Endoscopic pancreatic stenting was effective in a case of pancreatic duct disruption and leakage due to pancreatic cancer
A 79-year-old man was admitted on the suspicion of acute pancreatitis. Computed tomography showed acute fluid collection but not typical acute pancreatitis; it formed pseudocysts gradually around the pancreas. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. En...
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| Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2011, Vol.108(4), pp.650-657 |
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| container_title | Nippon Shokakibyo Gakkai Zasshi |
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| creator | HIRAMOTO, Keiichiro KUROKI, Michio NAKANO, Eriko KANNO, Nana MATSUMURA, Yoshifumi MIURA, Atsushi KIKUCHI, Yoshifumi HIRAKAWA, Hidetoshi MATSUDA, Mikio |
| description | A 79-year-old man was admitted on the suspicion of acute pancreatitis. Computed tomography showed acute fluid collection but not typical acute pancreatitis; it formed pseudocysts gradually around the pancreas. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. Endoscopic nasopancreatic drainage (ENPD) and endoscopic pancreatic stenting (EPS) resulted in collapse of pseudocysts, improvement of symptoms and laboratory data, and a mass in the pancreatic body became distinct. The specimens obtained with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) showed pancreatic cancer. In conclusion, ENPD and EPS are effective for pancreatic leakage with disruption of the pancreatic duct, and we should take into consideration the possibility of pancreatic cancer when we see patients with pancreatic disruption. |
| doi_str_mv | 10.11405/nisshoshi.108.650 |
| format | Article |
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Computed tomography showed acute fluid collection but not typical acute pancreatitis; it formed pseudocysts gradually around the pancreas. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. Endoscopic nasopancreatic drainage (ENPD) and endoscopic pancreatic stenting (EPS) resulted in collapse of pseudocysts, improvement of symptoms and laboratory data, and a mass in the pancreatic body became distinct. The specimens obtained with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) showed pancreatic cancer. In conclusion, ENPD and EPS are effective for pancreatic leakage with disruption of the pancreatic duct, and we should take into consideration the possibility of pancreatic cancer when we see patients with pancreatic disruption.</description><identifier>ISSN: 0446-6586</identifier><identifier>EISSN: 1349-7693</identifier><identifier>DOI: 10.11405/nisshoshi.108.650</identifier><identifier>PMID: 21467773</identifier><language>jpn</language><publisher>Japan: The Japanese Society of Gastroenterology</publisher><subject>Aged ; Biopsy, Fine-Needle ; Drainage - methods ; Endoscopy ; Humans ; Male ; Pancreatic Ducts - pathology ; Pancreatic Neoplasms - pathology ; Stents</subject><ispartof>Nippon Shokakibyo Gakkai Zasshi, 2011, Vol.108(4), pp.650-657</ispartof><rights>2011 by The Japanese Society of Gastroenterology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21467773$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HIRAMOTO, Keiichiro</creatorcontrib><creatorcontrib>KUROKI, Michio</creatorcontrib><creatorcontrib>NAKANO, Eriko</creatorcontrib><creatorcontrib>KANNO, Nana</creatorcontrib><creatorcontrib>MATSUMURA, Yoshifumi</creatorcontrib><creatorcontrib>MIURA, Atsushi</creatorcontrib><creatorcontrib>KIKUCHI, Yoshifumi</creatorcontrib><creatorcontrib>HIRAKAWA, Hidetoshi</creatorcontrib><creatorcontrib>MATSUDA, Mikio</creatorcontrib><title>Endoscopic pancreatic stenting was effective in a case of pancreatic duct disruption and leakage due to pancreatic cancer</title><title>Nippon Shokakibyo Gakkai Zasshi</title><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><description>A 79-year-old man was admitted on the suspicion of acute pancreatitis. Computed tomography showed acute fluid collection but not typical acute pancreatitis; it formed pseudocysts gradually around the pancreas. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. Endoscopic nasopancreatic drainage (ENPD) and endoscopic pancreatic stenting (EPS) resulted in collapse of pseudocysts, improvement of symptoms and laboratory data, and a mass in the pancreatic body became distinct. The specimens obtained with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) showed pancreatic cancer. In conclusion, ENPD and EPS are effective for pancreatic leakage with disruption of the pancreatic duct, and we should take into consideration the possibility of pancreatic cancer when we see patients with pancreatic disruption.