Pancreatic stents in the management of chronic pancreatitis

The Australian and New Zealand Journal of Surgery
P J Treacy, C S Worthley

Abstract

Elevated pancreatic duct pressure is a potential source of pain in patients with chronic pancreatitis. Endoscopic pancreatic duct stenting is a minimally invasive way of reducing this pressure and may be a useful adjunct to surgery in these patients. We prospectively reviewed a series of nine symptomatic patients with obstructive chronic pancreatitis and relative contraindications to open surgery, who were managed by attempted endoscopic placement of a pancreatic stent. Stents were successfully inserted endoscopically into the main or accessory duct in six patients and into a pseudocyst, transduodenally, in one patient. Of the two unsuccessful insertions, one proceeded to longitudinal pancreato-jejunostomy and in the other a stent was inserted at distal pancreatic cyst-jejunostomy. Median follow up was 21 months (range 14-43). In all eight cases with stent insertion there was rapid pain resolution, pain scores falling from 9/10 (8-10) to 2 (1-5) after 2 days (1-7). Associated symptoms of weight loss, nausea and vomiting settled in all eight cases. In one patient with a persistent pancreatic fistula, the fistula resolved. In the three with pseudocysts, the cysts resolved on computed tomography (CT) (one recurred). Five patients ...Continue Reading

References

May 1, 1992·Surgical Endoscopy·M Dohmoto, K D Rupp
May 1, 1992·Helvetica chirurgica acta·J Sahel
Jun 1, 1989·The Surgical Clinics of North America·C F FreyY Zhu
Mar 1, 1989·Endoscopy·H GrimmN Soehendra
Jan 1, 1988·Gastrointestinal Endoscopy·J McCarthyW J Hogan
Jan 1, 1988·Gastrointestinal Endoscopy·K HuibregtseG N Tytgat
Sep 1, 1982·American Journal of Surgery·E L Bradley
Jun 1, 1982·Scandinavian Journal of Gastroenterology·P Madsen, K Winkler
Jun 1, 1958·A.M.A. Archives of Surgery·C B PUESTOW, W J GILLESBY

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Citations

Apr 24, 2007·Journal of Pediatric Surgery·Christophe H HoubenMark Davenport
Feb 28, 2004·Gastrointestinal Endoscopy Clinics of North America·Isaac Raijman
Jun 29, 2001·The Journal of Trauma·T G Canty, D Weinman
Mar 3, 2004·Scandinavian Journal of Gastroenterology·L E Hammarström
Dec 14, 2019·GE Portuguese Journal of Gastroenterology·Eduardo Rodrigues-PintoPedro Moutinho-Ribeiro

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