The value of the endoscopic pancreatogram in peritoneal or pleural pancreatic fistula.

Abstract:

:Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value of ERP in these patients is described. Computed tomography (CT) demonstrated dilated pancreatic duct (3 patients) or a pseudocyst (2 patients). A fistula tract protruding into the chest was detected by CT in two patients. In ERP the two pseudocysts could not be visualized. In none of the five patients could the fistula tract be visualized. Instead, the main pancreatic duct was completely occluded in the head of the pancreas in all five patients. The drainage of the pancreatic juice into the intestine was secured surgically by a jejunal Roux-Y loop connected to the pancreatic duct opened from the tail to the most proximal ERP demonstrated stricture (Puestow-type operation, 4 patients) or to the leaking pseudocyst (1 patient). During the follow-up of 3-24 months pleural or peritoneal effusions have not recurred. The role of ERP in a patient with a pancreatic fistula into the pleural or peritoneal cavity is to localize the site of the duct obstruction, whereas the demonstration of the distal duct anatomy or the fistula tract are of less importance.

journal_name

Int Surg

journal_title

International surgery

authors

Nordback I,Sand J

subject

Has Abstract

pub_date

1996-04-01 00:00:00

pages

184-6

issue

2

eissn

0020-8868

issn

2520-2456

journal_volume

81

pub_type

杂志文章
  • Limy bile syndrome complicated by obstructive jaundice.

    abstract::Limy bile syndrome is a rare condition in which the gallbladder is filled with a paste-like radiopaque material. The presence of limy bile in the common bile duct is rare. A 72-year-old woman was admitted to our hospital with epigastric pain and jaundice. Plain abdominal radiography on admission showed a radiopaque ma...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sasaki T,Kato D,Matsuoka N,Yamashita Y

    更新日期:2010-01-01 00:00:00

  • Survival predictors of patients with primary duodenal adenocarcinoma.

    abstract::This single-institution experience retrospectively reviewed the outcomes in 21 patients with primary duodenal adenocarcinoma. Twelve patients underwent curative surgery, and 9 patients underwent palliative surgery at the Chiba University Hospital. The maximum follow-up period was 8650 days. All pathologic specimens fr...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/1381.1

    authors: Kawahira H,Miura F,Saigo K,Matsunaga A,Natsume T,Akai T,Horibe D,Suzuki K,Nabeya Y,Hayashi H,Miyauchi H,Shuto K,Asano T,Matsubara H

    更新日期:2011-04-01 00:00:00

  • Fractionated cystography to assess infiltration of the bladder wall by intravesical tumors.

    abstract::Twenty cases of carcinoma of the cervix uteri stage III and IV and ten cases of carcinoma of the rectosigmoid colon stage III were investigated by fractionated cystography to detect any infiltration of the destensible part of the urinary bladder wall. Cystography was normal in all cases except one. The finding was con...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sakkas JL,Kailis D,Pissidis AG

    更新日期:1975-05-01 00:00:00

  • Unusual problems in renal hypertension.

    abstract::Ten cases of renal hypertension with uncommon causes were presented and unusual problems in their diagnosis and surgical management were discussed. These causes included segmental stenosis involving aberrant renal artery, renal artery stenosis in association with renal arteriovenous fistula, postoperative renal hypert...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kumar M,Narayanan GR,Puri HC,Rautray B,Barat AK

    更新日期:1976-03-01 00:00:00

  • Small necrotic liver metastasis with microscopic tumor embolism in hepatic vein: a case report and review of the literature.

    abstract::Small liver metastasis of rectal carcinoma is mostly solid and rarely accompanied by necrosis. Microscopic invasion of the hepatic vein is rare in colorectal metastasis. A 53-year-old man, 2 years after rectal carcinoma resection, was noted to have a 15-mm liver tumor. On imaging, it was difficult to determine if the ...

    journal_title:International surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Nakayama H,Takayama T,Hemmi A