</description><subject>Aged</subject><subject>Biopsy, Fine-Needle</subject><subject>Drainage - methods</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>Male</subject><subject>Pancreatic Ducts - pathology</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Stents</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpN0U9PwyAYBnBiNG6ZfgEPhpunThiU0qNZ5p9kiRc9N2_hrUM7WgvV7NtLsrnsAm_gF5KHh5AbzuacS5bfexfCpgsbN-dMz1XOzsiUC1lmhSrFOZkyKVWmcq0m5DoEVzPGyrzUQlySyYJLVRSFmJLdytsumK53hvbgzYAQ0xgi-uj8B_2FQLFp0ET3g9R5CtRAQNo1p9yOJlLrwjD20XUJeUtbhC_4wHSHNHan2qQRhyty0UAb8Pqwz8j74-pt-ZytX59elg_r7JPrMmbcNrquZVMLNChSACjsQuWFXoCxecMVKAWga8UMcF4om44khxK0QjTSiBm527_bD933iCFWWxcMti147MZQacW0XghRJnl7kGO9RVv1g9vCsKv-fyuBpz34DDFFOwIYUqwWq2MlVaqkkoc1VXMUZgNDhV78AUQZi-4</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>HIRAMOTO, Keiichiro</creator><creator>KUROKI, Michio</creator><creator>NAKANO, Eriko</creator><creator>KANNO, Nana</creator><creator>MATSUMURA, Yoshifumi</creator><creator>MIURA, Atsushi</creator><creator>KIKUCHI, Yoshifumi</creator><creator>HIRAKAWA, Hidetoshi</creator><creator>MATSUDA, Mikio</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>Endoscopic pancreatic stenting was effective in a case of pancreatic duct disruption and leakage due to pancreatic cancer</title><author>HIRAMOTO, Keiichiro ; KUROKI, Michio ; NAKANO, Eriko ; KANNO, Nana ; MATSUMURA, Yoshifumi ; MIURA, Atsushi ; KIKUCHI, Yoshifumi ; HIRAKAWA, Hidetoshi ; MATSUDA, Mikio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j189t-1df8bb4fb3ece3598a7d265782acd5f16a66aa8b60ca1176df1641a9a86eec4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Biopsy, Fine-Needle</topic><topic>Drainage - methods</topic><topic>Endoscopy</topic><topic>Humans</topic><topic>Male</topic><topic>Pancreatic Ducts - pathology</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Stents</topic><toplevel>online_resources</toplevel><creatorcontrib>HIRAMOTO, Keiichiro</creatorcontrib><creatorcontrib>KUROKI, Michio</creatorcontrib><creatorcontrib>NAKANO, Eriko</creatorcontrib><creatorcontrib>KANNO, Nana</creatorcontrib><creatorcontrib>MATSUMURA, Yoshifumi</creatorcontrib><creatorcontrib>MIURA, Atsushi</creatorcontrib><creatorcontrib>KIKUCHI, Yoshifumi</creatorcontrib><creatorcontrib>HIRAKAWA, Hidetoshi</creatorcontrib><creatorcontrib>MATSUDA, Mikio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HIRAMOTO, Keiichiro</au><au>KUROKI, Michio</au><au>NAKANO, Eriko</au><au>KANNO, Nana</au><au>MATSUMURA, Yoshifumi</au><au>MIURA, Atsushi</au><au>KIKUCHI, Yoshifumi</au><au>HIRAKAWA, Hidetoshi</au><au>MATSUDA, Mikio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic pancreatic stenting was effective in a case of pancreatic duct disruption and leakage due to pancreatic cancer</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2011-04</date><risdate>2011</risdate><volume>108</volume><issue>4</issue><spage>650</spage><epage>657</epage><pages>650-657</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>A 79-year-old man was admitted on the suspicion of acute pancreatitis. Computed tomography showed acute fluid collection but not typical acute pancreatitis; it formed pseudocysts gradually around the pancreas. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. Endoscopic nasopancreatic drainage (ENPD) and endoscopic pancreatic stenting (EPS) resulted in collapse of pseudocysts, improvement of symptoms and laboratory data, and a mass in the pancreatic body became distinct. The specimens obtained with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA) showed pancreatic cancer. In conclusion, ENPD and EPS are effective for pancreatic leakage with disruption of the pancreatic duct, and we should take into consideration the possibility of pancreatic cancer when we see patients with pancreatic disruption.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>21467773</pmid><doi>10.11405/nisshoshi.108.650</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Biopsy, Fine-Needle Drainage - methods Endoscopy Humans Male Pancreatic Ducts - pathology Pancreatic Neoplasms - pathology Stents |
| title | Endoscopic pancreatic stenting was effective in a case of pancreatic duct disruption and leakage due to pancreatic cancer |
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