndrome (DPDS).
  • To consolidate understanding of DPDS etiology, clinical presentation, and management options.
  • To address the scarcity of information and confusion surrounding DPDS.

Summary:

  • This systematic review synthesizes current knowledge on DPDS, a condition resulting from pancreatic duct necrosis after severe pancreatitis.
  • It highlights the lack of clear epidemiological data and the challenges posed by inconsistent terminology and treatment algorithms.
  • Both endoscopic and surgical interventions have been explored for managing DPDS.

Impact:

  • Aims to clarify diagnostic criteria and therapeutic pathways for DPDS.
  • Provides a foundation for future research and standardized clinical guidelines.
  • Enhances understanding for clinicians managing complex pancreatitis complications.