Transpapillary drainage of pancreatic parenchymal necrosis

Jagielski, Mateusz; Smoczyński, Marian; Adrych, Krystian
July 2015
Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;2015, Vol. 10 Issue 3, p491
Academic Journal
In the last two decades the strategy of treatment of necrotizing pancreatitis has changed. Endoscopic therapy of patients with symptomatic walled-off pancreatic necrosis has a high rate of efficiency. Here we present a description of a patient with parenchymal limited necrosis of the pancreas and a disruption of the main pancreatic duct. In the treatment, active transpapillary drainage of the pancreatic necrosis (through the major duodenal papilla) was performed and insertion of an endoprosthesis into the main pancreatic duct (through the minor duodenal papilla) was applied, which enabled a bypass over the infiltration and resulted in complete resolution.


Related Articles

  • Interventional radiology for necrotizing pancreatitis. Mamlouk, Mark; vanSonnenberg, Eric; Mamlouk, Mark D // Journal of Gastrointestinal Surgery;Jul2011, Vol. 15 Issue 7, p1101 

    Necrotic pancreatitis is a complex clinical entity that requires collaboration of care from surgeons, gastroenterologists, and interventional radiologists. CT scans play a pivotal role in the diagnosis of pancreatic necrosis, while image-guided percutaneous pancreatic drainage is a safe and...

  • Application of Tissue Microarrays to Study the Influence of Dexamethasone on NF-κB Expression of Pancreas in Rat with Severe Acute Pancreatitis. Xi Zhang; Ling Zhang; Hong Xu; Yan Xu; Qi Cheng; Jian Wang; Hai Shen // Digestive Diseases & Sciences;Feb2008, Vol. 53 Issue 2, p571 

    Abstract  To discuss the influence of dexamethasone on NF-κB expression of pancreas in rat with severe acute pancreatitis (SAP). Ninety rat SAP models were divided into the model group and dexamethasone treatment group with 45 rats in each group; another healthy 45 rats...

  • Autoimmune Pancreatitis Presenting as a Mass in the Head of the Pancreas: A Diagnosis to Differentiate from Cancer. Tabata, Minoru; Kanemoto, Hideyuki; Fukasawa, Tomoki; Goto, Hideki; Taniwaka, Koichi; Kitayama, Joji // American Surgeon;May2003, Vol. 69 Issue 5, p363 

    We report a case of autoimmune pancreatitis presenting as a mass in the head of the pancreas that was successfully diagnosed without pancreaticoduodenectomy. The patient was a 64-year-old man who had no complaint. A routine physical checkup unexpectedly revealed mild diabetes and a low-echoic...

  • Patterns of Pathomorphological Changes in Acute Necrotizing Pancreatitis. Kovalska, I.; Dronov, O.; Zemskov, S.; Deneka, E.; Zemskova, M. // International Journal of Inflammation;2012, p1 

    Acinar necrosis is the basic microscopic sign of acute necrotizing pancreatitis (ANP). Microcirculation disorder is one of the major factors in the pathogenesis and morphogenesis of ANP besides free radicals and damage of enzymatic origin. This study is dedicated to the description of...

  • Combined minimally invasive management of infected pancreatic necrosis: a case report. Wysocki, Łukasz; Wroński, Marek; Cebulski, Włodzimierz; Krasnodębski, Ireneusz Wojciech // Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;Mar2014, Vol. 2014 Issue 1, p107 

    Infected necrosis is a potentially fatal complication of necrotizing pancreatitis. Open surgical debridement is the mainstay management of infected pancreatic necrosis. Over the last decade minimally invasive techniques have been increasingly used for the treatment of infected pancreatic...

  • Relation of Serial Measurements of Plasma-Soluble Intercellular Adhesion Molecule-1 to Severity of Acute Pancreatitis. Kaufmann, P.; Smolle, K. H.; Brunner, G. A.; Demel, U.; Tilz, G. P.; Krejs, G. J. // American Journal of Gastroenterology;Sep1999, Vol. 94 Issue 9, p2412 

    OBJECTIVE: Acute pancreatitis remains a clinical challenge because it is difficult to predict whether, in a given patient, the disease will be mild or will run a severe course with a possibly fatal outcome. The aim of this study was to investigate whether circulating soluble intercellular...

  • Predicting the Severity of Acute Pancreatitis: Is It Time to Concentrate on the Hematocrit? Baron, Todd H. // American Journal of Gastroenterology;Jul2001, Vol. 96 Issue 7, p1960 

    Focuses on a study that evaluates hemoconcentration upon hospital admission as a potential marker of clinically severe and necrotizing pancreatitis. Background on studies about hemoconcentration; Usefulness of hemoconcentration as a potential marker for severe pancreatitis; Absence of...

  • Long Term Outcome of Endoscopic Drainage of Pancreatic Pseudocysts. Beckingham, I. J.; Krige, J. E. J.; Bornman, P. C.; Terbianche, J. // American Journal of Gastroenterology;Jan1999, Vol. 94 Issue 1, p71 

    Objective: Nonoperative drainage either by the percutaneous or endoscopic route has become a viable alternative to surgical drainage of pancreatic pseudocysts. Endoscopic drainage has been reported in a few small series with encouraging short term results. The aim of this study was to determine...

  • Cutaneous Pseudo Abscesses: An Unusual Presentation of Severe Pancreatitis. Manji, Nasrullah; Hulyalkar, Atul R.; Keroack, Mark A.; Vekshtein, Vladimir I.; Kirshenbaum, James M.; Sugarman, Daniel I.; Chopra, Sanjiv // American Journal of Gastroenterology;Feb1988, Vol. 83 Issue 2, p177 

    In this report, we present a 53-yr-old man with extensive subcutaneous fat necrosis due to acute pancreatitis presenting as fluctuant collections resembling large multiple abscesses. The diagnosis was suggested by examination of the wound aspirate. Findings included absence of organisms on the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics