Management of Disconnected Pancreatic Duct.

Humans Pancreas Cholangiopancreatography, Magnetic Resonance Bile Duct Diseases Necrosis Pancreatic Diseases / etiology Pancreatic Ducts / surgery
Acute necrotizing pancreatitis Disconnected pancreatic duct Pancreatic duct disruption Pancreatic fluid collections Walled-off necrosis

Journal

Gastrointestinal endoscopy clinics of North America
ISSN: 1558-1950
Titre abrégé: Gastrointest Endosc Clin N Am
Pays: United States
ID NLM: 9202792

Informations de publication

Date de publication:
Oct 2023
Historique:
medline: 18 9 2023
pubmed: 15 9 2023
entrez: 14 9 2023
Statut: ppublish

Résumé

Disconnected pancreatic duct (DPD) is common after acute necrotizing pancreatitis (ANP). Its clinical implications vary according to the course of disease. In the early phase of ANP, parenchymal necrosis along with disruption of pancreatic duct cause acute necrotic collection that evolves into walled-off necrosis (WON). In the later phase, DPD becomes evident as confirmed by magnetic resonance cholangiopancreatography. Clinical manifestations of DPD can vary from being asymptomatic, recurrent pain, recurrent pancreatic fluid collection (PFC), obstructive pancreatitis, or external pancreatic fistula (EPF). Few patients develop new-onset diabetes. Long-term indwelling plastic stents have been proposed to prevent the recurrent PFC.

Identifiants

DOI: 10.1016/j.giec.2023.04.004 PMID: 37709409
pubmed: 37709409
pii: S1052-5157(23)00030-2
doi: 10.1016/j.giec.2023.04.004
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

753-770

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Jahangeer Basha (J)

Department of Gastroenterology, Asian Institute of Gastroenterology, AIG Hospitals, Gachibowli, Hyderabad 500032, Telangana, India.

Sundeep Lakhtakia (S)

Department of Gastroenterology, Asian Institute of Gastroenterology, AIG Hospitals, Gachibowli, Hyderabad 500032, Telangana, India. Electronic address: drsundeeplakhtakia@gmail.com.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › Système digestif › Pancréas › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic digestif › Cholangiopancréatographie par résonance magnétique › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladie des voies biliaires › Maladies des canaux biliaires › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Nécrose › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies du pancréas › Management of Disconnected Pancreatic Duct.
questionsmedicales.fr › Système digestif › Pancréas › Conduits pancréatiques › Management of Disconnected Pancreatic Duct.