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胰腺分裂症中胰管支架向近端移位：取出挑战及文献综述

Proximal Migration of Pancreatic Duct Stent in Pancreas Divisum: Challenges in Retrieval and Review of the Literature.

作者信息

Ghimire Subash, Ravi Shri Jaikishan, Yousef Mohammad, Khan Hafiz

机构信息

Guthrie Robert Packer Hospital, Sayre, PA 18840, USA.

出版信息

Case Rep Gastrointest Med. 2021 Apr 20;2021:5531658. doi: 10.1155/2021/5531658. eCollection 2021.

DOI:10.1155/2021/5531658
PMID:33968451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081641/
Abstract

Pancreas divisum is the most common congenital malformation of the pancreas. Sometimes it is considered an etiology when patients present with recurrent episodes of pancreatitis. Endoscopic retrograde pancreatography (ERP) with selective cannulation of the minor papilla with sphincterotomy and stent placement are performed in these patients. Proximal migration of pancreatic stents in pancreas divisum is rare and challenging to manage. We describe a case of proximal migration of a pancreatic stent in a patient with pancreas divisum and perform a review of literature.

摘要

胰腺分裂是胰腺最常见的先天性畸形。当患者出现复发性胰腺炎发作时，有时会将其视为病因。对于这些患者，会进行内镜逆行胰胆管造影（ERP），选择性插管至副乳头，并行括约肌切开术和支架置入术。胰腺分裂患者中胰腺支架向近端移位的情况罕见且处理具有挑战性。我们描述了一例胰腺分裂患者胰腺支架近端移位的病例，并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/64dd2ebf7ae7/CRIGM2021-5531658.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/7d94a5ac57ff/CRIGM2021-5531658.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/8cf6f231a5c6/CRIGM2021-5531658.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/faa5457e2862/CRIGM2021-5531658.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/64dd2ebf7ae7/CRIGM2021-5531658.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/7d94a5ac57ff/CRIGM2021-5531658.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/8cf6f231a5c6/CRIGM2021-5531658.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/faa5457e2862/CRIGM2021-5531658.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d34/8081641/64dd2ebf7ae7/CRIGM2021-5531658.004.jpg

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1
Proximal Migration of Pancreatic Duct Stent in Pancreas Divisum: Challenges in Retrieval and Review of the Literature.胰腺分裂症中胰管支架向近端移位：取出挑战及文献综述
Case Rep Gastrointest Med. 2021 Apr 20;2021:5531658. doi: 10.1155/2021/5531658. eCollection 2021.
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Successful removal of a proximally migrated pancreatic stent using a novel device delivery system.使用新型器械输送系统成功取出近端移位的胰腺支架。
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本文引用的文献

1
Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones.数字式单人操作胰管镜检查治疗梗阻性胰管结石的安全性和有效性
Endosc Int Open. 2019 Jul;7(7):E896-E903. doi: 10.1055/a-0889-7743. Epub 2019 Jul 3.
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Outcome of endotherapy for pancreas divisum in patients with acute recurrent pancreatitis.急性复发性胰腺炎患者胰腺分裂症的内镜治疗结果
World J Gastroenterol. 2014 Dec 14;20(46):17468-75. doi: 10.3748/wjg.v20.i46.17468.
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Anatomic variants of the pancreatic duct and their clinical relevance: an MR-guided study in the general population.
化疗治疗胰腺恶性淋巴瘤时胰管支架迁移至腹腔内。
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Pancreatic and biliary stents.胰腺和胆道支架。
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5
Cholangiopancreatography troubleshooting: the usefulness of endoscopic retrieval of migrated biliary and pancreatic stents.胆管胰管造影故障排除：经内镜取出移位的胆管和胰管支架的作用。
Hepatobiliary Pancreat Dis Int. 2009 Dec;8(6):632-7.
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Good stents gone bad: endoscopic treatment of proximally migrated pancreatic duct stents.原本良好的支架出了问题：近端移位的胰管支架的内镜治疗
Gastrointest Endosc. 2009 Jul;70(1):174-9. doi: 10.1016/j.gie.2008.12.051.
7
Proximal migration of a 3 French pancreatic stent in a patient with pancreas divisum: suggested technique for successful retrieval.胰腺分裂症患者中3F胰腺支架的近端移位：成功取出的建议技术。
JOP. 2005 Mar 10;6(2):178-84.
8
Endoscopic therapy in patients with pancreas divisum and acute pancreatitis: a prospective, randomized, controlled clinical trial.
Gastrointest Endosc. 1992 Jul-Aug;38(4):430-4. doi: 10.1016/s0016-5107(92)70471-4.