Related Experiment Video

Updated: Jul 30, 2025

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors
02:20

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors

Published on: February 9, 2024

403

NECROTIZING PANCREATITIS WITH A RECURRING PANCREATIC PSEUDOCYST TREATED BY ENDOSCOPIC DUODENUM-GASTROPANCREATIC

João Guilherme Guerra1,2, Carlos Takenaka1, Murilo de Oliveira Fernandes1

  • 1Hospital São Camilo, Unidade Santana, São Paulo, SP, Brasil.

Arquivos De Gastroenterologia
|May 17, 2023
PubMed

Insights

Rupture of the main pancreatic duct (MPD) may lead to pancreatic pseudocyst (PP) recurrence. Draining the pancreatic tail to the stomach, potentially via endoscopic anastomosis, is crucial for managing MPD rupture.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Pancreatic Diseases

Background:

  • Pancreatic pseudocysts (PPs) are a common complication of pancreatitis.
  • Main pancreatic duct (MPD) rupture is a significant factor in PP recurrence.
  • Current management strategies for MPD rupture require optimization.

Purpose of the Study:

  • To investigate the potential evolution of pancreatic fluid collections to MPD rupture.
  • To highlight the importance of pancreatic tail drainage in MPD rupture cases.
  • To evaluate endoscopic duodenum-gastropancreatic anastomosis as a treatment option.

Main Methods:

  • Retrospective analysis of patient data with MPD rupture.
  • Review of surgical and endoscopic intervention outcomes.
  • Case series examining drainage techniques.

Main Results:

  • MPD rupture was identified as a precursor to PP recurrence.
  • Effective drainage of the pancreatic tail to the stomach was associated with reduced recurrence.
  • Endoscopic duodenum-gastropancreatic anastomosis demonstrated feasibility and efficacy.

Conclusions:

  • MPD rupture necessitates specific management to prevent PP recurrence.
  • Surgical or endoscopic drainage of the pancreatic tail is critical.
  • Endoscopic duodenum-gastropancreatic anastomosis offers a viable therapeutic approach.

More Related Videos

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique13:38

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Published on: June 24, 2022

5.3K
Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions03:34

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions

Published on: February 9, 2024

444

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
119
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
494
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
160
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
118
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
358