Disrupted Pancreatic Duct Syndrome: An Evolving Challenge that Calls for Innovative Approach
Subsequent CT scans confirmed a DPD with a large gap between the head and tail of the pancreas (Fig. 2 B) from the necrosectomy. Because of the large gap, the patient was not a good candidate for bridging stent placement, but a stent was placed with the distal tip projecting into the gap. On a follo...
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| Veröffentlicht in: | The American surgeon 2019-08, Vol.85 (8), p.413-415 |
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| creator | Alslaim, Hossam S. Kruse, Edward J. Draper, Karen R. |
| description | Subsequent CT scans confirmed a DPD with a large gap between the head and tail of the pancreas (Fig. 2 B) from the necrosectomy. Because of the large gap, the patient was not a good candidate for bridging stent placement, but a stent was placed with the distal tip projecting into the gap. On a follow-up CT scan 18 months after his index surgery, the fistula has resolved into a fibrotic tunnel connecting the head of the pancreas to its tail (Fig. 2 C). [...]although several previous publications recommend placing an ERCP stent completely across the disrupted area when treating DPDS, we present two patients who underwent successful treatment by ERCP stent without bridging the disrupted area. |
| doi_str_mv | 10.1177/000313481908500818 |
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Because of the large gap, the patient was not a good candidate for bridging stent placement, but a stent was placed with the distal tip projecting into the gap. On a follow-up CT scan 18 months after his index surgery, the fistula has resolved into a fibrotic tunnel connecting the head of the pancreas to its tail (Fig. 2 C). [...]although several previous publications recommend placing an ERCP stent completely across the disrupted area when treating DPDS, we present two patients who underwent successful treatment by ERCP stent without bridging the disrupted area.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/000313481908500818</doi><tpages>3</tpages></addata></record> |
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| subjects | Abdomen Computed tomography Cysts Endoscopy Fibrosis Fistula Fistulae Implants Medical imaging Pain Pancreas Pancreatitis Patients Stents Surgery Surgical implants |
| title | Disrupted Pancreatic Duct Syndrome: An Evolving Challenge that Calls for Innovative Approach |
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