Biliary Stenosis and Gastric Outlet Obstruction: Late Complications After Acute Pancreatitis With Pancreatic Duct Disruption.

Abstract:

OBJECTIVES:Pancreatic duct disruption (PDD) after acute pancreatitis can cause pancreatic collections in the early phase and biliary stenosis (BS) or gastric outlet obstruction (GOO) in the late phase. We aimed to document those late complications after moderate or severe acute pancreatitis. METHODS:Between September 2010 and August 2014, 141 patients showed pancreatic collections on computed tomography. Percutaneous drainage was primarily performed for patients with signs or symptoms of uncontrolled pancreatic juice leakage. Pancreatic duct disruption was defined as persistent amylase-rich drain fluid or a pancreatic duct cut-off on imaging. Clinical course of the patients who developed BS or GOO was investigated. RESULTS:Among the 141 patients with collections, 33 patients showed PDD in the pancreatic head/neck area. Among them, 9 patients (27%) developed BS 65 days after onset and required stenting for 150 days, and 5 patients (15%) developed GOO 92 days after onset and required gastric decompression and jejunal tube feeding for 147 days (days shown in median). All 33 patients recovered successfully without requiring surgical intervention. CONCLUSIONS:Anatomic proximity of the bile duct or duodenum to the site of PDD and severe inflammation seemed to contribute to the late onset of BS or GOO. Conservative management successfully reversed these complications.

journal_name

Pancreas

journal_title

Pancreas

authors

Sugimoto M,Sonntag DP,Flint GS,Boyce CJ,Kirkham JC,Harris TJ,Carr SM,Nelson BD,Bell DA,Barton JG,Traverso LW

doi

10.1097/MPA.0000000000001064

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

772-777

issue

6

eissn

0885-3177

issn

1536-4828

journal_volume

47

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • The relationship between pancreatic enzyme release and activation and the acute-phase protein response in patients with acute pancreatitis.

    abstract::It has been suggested that the severity of an attack of acute pancreatitis is related to the presence of intraglandular trypsinogen activation and that disease severity is also reflected by the degree of the acute-phase protein response. In this study we examine the relationships among amylase release, the degree of t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199505000-00005

    authors: Heath DI,Cruickshank A,Gudgeon AM,Jehanli A,Shenkin A,Imrie CW

    更新日期:1995-05-01 00:00:00

  • A population-based evaluation of severity and mortality among transferred patients with acute pancreatitis.

    abstract:OBJECTIVES:This study aimed to compare severity of acute pancreatitis (AP) and mortality rates between transferred and nontransferred patients and to determine the factors that influence the decision to transfer. METHODS:A retrospective analysis coding a statewide administrative database in Maryland was conducted. Sev...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000179

    authors: Anand G,Hutfless SM,Akshintala VS,Khashab MA,Lennon AM,Makary MA,Hirose K,Andersen DK,Kalloo AN,Singh VK

    更新日期:2014-10-01 00:00:00

  • Intestinal disaccharidase activity following pancreatic duct occlusion in the rat.

    abstract::The influence of pancreatic secretions on growth and brush-border enzyme activity, throughout the entire small intestine, was examined in the rat. Pancreatic secretions were excluded from the gut lumen by stapling the pancreatic ducts, without interruption of bile flow. The entire small intestine was studied as four s...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198705000-00008

    authors: Hauer-Jensen M,Christensen K,Wilson HD,Schedl HP

    更新日期:1987-01-01 00:00:00

  • Hedgehog signaling in the normal and diseased pancreas.

    abstract::The hedgehog (Hh) family of genes, sonic hedgehog (Shh), Indian hedgehog (Ihh), and desert hedgehog (Dhh) encode signaling molecules that regulate multiple functions during organ development and in adult tissues. Altered hedgehog signaling has been implicated in disturbed organ development as well as in different dege...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/01.mpa.0000202937.55460.0c

    authors: Kayed H,Kleeff J,Osman T,Keleg S,Büchler MW,Friess H

    更新日期:2006-03-01 00:00:00

  • Venous bypass grafting for celiac occlusion in radical pancreaticoduodenectomy.