    更新日期:2005-11-01 00:00:00

  • A newer plate system for internal fixation of un-stable pelvic fractures.

    abstract::To fit for internal fixation of unstable fractures of various parts of the curved pelvis, plates of different shapes and sizes were devised. The plates were used in 18 clinical cases. The late complications such as leg length inequality, pelvic obliquity and low back pain were effectively avoided. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Wen Y,Liu X,Ge B,Liu Z,Shiji Z

    更新日期:1998-01-01 00:00:00

  • New tactile sensor techniques for localization of pulmonary nodules.

    abstract::We developed a new method for thoracoscopically localizing pulmonary nodules using a tactile sensor. This sensor was originally designed to probe the hardness of an object, which is represented by changes in resonance frequency of the sensor (delta f: Hz). By moving over the lung surface, the sensor probe, introduced ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ohtsuka T,Furuse A,Kohno T,Nakajima J,Yagyu K,Omata S

    更新日期:1997-01-01 00:00:00

  • Surgical management for stenosis of the pancreaticojejunostomy.

    abstract::The management of the stenosis of the pancreaticojejunostomy is dictated by the state of the anastomosis and the residual pancreas, endocrine, and exocrine pancreatic function. We report a case of a 23-year-old woman who presented with recurrent attacks of acute pancreatitis. Four years ago, she was diagnosed with pan...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kuroki T,Tajima Y,Tsutsumi R,Adachi T,Kitasato A,Hamasaki K,Kanematsu T

    更新日期:2008-05-01 00:00:00

  • CD40-CD40L costimulation blockade induced the tolerogenic dendritic cells in mouse cardiac transplant.

    abstract::We aimed to investigate whether tolerogenic dendritic cells (DCs) were induced in the tolerant recipients with the blockade of CD40-CD40L costimulation. Mouse heterotopic heart transplantation was performed. DCs were sorted from rejected and tolerant recipients using magnetic-activated cell sorting. Their expression o...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Jiang XF,Cui ZM,Zhu L,Guo DW,Sun WY,Lin L,Wang XF,Tang YF,Liang J

    更新日期:2010-04-01 00:00:00

  • Anatomical limit of extended cholecystectomy for gallbladder carcinoma involving the neck of the gallbladder.

    abstract:BACKGROUND:Extended cholecystectomy is the common operation for gallbladder carcinoma. When extended cholecystectomy is performed, the liver bed can be generously resected from the fundus to the body of the gallbladder; however, the thickness of the liver parenchyma to be removed is limited to the neck of the gallbladd...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Yamaguchi K,Chijiiwa K,Shimizu S,Yokohata K,Tsuneyoshi M,Tanaka M

    更新日期:1998-01-01 00:00:00

  • Traumatic aorto-left renal vein fistula.

    abstract::Most patients with traumatic or spontaneous venous fistula can be managed safely and effectively by conventional operative techniques. Infrequently total circulatory arrests with hypothermia may be used to correct this defect. The ideal treatment is transection of the fistula with preservation of the kidney function. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Mittal VK,Diaz-Velez A,Cortez JA,Puri VK

    更新日期:1982-10-01 00:00:00

  • Intussusception in infancy and childhood. Analysis of 385 cases.

    abstract::A consecutive series of 385 patients with intussusception treated between January 1, 1982 and December 31, 1987 was analysed. Male patients predominated over female by a ratio of 2.2:1. Seventy nine per cent of patients were under 12 months of age. There was no seasonal variation in the incidence of intussusception. R...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kim YS,Rhu JH

    更新日期:1989-04-01 00:00:00

  • Prognostic factors in peptic ulcer perforations: a retrospective 14-year study.

