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Pancreatic stent placement for duct disruption.

Abstract：

BACKGROUND:The aim of this study was to identify predictors of outcome after pancreatic duct stent placement for duct disruption. METHODS:Patients were identified from endoscopy databases. Disruption was defined by extravasation of contrast from the pancreatic duct during endoscopic retrograde pancreatography. Data collected included demographic information, imaging studies, management before and outcome after stent placement. Success was defined as resolution of the disruption clinically, on radiologic imaging, and/or at endoscopic retrograde pancreatography. RESULTS:Forty-three patients (23 women, 20 men; mean age 57 years, [SD] 15.2 years) were studied. The etiology of pancreatic duct disruption was acute pancreatitis in 24, chronic pancreatitis in 9, operative injury in 7, and trauma in 3 patients. In 25 patients there was resolution of the disruption, whereas stent therapy was unsuccessful in 16 and the outcome was indeterminate in 2 patients. On univariate analysis, stent positioned to bridge the disruption (p = 0.04) and longer duration of stent therapy (p = 0.002) were associated with a successful outcome. Female gender (p = 0.05) and acute pancreatitis (p = 0.05) were associated with a lack of success. On multivariate analysis, only the bridging stent position remained correlated to outcome. Complications occurred in 4 patients. CONCLUSIONS:A bridging stent is associated with a successful outcome after pancreatic duct stent placement for duct disruption.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Telford JJ,Farrell JJ,Saltzman JR,Shields SJ,Banks PA,Lichtenstein DR,Johannes RS,Kelsey PB,Carr-Locke DL

doi

10.1067/mge.2002.125107

keywords:

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

18-24

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(02)00002-0

journal_volume

56

pub_type

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