INTERNAL PANCREATOGENIC FISTULAS: PANCREATOGENIC ASCITES AND PANCREATICOPLEURAL FISTULAS
Abstract
We reported nine cases of pancreatic ascites with the history of acute pancreatitis, disconnected pancreatic duct syndrome and three cases with mediastinal pancreatic pseudocysts and pancreaticopleural fistulas. Disconnected pancreatic duct syndrome was diagnosed through computer tomography in 87.5%. Our study supports the effectiveness of pancreatodigestive anastomosis for treatment disconnected pancreatic duct syndrome and mediastinal pancreatic pseudocysts, pancreaticopleural fistula, reducing the treatment time and improving the quality of life in the follow-up.
About the Authors
L. P. Kotelnikova
“Perm State Medical University n. a. E. A. Vagner” of the Ministry of Healthcare of the Russia
Russian Federation
Russian Federation
S. A. Plaksin
“Perm State Medical University n. a. E. A. Vagner” of the Ministry of Healthcare of the Russia
Russian Federation
Russian Federation
L. I. Farshatova
“Perm State Medical University n. a. E. A. Vagner” of the Ministry of Healthcare of the Russia
Russian Federation
Russian Federation
I. G. Burnyshev
“Perm State Medical University n. a. E. A. Vagner” of the Ministry of Healthcare of the Russia
Russian Federation
Russian Federation
P. L. Kudryavtsev
“Perm State Medical University n. a. E. A. Vagner” of the Ministry of Healthcare of the Russia
Russian Federation
Russian Federation
References
1. Jin S.G., Chen Z. Y., Yan L. N., Zeng Y. Delayed internal pancreatic fistula with pancreatic effusion postsplenectomy // World J Gastroenterol. - 2010. - Vol. 16, № 35 - P. 4494-4496.
2. Irani S., Gluck M., Ross A. et al. Resolving external pancreatic fistulas in patients with disconnected pancreatic duct syndrome: using rendezvous techniques to avoid surgery // Gastrointest Endosc. - 2012. - Vol. 76, № 3 - P. 586-593.
3. Wronski M., Slodkowski M., Cebulski W. et al. Optimizing management of pancreaticopleural fistulas // World J Gastroenterol. - 2011. - Vol. 17, № 42 - P. 4696-4703.
4. Ninos A., Pierrakakis S. Role of diaphragm in pancreaticopleural fistula // World J Gastroenterol. - 2011. - Vol.17, № 32 - P. 3759-3760.
5. Pai C.G., Suvarna D., Bhat G. Endoscopic treatment as first-line therapy for pancreatic ascites and pleural effusion // J Gasrtoenterol Hepatol. - 2009. - Vol. 24, № 7 - P. 1198-1202.
6. Varadarajulu S., Noone T. C., Tutuian R. et al. Predictors of outcomes in pancreatic duct disruption managed by endoscopic transpapillary stent placement // Gastrointest Endosc. - 2005. - Vol. 61, № 4 - P. 568-575.
7. Pelaez-Luna M., Vege S. S., Petersen B.T. et al. Disconnected pancreatic duct syndrome in severe acute pancreatitis: clinical and imaging characteristics and outcomes in a cohort of 31 cases // Gastrointest Endosc. - 2008. - Vol. 68, № 1 - P. 91-97.
8. Третьяк С.И., Ращинский С. М., Авдевич Д. А. Панкреатогенный асцит: анализ вариантов хирургического лечения // Новости хирургии. - 2009. - Т. 17, № 3. - С. 17-22.
9. Ali T., Srinivasan N., Le V. et al. Pancreaticopleural fistula // Pancreas. - 2009. - Vol. 38, № 1 - P. 26-31.
10. Tay C.M., Chang S. K. Diagnosis and management of pancreaticopleural fistula // Singapore Med J. - 2013. - Vol. 54, № 4 - P. 190-194.
11. Dabrowski K., Bialek A., Kukla M. et al. Mediastinal Pancreatic Pseudocysts // Clin Endosc. 2017. - Vol. 50, № 1 - P. 76-80.
12. Wypych K., Serafin Z., Galazka P et al. Pancreaticopleural fistulas of different origin: Report of two cases and review of literature // Pol J Radiol. 2011. - Vol. 76, № 2 - Р. 56-60.
Review
For citations:
Kotelnikova L.P., Plaksin S.A., Farshatova L.I., Burnyshev I.G., Kudryavtsev P.L. INTERNAL PANCREATOGENIC FISTULAS: PANCREATOGENIC ASCITES AND PANCREATICOPLEURAL FISTULAS. Experimental and Clinical Gastroenterology. 2018;(3):78-82. (In Russ.)
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