    abstract::Radical pancreaticoduodenectomy was performed for cancer of the head of the pancreas in a 65-year-old male patient with congenital celiac occlusion. Preoperative angiography revealed that the arterial flow to the liver, spleen, and stomach was supplied via the pancreaticoduodenal arcade and that the dorsal pancreatic ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199105000-00014

    authors: Manabe T,Baba N,Setoyama H,Ohshio G,Tobe T

    更新日期:1991-05-01 00:00:00

  • Characterization of a persistent inhibitory action of L-364,718 on cholecystokinin-stimulated enzyme secretion in pancreatic acini.

    abstract::Examining the actions of L-364,718 on rat pancreatic acini, we found that L-364,718 causes persistent inhibition of cholecystokinin (CCK)-8-stimulated enzyme secretion in acini that were first incubated with L-364,718, washed repeatedly, and then reincubated with CCK-8. This inhibition is maximal after as little as 5 ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199401000-00015

    authors: Bhat ST,Talkad VD,Pollo DA,Gardner JD

    更新日期:1994-01-01 00:00:00

  • Papillary cystic tumor of the pancreas: a case indistinguishable from oncocytic carcinoma.

    abstract::A case of papillary cystic tumor (PCT) of the pancreas in a 55-year-old woman is described. She presented with a gradually enlarging and painless abdominal mass for > 26 years. The tumor was encapsulated and measured 16 x 12 x 10 cm. The gross features and conventional light microscopic appearance of this tumor were c...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199301000-00023

    authors: Lee WY,Tzeng CC,Jin YT,Chow NH,Yip CM,Lee JC

    更新日期:1993-01-01 00:00:00

  • Analysis of the human pancreatic stellate cell secreted proteome.

    abstract:OBJECTIVE:Pancreatic stellate cells (PSCs) are important players in pancreatic fibrosis and are major contributors to the extracellular matrix proteins observed with the stromal response characteristic of pancreatic ductal adenocarcinoma (PDAC). Pancreatic stellate cells are also believed to secrete soluble factors tha...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318214efaf

    authors: Wehr AY,Furth EE,Sangar V,Blair IA,Yu KH

    更新日期:2011-05-01 00:00:00

  • Is Multifocality an Indicator of Aggressive Behavior in Small Bowel Neuroendocrine Tumors?

    abstract:OBJECTIVES:Many patients with small bowel neuroendocrine tumors (SBNETs) have multifocal tumors (MFTs), but the frequency of MFTs has varied widely across SBNET studies. It is also unclear whether patients with MFTs have more advanced disease or worse clinical course than do those with unifocal SBNETs. We set out to de...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000911

    authors: Choi AB,Maxwell JE,Keck KJ,Bellizzi AJ,Dillon JS,OʼDorisio TM,Howe JR

    更新日期:2017-10-01 00:00:00

  • Aberrant expression of cdx2 homeobox gene in intraductal papillary-mucinous neoplasm of the pancreas but not in pancreatic ductal adenocarcinoma.

    abstract:OBJECTIVES:The authors investigated differential expression of cdx2 in intraductal papillary mucinous neoplasm of the pancreas (IPMN) and ductal adenocarcinoma. METHODS:Patients with IPMN (n = 23) and pancreatic ductal adenocarcinoma (n = 30) were studied. Expression of cdx2 mRNA, CDX2 protein, muc2 mRNA, MUC2 apomuci...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000153615.55761.00

    authors: Yeh TS,Ho YP,Chiu CT,Chen TC,Jan YY,Chen MF

    更新日期:2005-04-01 00:00:00

  • Factors That Influence the Quality of RNA From the Pancreas of Organ Donors.

    abstract:OBJECTIVES:Attaining high-quality RNA from the tissues or organs of deceased donors used for research can be challenging due to physiological and logistical considerations. In this investigation, METHODS: RNA Integrity Number (RIN) was determined in pancreatic samples from 236 organ donors and used to define high (≥6.5...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000717

    authors: Philips T,Kusmartseva I,Gerling IC,Campbell-Thompson M,Wasserfall C,Pugliese A,Longmate JA,Schatz DA,Atkinson MA,Kaddis JS

