دورية أكاديمية

Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology.

التفاصيل البيبلوغرافية
العنوان: Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology.
المؤلفون: Chantarojanasiri T; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Department of Internal Medicine, Police General Hospital, Bangkok, Thailand., Isayama H; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Nakai Y; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Matsubara S; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Yamamoto N; Department of Gastroenterology, Toshiba General Hospital, Tokyo, Japan., Takahara N; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Mizuno S; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Hamada T; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA., Kogure H; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Koike K; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
المصدر: Gut and liver [Gut Liver] 2018 Mar 15; Vol. 12 (2), pp. 208-213.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Editorial Office of Gut and Liver Country of Publication: Korea (South) NLM ID: 101316452 Publication Model: Print Cited Medium: Internet ISSN: 2005-1212 (Electronic) Linking ISSN: 19762283 NLM ISO Abbreviation: Gut Liver Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Seoul : Editorial Office of Gut and Liver
مواضيع طبية MeSH: Cholangiopancreatography, Endoscopic Retrograde*/instrumentation , Cholangiopancreatography, Endoscopic Retrograde*/methods , Pancreas*/diagnostic imaging , Pancreatic Ducts*/diagnostic imaging , Pancreatic Ducts*/surgery , Pancreatitis, Chronic*/diagnosis , Pancreatitis, Chronic*/physiopathology , Pancreatitis, Chronic*/surgery, Dilatation/*methods , Drainage/*methods, Duodenum/pathology ; Duodenum/physiopathology ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Stents ; Tomography, X-Ray Computed/methods ; Treatment Outcome
مستخلص: Background/aims: Groove pancreatitis (GP) is an uncommon disease involving the pancreaticoduodenal area. Possible pathogenesis includes obstructive pancreatitis in the duct of Santorini and impaired communication with the duct of Wirsung, minor papilla stenosis, and leakage causing inflammation. Limited data regarding endoscopic treatment have been published.
Methods: Seven patients with GP receiving endoscopic treatment were reviewed. The morphology of the pancreatic duct was evaluated by a pancreatogram. Endoscopic dilation of the minor papilla and drainage of the duct of Santorini were performed.
Results: There were two pancreatic divisum cases, one ansa pancreatica case and four impaired connections between the duct of Santorini and the main pancreatic duct. Three to 31 sessions of endoscopy, with 2 to 24 sessions of transpapillary stenting and dilation, were performed. Interventions through the minor papilla were successfully performed in six of seven cases. The pancreatic stenting duration ranged from 2 to 87 months. Five patients with evidence of chronic pancreatitis (CP) tended to receive more endoscopic interventions than did the two patients without CP (2-24 vs 2, respectively) for GP and other complications associated with CP.
Conclusions: Disconnection or impairment of communication between the ducts of Santorini and Wirsung was observed in all cases of GP. No surgery was required, and endoscopic minor papilla dilation and drainage of the duct of Santorini were feasible for the treatment of GP.
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فهرسة مساهمة: Keywords: Endoscopic treatment; Groove pancreatitis; Pancreatic ducts; Paraduodenal pancreatitis
تواريخ الأحداث: Date Created: 20171208 Date Completed: 20180926 Latest Revision: 20220316
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC5832346
DOI: 10.5009/gnl17170
PMID: 29212312
قاعدة البيانات: MEDLINE
الوصف
تدمد:2005-1212
DOI:10.5009/gnl17170