scholarly journals Efficacy of Pancreatic Endotherapy In Pancreatic Ascites And Pleural Effusion

2017 ◽  
Vol 5 (2) ◽  
pp. 6 ◽  
Author(s):  
Sudhir Gupta ◽  
Nitin Gaikwad ◽  
Amol Samarth ◽  
Niraj Sawalakhe ◽  
Tushar Sankalecha
Keyword(s):  
Pleural Effusion ◽  
Pancreatic Ascites

Endoscopic transpapillary nasopancreatic drainage alone to treat pancreatic ascites and pleural effusion

2006 ◽  
Vol 21 (6) ◽  
pp. 1059-1064 ◽  
Author(s):  
DEEPAK KUMAR BHASIN ◽  
SURINDER SINGH RANA ◽  
ISMAIL SIYAD ◽  
UJJAL PODDAR ◽  
BABU RAM THAPA ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Pancreatic Ascites ◽  
Nasopancreatic Drainage

Pancreatic ascites and Pleural Effusion in Children: Clinical Profile, Management and Outcomes

Pancreatology ◽  
2020 ◽  
Author(s):  
Vybhav Venkatesh ◽  
Sadhna Bhasin Lal ◽  
Surinder Singh Rana ◽  
Neha Anushree ◽  
Aradhana Aneja ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Clinical Profile ◽  
Pancreatic Ascites ◽  
Profile Management

scholarly journals An Audit of Management of Chronic Pancreatitis with Pancreatic Ductal Disruption Resulting in Ascites and Pleural Effusion

2021 ◽  
Author(s):  
Mukund Prabhakar Kulkarni ◽  
Sanjeev Chatni ◽  
Nagaraja Nayakar
Keyword(s):  
Chronic Pancreatitis ◽  
Pleural Effusion ◽  
Pancreatic Duct ◽  
Conservative Management ◽  
Mortality And Morbidity ◽  
Pancreatic Ascites ◽  
Clinical Scenarios ◽  
Left Pleural Effusion ◽  
Pancreatic Duct Stenting

Introduction: Pancreatic Ductal Disruption (PDD) may remain a localised collection to form pseudocyst or dissect into adjacent organs or rupture freely into the peritoneal cavity or pleural cavity resulting in massive or high-volume ascites or pleural effusions. The management of pseudocyst is well known among general and gastrosurgeons, but ascites and plural effusion remain difficult decisions. Depending on the availability of resources total parenteral nutrition, octreotide, pancreatic duct stenting are used with varying success. There are no guidelines as to which intervention is preferable in different clinical scenarios. Aim: To audit the clinical characters and management of patients with pancreatic ascites and pleural effusion. Materials and Methods: This study was done at the Department of Surgical Gastroenterology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India. Fifty two patients with pancreatic ascites or pancreatico pleural fistula in the background of chronic pancreatitis satisfying both inclusion and exclusion criteria were identified and studied from the prospectively maintained database of patients with chronic pancreatitis in the period from September 2010 to September 2020. The patients were classified as conservatively managed, endoscopic main pancreatic duct stenting or surgery. Statistical analysis was done using windows excel. The results were expressed as percentage, mean and Standard Deviation (SD). Results: Five patients with ascites and two patients with pleural effusion responded completely to conservative measures (13.4%). In one of them ascites recurred at two months and one had left pleural effusion recurrence at one month. Fifteen patients died while on conservative management (68.2% mortality). Among eight patients undergoing endoscopic pancreatic duct stenting, ascites/pleural effusion resolved in six (75% success rate) and remained asymptomatic during mean follow-up of 12 months. Two patients who were not improving after stenting were lost to follow-up. Twenty-two patients underwent surgery namely lateral pancreatojejunostomy with resolution of symptoms. Two patients undergoing surgery died in postoperative period due to sepsis and chest infection (9.1% mortality). At a mean follow-up of 14 months they remained symptom free. Conclusion: Conservative management alone has high mortality. Early aggressive management can aim to stop leak either by pancreatic duct stenting or surgical lateral pancreatojejunostomy will help reduce mortality and morbidity.

scholarly journals A case of pancreatic ascites and pleural effusion associated with a pancreatic pseudocyst for which endoscopic stenting was effective

2014 ◽  
Vol 84 (1) ◽  
pp. 186-187
Author(s):  
Iwao Chishima ◽  
Taku Yabuki ◽  
Sayaka Chishima ◽  
Yoshitami Kitaoka ◽  
Keita Uehara ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Pancreatic Pseudocyst ◽  
Endoscopic Stenting ◽  
Pancreatic Ascites

scholarly journals Pancreatic pleural effusion due to ductal disruption upstream of a tight ductal stricture in patient with chronic calcific pancreatitis: Successful management with pancreatic sphincterotomy and dilatation of ductal stricture by Guide Wire

2015 ◽  
Vol 06 (02) ◽  
pp. 066-069
Author(s):  
Vishal Sharma ◽  
K. V. Raghavendra Prasada ◽  
Harish Kancharla ◽  
Ravi Sharma ◽  
Surinder S. Rana ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Endoscopic Sphincterotomy ◽  
Endoscopic Therapy ◽  
Guide Wire ◽  
Standard Of Care ◽  
Endoscopic Retrograde ◽  
Pancreatic Ascites ◽  
Chronic Calcific Pancreatitis ◽  
Pancreatic Sphincterotomy ◽  
Calcific Pancreatitis

AbstractEndoscopic therapy has evolved as the standard of care for pancreatic pleural effusion and pancreatic ascites. Endoscopic retrograde cholangiopancreatography and bridging the disruption of ductal disruption with stent placement is the treatment of choice. However, it may not be always possible to negotiate tight pancreatic duct (PD) strictures or stricture stone complex, and endoscopic sphincterotomy alone may not be sufficient. We report a 53-year-old male who had chronic calcific pancreatitis with bilateral pancreatic pleural effusion and a tight stricture at head body junction, across which conventional endoscopic accessories could not be negotiated except for the 0.035 inch guidewire, which we kept across the stricture for 48 h for guidewire induced stricture dilation. This led to the complete resolution of symptoms and pancreatic pleural effusion. Combination of endoscopic sphincterotomy and guide wire induced stricture dilation can be used as rescue technique in cases of very tight PD strictures with complications such as pancreatic pleural effusion.

scholarly journals Internal pancreatic fistulas (pancreatic ascites, pleural effusion) – experience from a tertiary care center

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e453
Author(s):  
M. Govindhan ◽  
U.M. Muthusamy ◽  
J. Sathyanesan ◽  
R. Palaniappan ◽  
K. Balaraman
Keyword(s):  
Pleural Effusion ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Pancreatic Ascites ◽  
Pancreatic Fistulas

Protein analysis of pediatric parapneumonic pleural effusion after intrapleural urokinase treatment

2010 ◽  
Vol 34 (8) ◽  
pp. S69-S69
Author(s):  
Jieh‑Neng Wang ◽  
Pao‑Chi Liao ◽  
Yu‑Chin Tasi ◽  
Jing‑Ming Wu
Keyword(s):  
Pleural Effusion ◽  
Protein Analysis ◽  
Parapneumonic Pleural Effusion
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