    更新日期:2017-02-01 00:00:00

  • Exocrine pancreatic insufficiency and chronic pancreatitis in chronic alcoholic liver disease: coincidence or shared toxicity?

    abstract:OBJECTIVES:The aims of this study were to determine the prevalence of exocrine pancreatic insufficiency (EPI) and chronic pancreatitis (CP) in patients with chronic alcoholic liver disease and to analyze the possible associated factors. METHODS:This is an analytical observational study of cases and controls for a samp...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000085

    authors: Aoufi Rabih S,García Agudo R,Legaz Huidobro ML,Ynfante Ferrús M,González Carro P,Pérez Roldán F,Ruiz Carrillo F,Tenías Burillo JM

    更新日期:2014-07-01 00:00:00

  • Regeneration of tubular complex is promoted by a free space.

    abstract:OBJECTIVES:Regeneration of the pancreas is initiated by the tubular complexes that consist of a cluster of epithelia surrounded by the mesenchymal cells. They have the potential to become pancreatic lobes, but their growth stops before the complete regeneration of the organ. To elucidate the possibility that we could p...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000150110.45017.fc

    authors: Kitamura T,Asanuma N,Inaba M,Otsuki M,Kasayama S,Kouhara H,Kawase I

    更新日期:2005-03-01 00:00:00

  • Free fatty acids in human pure pancreatic juice.

    abstract::Human pure pancreatic juice (PPJ) and serum were analyzed for free fatty acids (FFAs) to study whether the damage to pancreatic cell membranes in pancreatitis is reflected as abnormal FFAs concentration and composition. Patients consisted of 13 normal controls, 7 patients with acute pancreatitis (AP) in remission, and...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198804000-00017

    authors: Miyake H,Harada H,Ochi K,Oka H,Ishibashi T,Kimura I

    更新日期:1988-01-01 00:00:00

  • In situ high-volume modified continuous closed and/or open lavage for infected necrotizing pancreatitis.

    abstract:OBJECTIVES:To evaluate the clinical significance of high-volume modified continuous closed and/or open lavage for the treatment of infected necrotizing pancreatitis. METHODS:From August 1997 to December 2006, 53 patients with infected necrotizing pancreatitis who underwent in situ high-volume (>20 L/d) continuous clos...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/mpa.0b013e31812e9688

    authors: Dong X,Gao SL,Xie QP,Xu L,Xu YL,Wu YL

    更新日期:2008-01-01 00:00:00

  • Effect of verapamil on the cyclic AMP-mediated pathway for amylase secretion in rat pancreatic acini.

    abstract::In dispersed acini from rat pancreas, verapamil (a phenylalkylamine calcium channel blocker) potentiated amylase secretion stimulated by vasoactive intestinal peptide (VIP), secretin, peptide histidine isoleucine, helodermin, forskolin, and 8-bromocyclic AMP. The action of verapamil on VIP-stimulated amylase secretion...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199303000-00012

    authors: Slimak GG,Stark HA,Egan JJ,Jensen RT,Gardner JD

    更新日期:1993-03-01 00:00:00

  • Exocrine pancreatic function after alcoholic or biliary acute pancreatitis.

    abstract:OBJECTIVES:There have been various studies of exocrine pancreatic function after acute pancreatitis, but few have examined the relationship between this function and the etiology of the pancreatitis. The aim of this work was to study pancreatic function in patients who had had acute alcoholic or acute biliary pancreati...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200405000-00001

    authors: Migliori M,Pezzilli R,Tomassetti P,Gullo L

    更新日期:2004-05-01 00:00:00

  • Issues in clinical islet transplantation.

