胰管离断综合征：多学科管理困境
Disconnected pancreatic duct syndrome: a multidisciplinary management dilemma.
作者信息
Alsaad Ali A, Dhannoon Sarah M, Phillips Michael B
机构信息
Department of Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA.
Department of Internal Medicine, University of Central Florida, Orlando, Florida, USA.
出版信息
BMJ Case Rep. 2016 Nov 1;2016:bcr2016217099. doi: 10.1136/bcr-2016-217099.
Abstract
Disconnected pancreatic duct syndrome is a circumferential interruption of the pancreatic duct. It usually occurs secondary to pancreatitis and carries significant diagnostic and management challenges. We present a case of disconnected pancreatic duct syndrome that represented a diagnostic and management dilemma for both medical and surgical teams. The aim of this article is to share a successful management experience of disconnected pancreatic duct syndrome with other physicians and to perform a brief but focused literature review on this challenging condition.
摘要
胰腺导管离断综合征是胰腺导管的环形中断。它通常继发于胰腺炎，带来重大的诊断和管理挑战。我们报告一例胰腺导管离断综合征病例，该病例对内科和外科团队而言都是诊断和管理难题。本文旨在与其他医生分享胰腺导管离断综合征的成功管理经验，并对这一具有挑战性的病症进行简要但有重点的文献综述。
相似文献
1
Disconnected pancreatic duct syndrome: a multidisciplinary management dilemma.胰管离断综合征：多学科管理困境
BMJ Case Rep. 2016 Nov 1;2016:bcr2016217099. doi: 10.1136/bcr-2016-217099.
2
Disconnected pancreatic duct syndrome: complete pancreas transection secondary to acute pancreatitis.离断性胰管综合征：继发于急性胰腺炎的完全性胰腺横断。
Rev Esp Enferm Dig. 2016 Mar;108(3):165-6. doi: 10.17235/reed.2016.3997/2015.
3
Disconnected pancreatic duct with pancreas necrosis, treated with transgastric debridement and pancreatic duct stent.
Clin Gastroenterol Hepatol. 2010 May;8(5):e51. doi: 10.1016/j.cgh.2009.11.019. Epub 2010 Jan 6.
4
Disconnected Pancreatic Duct Syndrome: Endoscopic Stent or Surgeon's Knife?胰腺导管离断综合征：内镜支架还是外科手术刀？
Pancreas. 2015 Jan;44(1):16-22. doi: 10.1097/MPA.0000000000000216.
5
[Complex treatment of patient with chronic pancreatitis].[慢性胰腺炎患者的综合治疗]
Khirurgiia (Mosk). 2018(11):68-70. doi: 10.17116/hirurgia201811168.
6
Disconnected pancreatic duct syndrome - Wait! Why not try one more time?胰管离断综合征——等等！为何不再试一次？
Endoscopy. 2018 Jul;50(7):E188-E189. doi: 10.1055/a-0605-3076. Epub 2018 Jun 12.
7
Pancreatic duct strictures are a common cause of recurrent pancreatitis after successful management of pancreatic necrosis.胰腺导管狭窄是胰腺坏死成功处理后复发性胰腺炎的常见原因。
Surgery. 2004 Oct;136(4):909-16. doi: 10.1016/j.surg.2004.06.028.
8
Percutaneous direct-endoscopic necrosectomy for walled-off pancreatic necrosis.经皮直接内镜坏死组织清除术治疗包裹性胰腺坏死
Endoscopy. 2013;45 Suppl 2 UCTN:E44-5. doi: 10.1055/s-0032-1309927. Epub 2013 Mar 22.
9
[Disconnected panreatic duct syndrome].
Cir Esp. 2014 Jan;92(1):4-10. doi: 10.1016/j.ciresp.2013.02.024. Epub 2013 Jul 8.
10
Disconnected pancreatic duct syndrome: disease classification and management strategies.胰管分离综合征：疾病分类与管理策略。
J Am Coll Surg. 2014 Oct;219(4):704-12. doi: 10.1016/j.jamcollsurg.2014.03.055. Epub 2014 May 22.
本文引用的文献
1
Disconnected Pancreatic Duct Syndrome: Endoscopic Stent or Surgeon's Knife?胰腺导管离断综合征：内镜支架还是外科手术刀？
Pancreas. 2015 Jan;44(1):16-22. doi: 10.1097/MPA.0000000000000216.
2
Disconnected pancreatic duct syndrome: disease classification and management strategies.胰管分离综合征：疾病分类与管理策略。
J Am Coll Surg. 2014 Oct;219(4):704-12. doi: 10.1016/j.jamcollsurg.2014.03.055. Epub 2014 May 22.
3
Consequences of long term indwelling transmural stents in patients with walled off pancreatic necrosis & disconnected pancreatic duct syndrome.带膜支架长期留置在隔离性胰腺坏死和胰腺导管分离综合征患者中的后果。
Pancreatology. 2013 Sep-Oct;13(5):486-90. doi: 10.1016/j.pan.2013.07.284. Epub 2013 Aug 7.
4
Factors impacting treatment outcomes in the endoscopic management of walled-off pancreatic necrosis.影响内镜治疗隔离性胰腺坏死的疗效的因素。
J Gastroenterol Hepatol. 2013 Nov;28(11):1725-32. doi: 10.1111/jgh.12328.
5
Roux-en-Y drainage of a pancreatic fistula for disconnected pancreatic duct syndrome after acute necrotizing pancreatitis.急性坏死性胰腺炎后分离性胰管综合征行胰腺瘘 Roux-en-Y 引流。
HPB (Oxford). 2012 Jan;14(1):26-31. doi: 10.1111/j.1477-2574.2011.00397.x. Epub 2011 Oct 31.
6
Endoscopic placement of permanent indwelling transmural stents in disconnected pancreatic duct syndrome: does benefit outweigh the risks?内镜下放置永久性跨壁支架治疗胰腺导管离断综合征：获益是否大于风险？
Gastrointest Endosc. 2011 Dec;74(6):1408-12. doi: 10.1016/j.gie.2011.07.049. Epub 2011 Oct 7.
7
Multidetector-row computed tomography (CT) of blunt pancreatic injuries: can contrast-enhanced multiphasic CT detect pancreatic duct injuries?钝性胰腺损伤的多排螺旋计算机断层扫描（CT）：对比增强多期CT能否检测出胰管损伤？
J Trauma. 2008 Mar;64(3):666-72. doi: 10.1097/TA.0b013e31802c5ba0.
8
Debridement and closed packing for sterile or infected necrotizing pancreatitis: insights into indications and outcomes in 167 patients.清创术与闭式填塞治疗无菌性或感染性坏死性胰腺炎：167例患者的指征及预后分析
Ann Surg. 2008 Feb;247(2):294-9. doi: 10.1097/SLA.0b013e31815b6976.
9
Disconnected pancreatic tail syndrome: potential for endoscopic therapy and results of long-term follow-up.离断性胰尾综合征：内镜治疗的潜力及长期随访结果
Gastrointest Endosc. 2008 Apr;67(4):673-9. doi: 10.1016/j.gie.2007.07.017. Epub 2007 Dec 3.
10
Disconnection of the pancreatic duct: an important but overlooked complication of severe acute pancreatitis.胰管离断：重症急性胰腺炎一种重要但被忽视的并发症。
Radiographics. 2007 Sep-Oct;27(5):1389-400. doi: 10.1148/rg.275065163.
Zotero 插件