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Disconnected pancreatic duct syndrome. Endoscopic approach.
Alfredo Ortiz Sánchez1, Eloísa Cervilla Sáez de Tejada2, Beatriz Zúñiga de Mora Figueroa3
1Aparato Digestivo, Hospital Universitario Clínico San Cecilio, España.
Revista Espanola De Enfermedades Digestivas
|October 25, 2022
Summary
Disconnected pancreatic duct syndrome, a complication of pancreatitis, can recur. This case shows successful endoscopic management using a pancreatic stent for resolution.
Area of Science:
- Gastroenterology
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Pancreatic Diseases
Background:
- Disconnected pancreatic duct syndrome (DPDS) arises from main or secondary pancreatic duct disruption.
- DPDS is a frequent complication (30-80%) of acute necrotizing pancreatitis.
- Endoscopic management of DPDS is debated due to potential enzyme secretion from isolated tissue.
Observation:
- A patient presented with disconnected pancreatic duct syndrome.
- The syndrome involved disruption of the pancreatic duct system.
- Encapsulated necrotic collections were a concern due to enzyme secretion.
Findings:
- Successful endoscopic management of DPDS was achieved.
- Placement of a pancreatic stent led to the resolution of the condition.
- This approach addressed the challenges posed by enzyme secretion.
Implications:
- Endoscopic stenting offers a viable treatment option for DPDS.
- This case highlights the potential of minimally invasive techniques in managing complex pancreatic conditions.
- Further research into endoscopic management strategies for DPDS is warranted.
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