    abstract::The Second International Islet Transplantation Symposium was held at UCLA in January, 1993. The symposium, sponsored by the Jerry's Foundation for Diabetes Research was focused on the issues in clinical islet transplantation. The leaders from each of the clinically active programs around the world were invited to disc...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-199405000-00001

    authors: Brunicardi FC,Mullen Y

    更新日期:1994-05-01 00:00:00

  • Pancreas transplantation from donors after cardiac death: an update of the UNOS database.

    abstract:OBJECTIVE:There is reluctance to use donation after cardiac death (DCD) organs for fear of worse outcomes due to increased warm ischemia time. Extensive evidence to confirm the quality of DCD pancreas transplants is not manifest. METHODS:A united network for organ sharing database review of pancreas transplants perfor...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000084

    authors: Siskind E,Akerman M,Maloney C,Huntoon K,Alex A,Siskind T,Bhaskeran M,Ali N,Basu A,Molmenti E,Ortiz J

    更新日期:2014-05-01 00:00:00

  • Effect of alcohol and smoking on pancreatic lithogenesis in the course of chronic pancreatitis.

    abstract::The aim of the study was to establish whether correlations were discernible between calcification, smoking, and other variables--including alcohol intake--in chronic pancreatitis. A total of 637 patients with chronic pancreatitis diagnosed over the period of 1973-1989 were reviewed. Only patients who had had one or mo...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199401000-00006

    authors: Cavallini G,Talamini G,Vaona B,Bovo P,Filippini M,Rigo L,Angelini G,Vantini I,Riela A,Frulloni L

    更新日期:1994-01-01 00:00:00

  • Microvessel Density and Impact of Angiogenesis on Survival of Resected Pancreatic Cancer Patients: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVES:Angiogenesis plays a major role in tumor progression and metastasis; however, its role in pancreatic cancer (PC) remains unclear. The aim of the study was to explore the cumulative evidence concerning the impact of microvessel density (MVD), an estimator of angiogenesis, on resected PC patients. METHODS:A s...

    journal_title:Pancreas

    pub_type: 杂志文章,meta分析

    doi:10.1097/MPA.0000000000001237

    authors: Ntellas P,Dadouli K,Perivoliotis K,Sogka E,Pentheroudakis G,Ioannou M,Hadjichristodoulou C,Tepetes K,Mauri D

    更新日期:2019-02-01 00:00:00

  • Laparoscopic Left Pancreatectomy in the United Kingdom: Analysis of a Six-Year Experience in a Single Tertiary Center.

    abstract:OBJECTIVES:Laparoscopic techniques have been slow to establish a role in pancreatic surgery. Worldwide, laparoscopic left pancreatectomy (LLP) is gaining in popularity; however, there remains little published data from the United Kingdom.We aimed to evaluate the results of LLP performed in a single UK pancreatic unit. ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000605

    authors: Mowbray NG,Al-Sarira A,Al-Sarireh B

    更新日期:2016-09-01 00:00:00

  • Pancreatic hypertrophy in Ki-ras-induced actin-interacting protein gene knockout mice.

    abstract:OBJECTIVES:Pancreatic functions were determined in a Ki-ras-induced actin-interacting protein (KRAP)-deficient (-/-) mouse mutant. METHODS:Pancreatic enzyme, protein, and DNA contents were measured, and histological examinations were conducted. The mixture of bile-pancreatic juice was collected, and amylase and bile a...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181f66c22

    authors: Miyasaka K,Fujimoto T,Kawanami T,Takiguchi S,Jimi A,Funakoshi A,Shirasawa S

    更新日期:2011-01-01 00:00:00

  • Calcium channel blockade inhibits release of TNF alpha and improves survival in a rat model of acute pancreatitis.

    abstract::Tumor necrosis factor-alpha (TNF alpha) has been implicated as one of the numerous likely mediators of the systemic complications of acute pancreatitis. Recent suggestions that calcium (Ca2+) acts as a signal not only for TNF alpha release but also for TNF alpha action at distant sites led us to hypothesize that the c...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199607000-00003

    authors: Hughes CB,el-Din AB,Kotb M,Gaber LW,Gaber AO

    更新日期:1996-07-01 00:00:00

  • Down-regulation of Bax-interacting factor 1 in human pancreatic ductal adenocarcinoma.