    abstract::Regarding the complications of peptic ulcer, a perforation remains the most important fatal complication. The aim of our retrospective study was to determine relations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. In total, 239 patients who underwent eme...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-14-00187.1

    authors: Unver M,Fırat Ö,Ünalp ÖV,Uğuz A,Gümüş T,Sezer TÖ,Öztürk Ş,Yoldaş T,Ersin S,Güler A

    更新日期:2015-05-01 00:00:00

  • Subcutaneous implantation of KMC tube for removal of recurrent intrahepatic stones without laparotomy.

    abstract::About half of 361 patients with intrahepatic stones had recurrent stone(s) requiring additional surgery in the past 10 years. In order to cope with this problem, a new tube referred to as the KMC (Kaohsiung Medical College) tube was developed to allow the removal of stones without additional surgery. This tube was imp...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ker CG,Sheen PC

    更新日期:1986-04-01 00:00:00

  • Predictors of pulmonary complications in blunt chest trauma.

    abstract::A retrospective review was performed of 98 patients admitted to a Level I Trauma Center between July 1989 and December 1990 with a diagnosis of blunt chest trauma. Of these patients, 49% suffered either immediate or delayed complications. Immediate complications included hemothorax or pleural effusion in 21.4%, pneumo...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sariego J,Brown JL,Matsumoto T,Kerstein MD

    更新日期:1993-10-01 00:00:00

  • Re-exploration of the saphenofemoral junction in the treatment of recurrent varicose veins.

    abstract::A retrospective study of 61 patients (61 legs) with recurrent varicose veins (RVV) and saphenofemoral junction (SFJ) incompetence was set up to assess the efficacy of re-exploration of the SFJ through a lateral approach. All the patients underwent re-exploration of the SFJ by a single surgeon (MPV) through a lateral a...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Viani MP,Poggi RV,Pinto A,Andreani SM,Spagnoli C,Maruotti RA

    更新日期:1996-10-01 00:00:00

  • Adult intussusception of appendicular mucinous cystoadenoma.

    abstract::Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-12-00005.1

    authors: Feliu F,Rueda JC,Escuder J,Gris F,Jiménez A,Vicente V

    更新日期:2013-10-01 00:00:00

  • Petit lumbar hernia--a double-layer technique for tension-free repair.

    abstract::This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-13-00135.1

    authors: Bigolin AV,Rodrigues AP,Trevisan CG,Geist AB,Coral RV,Rinaldi N,Coral RP

    更新日期:2014-09-01 00:00:00

  • Unusual extension of lung cancer into the left atrium via the pulmonary vein.

    abstract::Four operative cases of lung cancer with intra-atrial extension via the pulmonary vein were reviewed. Three of them had circulatory as well as respiratory symptoms, and their performance status (PS) was extremely poor. In two cases, after assessment of the cardiac involvement using two-dimensional echocardiography and...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kodama K,Doi O,Tatsuta M

    更新日期:1990-01-01 00:00:00

  • Mesenteric arterial steal syndrome secondary to bilateral lumbar sympathectomy.

    abstract::A case of acute mesenteric ischemia and massive intestinal infarction secondary to bilateral lumbar sympathectomy and without any other apparent precipitating factors is presented. Its characteristics and findings significantly agree with those described as part of the mesenteric arterial steal syndrome. Although this...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Cordoba A,Gordillo O

    更新日期:1979-05-01 00:00:00

  • Secondary hyperparathyroidism and thyroid cancer.

    abstract::To the best of our knowledge this is the first report of two cases with concomitant secondary hyperparathyroidism and thyroid cancer. Despite previously published reports of a possible association between primary hyperparathyroidism and non-medullary thyroid cancer, we believe that such an association is coincidental....

