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Experimental and Clinical Gastroenterology

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Successful treatment of complicated chronic pancreatitis by endoscopic transpapillary stenting of the main pancreatic duct

https://doi.org/10.31146/1682-8658-ecg-180-8-98-102

Abstract

The aim of the report is to present the case of successful use of endoscopic transpapillary stenting of the main pancreatic duct in a patient with severe pancreatic necrosis complications resistant to surgical treatment.

Materials and methods. A case report of a patient with complications of pancreatic necrosis treated by endoscopic trans-papillary stenting.

Results. Endoscopic transpapillary intervention clarifi ed the diagnosis, confi rmed the communication of the pancreatic ductal system with a pancreatic cyst and at the same time restored the pancreatic juice outfl ow which reduced the ab-dominal fl uid collections and the patient’s recovery.

Conclusion. Endoscopic management of complications of acute and chronic pancreatitis are an alternative to traditional surgical treatment and can improve its results.

About the Authors

M. V. Repin
Perm State Medical University named after Academician E.A. Wagner (PSMU)
Russian Federation

Maksim V. Repin - Department of Surgery of the Faculty of Additional Professional Education, Professor, MD.

614000, Perm, st. Petropavlovskaya, 26



D. V. Trushnikov
Perm regional clinic hospital
Russian Federation

Dmitry V. Trushnikov – Endoscopist.

614990, Perm, st. Pushkin, 85



D. A. Lobanov
Perm regional clinic hospital
Russian Federation

Dmitry A. Lobanov - Surgeon.

614990, Perm, st. Pushkin, 85



References

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2. Wilson C., Varadarajulu Sh. Endoscopic therapy for chronic pancreatitis: an evidence-based review. Curr. Gastroenterol. Rep. 2006; 8 (2):104–10.

3. Parfenov I. P., Karpachev A. A. Yarosh A. L., et al. Endoscopic transmural and transpapillary interventions in the treatment of chronic pancreatitis Pirogov Russian Journal of Surgery. Khirurgiya. Zhurnal imeni N. I. Pirogova. 2011;(12):38–43.

4. Budzinskiy S. A., Fedorov E. D., Shapovalianz S. G., Platonova E. N. Modern possibilities of endoscopic retrograde interventions in the treatment of chronic pancreatitis and its complications. IX All-Russian Scientifi c and Practical Conference Emergency and operational endoscopy. Digest of materials of the conference “Actual Issues of Endoscopy”. 2018, pp. 208–209.

5. Korzheva I. Yu., Nechipay A. M., Chernov M. V., Grachev A. A. Modern endoscopic techniques in the treatment of patients with destructive pancreatitis in the phase of intrapancreatic pathological fl uid collections. X Anniversary All-Russian Scientifi c and Practical Conference. Digest of materials of the conference “Actual Issues of Endoscopy, 2019, pp. 184–185.

6. Weber A., Schneider J., Neu B., et al. Endoscopic stent therapy for patients with chronic pancreatitis: results from a prospective followup study. Pancreas. 2007;34 (3):287–294.


Review

For citations:


Repin M.V., Trushnikov D.V., Lobanov D.A. Successful treatment of complicated chronic pancreatitis by endoscopic transpapillary stenting of the main pancreatic duct. Experimental and Clinical Gastroenterology. 2020;(8):98-102. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-180-8-98-102

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ISSN 1682-8658 (Print)