    abstract:OBJECTIVE:Bax-interacting factor 1 (Bif-1) protein plays a critical role in apoptosis, mitochondrial morphogenesis, and autophagy, and its loss promotes tumorigenesis. The role of Bif-1 in pancreatic cancer has not been studied. METHODS:We determined Bif-1 expression in 82 human pancreatic ductal adenocarcinomas (PDCs...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318205eb03

    authors: Coppola D,Helm J,Ghayouri M,Malafa MP,Wang HG

    更新日期:2011-04-01 00:00:00

  • Hematogenous metastases of pancreatic ductal carcinoma.

    abstract::To investigate the heterogeneity of hematogenous metastases of pancreatic ductal carcinoma, we investigated carcinomatous spread in 130 autopsy cases. Hepatic metastases occurred most frequently, in 81 cases (62%), which may be explained by the fact that all veins draining the pancreas flow into the portal system. We ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199511000-00005

    authors: Kamisawa T,Isawa T,Koike M,Tsuruta K,Okamoto A

    更新日期:1995-11-01 00:00:00

  • Significant increase of serum high-mobility group box chromosomal protein 1 levels in patients with severe acute pancreatitis.

    abstract:OBJECTIVE:Multiple organ failure because of systemic inflammatory response in the early phase and sepsis in the late phase is the main contributor to high mortality in severe acute pancreatitis (SAP). High-mobility group box chromosomal protein 1 (HMGB1) was recently identified as a potent proinflammatory mediator and ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000236741.15477.8b

    authors: Yasuda T,Ueda T,Takeyama Y,Shinzeki M,Sawa H,Nakajima T,Ajiki T,Fujino Y,Suzuki Y,Kuroda Y

    更新日期:2006-11-01 00:00:00

  • SpHincterotomy for Acute Recurrent Pancreatitis Randomized Trial: Rationale, Methodology, and Potential Implications.

    abstract:OBJECTIVES:In patients with acute recurrent pancreatitis (ARP), pancreas divisum, and no other etiologic factors, endoscopic retrograde cholangiopancreatography (ERCP) with minor papilla endoscopic sphincterotomy (miES) is often performed to enlarge the minor papillary orifice, based on limited data. The aims of this s...

    journal_title:Pancreas

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MPA.0000000000001370

    authors: Coté GA,Durkalski-Mauldin VL,Serrano J,Klintworth E,Williams AW,Cruz-Monserrate Z,Arain M,Buxbaum JL,Conwell DL,Fogel EL,Freeman ML,Gardner TB,van Geenen E,Groce JR,Jonnalagadda SS,Keswani RN,Menon S,Moffatt DC,Papach

    更新日期:2019-09-01 00:00:00

  • Treatment of duct carcinoma of the pancreas with the LH-RH analogue buserelin.

    abstract::Thirty-six patients (21 male, 15 female) with ductal pancreatic cancer were treated with the long-acting synthetic luteinizing hormone releasing hormone (LH-RH) analogue buserelin. All patients had advanced tumor stages (stage II: 7 patients; stage III: 11 patients; stage IV: 18 patients). A monthly follow-up includin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199209000-00002

    authors: Friess H,Büchler M,Krüger M,Beger HG

    更新日期:1992-01-01 00:00:00

  • The molecular basis of pancreatic fibrosis: common stromal gene expression in chronic pancreatitis and pancreatic adenocarcinoma.

    abstract:OBJECTIVES:Tissue desmoplasia occurs in a number of disease states, but its molecular basis is poorly understood. To determine which genes are overexpressed in cells contained within the desmoplastic stroma of pancreatic adenocarcinoma and chronic pancreatitis, we undertook genetic profiling of microdissected tissue sa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200411000-00003

    authors: Binkley CE,Zhang L,Greenson JK,Giordano TJ,Kuick R,Misek D,Hanash S,Logsdon CD,Simeone DM

    更新日期:2004-11-01 00:00:00