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Linos DA,Ziroyannis PN

    更新日期:1985-07-01 00:00:00

  • Perisplenitis as a cause of acute abdomen: a case report.

    abstract::Splenitis can complicate blood-borne sepsis in hemodialysis patients. Symptoms include left upper quadrant pain and tenderness in addition to generalized systemic manifestation of infection. Clinical diagnosis is difficult and there is no specific investigation to confirm it. Computed tomography scan of the spleen can...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: El Tayar AR,Labruzzo C,Haritopoulos K,Papalois V,Hakim NS

    更新日期:2002-10-01 00:00:00

  • Carotid artery surgery in patients over 70 years of age.

    abstract::Between 1965 and 1979, 934 patients underwent 1,057 operations for extracranial carotid stenosis at this institute, and over a recent 30-month period 463 patients underwent 511 operations of this type. This number is equal to the total of operations performed during the years 1965-1976. The increase in the frequency o...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Benhamou AC,Kieffer E,Tricot JF,Maraval M,Lethoai H,Benhamou M,Boespflug O,Natali J

    更新日期:1981-07-01 00:00:00

  • Five years' experience in endovenous laser therapy of lower extremity varicose veins.

    abstract::The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicat...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Malý I,Julínek S,Winkler L

    更新日期:2010-07-01 00:00:00

  • Colostomy complications in infants and children.

    abstract::Seventy-seven colostomies were performed in 74 patients: 35 for high anorectal agenesis, 34 for Hirschsprung's disease, 2 for necrotizing enterocolitis, 2 for small left colon syndrome, and 1 for volvulus neonatorum with perforation. There were 55 boys and 19 girls with a mean age of 0.8 years. The different types of ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: al-Salem AH,Grant C,Khawaja S

    更新日期:1992-07-01 00:00:00

  • Delayed massive intraperitoneal hemorrhage after pancreatoduodenectomy.

    abstract::Of 144 cases of pancreatoduodenectomy we treated 6 patients (4.2%) with delayed massive bleeding. Massive hemorrhage occurred 14 to 38 days later. Leakage of the pancreatojejunostomy was confirmed in all patients. A "sentinel bleed" was evident in five patients with arterial bleeding. One patient with hemorrhage of th...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Yoshida T,Matsumoto T,Morii Y,Aramaki M,Bandoh T,Kawano K,Kitano S

    更新日期:1998-04-01 00:00:00

  • Evaluation of the BISAP score in predicting severity and prognoses of acute pancreatitis in Chinese patients.

    abstract::The present study was to evaluate the accuracy of bedside index for severity in acute pancreatitis (BISAP) in predicting the severity and prognoses of acute pancreatitis (AP) in Chinese patients. Clinical data for 497 patients with AP were analyzed retrospectively to compare BISAP with acute physiology and chronic hea...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/0020-8868-98.1.6

    authors: Chen L,Lu G,Zhou Q,Zhan Q

    更新日期:2013-01-01 00:00:00

  • Treatment of multiple primary hydatid cysts.

    abstract::Hydatid disease, which is caused by the parasite Echinococcus granulosis, is endemic in certain parts of the world in which humans and sheep live in proximity. Hydatid cysts occur most often in the liver, and affliction with multiple cysts is rare. We present the case of a 48-year-old woman with 55 hydatid cysts (47 i...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ezer A,Kilic D,Oguzkurt L,Nursal TZ,Moray G

    更新日期:2008-03-01 00:00:00

  • Hypertonic balanced sodium solution in burn shock.

    abstract::This study was designed to ascertain the most effective sodium solution for resuscitation after potentially fatal thermal injury. Solutions containing from 75 to 300 mEq/L of sodium were administered in various doses to mice subjected to a standarized scald. Their effectiveness was evaluated by comparison of the 24-ho...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Fox CL Jr

    更新日期:1975-06-01 00:00:00

  • Totally implantable venous access system in longterm chemotherapy.

    abstract::A totally implantable system was used for prolonged intravenous treatment in patients whose peripheral veins could no longer be punctured. Our experience showed this device, which was used for short periods in 20 patients, to be an effective solution to the problem of permanent venous access. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Dauplat J,Condat P,Giraud B

    更新日期:1985-07-01 00:00:00