scholarly journals Transpapillary drainage of pancreatic parenchymal necrosis

2015 ◽  
Vol 3 ◽  
pp. 491-494 ◽  
Author(s):  
Mateusz Jagielski ◽  
Marian Smoczyński ◽  
Krystian Adrych
Keyword(s):  
Transpapillary Drainage ◽  
Parenchymal Necrosis

scholarly journals Endoscopic transmural drainage is associated with improved outcomes in disconnected pancreatic duct syndrome: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eric Chong ◽  
Chathura Bathiya Ratnayake ◽  
Samantha Saikia ◽  
Manu Nayar ◽  
Kofi Oppong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Meta Analysis ◽  
Fluid Collection ◽  
Significant Heterogeneity ◽  
Success Rates ◽  
Surgical Interventions ◽  
Transmural Drainage ◽  
Transpapillary Drainage ◽  
Duct Syndrome

Abstract Background Disconnected pancreatic duct syndrome (DPDS) is a complication of acute necrotizing pancreatitis in the neck and body of the pancreas often manifesting as persistent pancreatic fluid collection (PFC) or external pancreatic fistula (EPF). This systematic review and pairwise meta-analysis aimed to review the definitions, clinical presentation, intervention, and outcomes for DPDS. Methods The PubMed, EMBASE, MEDLINE, and SCOPUS databases were systematically searched until February 2020 using the PRISMA framework. A meta-analysis was performed to assess the success rates of endoscopic and surgical interventions for the treatment of DPDS. Success of DPDS treatment was defined as long-term resolution of symptoms without recurrence of PFC, EPF, or pancreatic ascites. Results Thirty studies were included in the quantitative analysis comprising 1355 patients. Acute pancreatitis was the most common etiology (95.3%, 936/982), followed by chronic pancreatitis (3.1%, 30/982). DPDS commonly presented with PFC (83.2%, 948/1140) and EPF (13.4%, 153/1140). There was significant heterogeneity in the definition of DPDS in the literature. Weighted success rate of endoscopic transmural drainage (90.6%, 95%-CI 81.0–95.6%) was significantly higher than transpapillary drainage (58.5%, 95%-CI 36.7–77.4). Pairwise meta-analysis showed comparable success rates between endoscopic and surgical intervention, which were 82% (weighted 95%-CI 68.6–90.5) and 87.4% (95%-CI 81.2–91.8), respectively (P = 0.389). Conclusions Endoscopic transmural drainage was superior to transpapillary drainage for the management of DPDS. Endoscopic and surgical interventions had comparable success rates. The significant variability in the definitions and treatment strategies for DPDS warrant standardisation for further research.

scholarly journals Endoscopic Drainage of Pancreatic Pseudocysts: An Experience with 77 Patients

2017 ◽  
Vol 08 (02) ◽  
pp. 061-067
Author(s):  
Hemanta K. Nayak ◽  
Sandeep Kumar ◽  
Uday C. Ghoshal ◽  
Samir Mohindra ◽  
Namita Mohindra ◽  
...  
Keyword(s):  
Long Term Results ◽  
Pancreatic Pseudocysts ◽  
Endoscopic Drainage ◽  
Stent Occlusion ◽  
Northern India ◽  
Short And Long Term ◽  
Transpapillary Drainage ◽  
And Migration ◽  
Lost To Follow Up

ABSTRACT Background: We evaluated short‑ and long‑term results of endoscopic drainage (a minimally invasive nonsurgical treatment) of pancreatic pseudocysts (PPCs) and factors associated with its success at a multilevel teaching hospital in Northern India, as such data are scanty from India. Patients and Methods: Retrospective review of records of consecutive patients undergoing endoscopic drainage of PPC from January 2002 to June 2013 was undertaken. Results: Seventy‑seven patients (56 males), median age 36 years (range, 15–73), underwent endoscopic drainage of PPC with 98% technical success. Pseudocysts drained were symptomatic (duration 11 weeks, range, 8–68), large (volume 582 mL [range, 80–2706]), located in head (n = 32, 46%), body and tail (n = 37, 54%), and infected (n = 39, 49%). Drainage procedures included cystogastrostomy (n = 54, 78%), cystoduodenostomy (n = 9, 13%), transpapillary drainage (n = 2, 3%), and multiple route (n = 4, 6%), with additional endoscopic nasocystic drainage (ENCD) in 41 (59%). Sixty‑nine patients were followed up (median 28 months, range 2–156; other eight lost to follow‑up). Complications (n = 21, 30%) included stent occlusion and migration (13), bleeding (5), perforation (2), and death (1). Endoscopic procedure had to be repeated in 19 patients (28%; 16 for sepsis, 3 for recurrence). The reasons for additional nonendoscopic treatment (n = 8, 12%) included incomplete cyst resolution (3), recurrence (2), bleeding (1), and perforation (2). Overall success rate of endoscopic drainage was 88%. Whereas infected pseudocysts were associated with poorer outcome (odds ratio [OR] 0.016; 95% confidence interval [CI] 0.001–0.037), placement of ENCD led to better results (OR 11.85; 95% CI 1.03–135.95). Conclusion: Endoscopic drainage is safe and effective for PPC.

Endoscopic transpapillary drainage of pancreatic abscess: technique and results

2000 ◽  
Vol 51 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Rama P. Venu ◽  
Russell D. Brown ◽  
Jorge A. Marrero ◽  
Bennet J. Pastika ◽  
James T. Frakes
Keyword(s):  
Pancreatic Abscess ◽  
Transpapillary Drainage

Successful endoscopic transpapillary drainage of an infected pancreatic pseudocyst

1994 ◽  
Vol 40 (1) ◽  
pp. 97-99 ◽  
Author(s):  
Haim Pinkas ◽  
Robert P. Dolan ◽  
Patrick G. Brady
Keyword(s):  
Pancreatic Pseudocyst ◽  
Transpapillary Drainage

Endoscopic treatment of pancreatic pseudocysts cystoenterostomy and transpapillary drainage

1996 ◽  
Vol 43 (4) ◽  
pp. 404
Author(s):  
E Della ◽  
Libera Jr ◽  
ES Siqueira ◽  
CO Brant ◽  
M Morais ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Pancreatic Pseudocysts ◽  
Transpapillary Drainage
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