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胰腺坏死组织清除术后胆瘘：跳出框框思考。

Post-pancreatic necrosectomy biliary fistula: thinking beyond the box.

作者信息

Pandit Narendra, Awale Laligen, Deo Kunal Bikram, Pradhan Bickram

机构信息

Division of Surgical Gastroenterology, Department of Surgery, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

Department of Gastroenterology and Hepatology, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

出版信息

J Surg Case Rep. 2021 May 14;2021(5):rjab189. doi: 10.1093/jscr/rjab189. eCollection 2021 May.

DOI:10.1093/jscr/rjab189
PMID:33996025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8110302/
Abstract

Walled-off pancreatic necrosis is a challenging problem and pancreatic necrosectomy is associated with significant morbidity and mortality. Following necrosectomy, postoperative bile leak is a rare complication. We present such a case of delayed bile leak from the distal common bile duct in an 81-year-old lady following pancreatic necrosectomy, which was successfully managed by endoscopic stenting.

摘要

包裹性胰腺坏死是一个具有挑战性的问题，胰腺坏死切除术与显著的发病率和死亡率相关。坏死切除术后，术后胆漏是一种罕见的并发症。我们报告了一例81岁女性在胰腺坏死切除术后发生的来自胆总管远端的迟发性胆漏病例，该病例通过内镜支架置入术成功得到处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/5e77eef72042/rjab189f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/00c9601b3481/rjab189f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/b4a60264f91b/rjab189f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/5e77eef72042/rjab189f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/00c9601b3481/rjab189f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/b4a60264f91b/rjab189f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a76a/8110302/5e77eef72042/rjab189f3.jpg

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Post-pancreatic necrosectomy biliary fistula: thinking beyond the box.胰腺坏死组织清除术后胆瘘：跳出框框思考。
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本文引用的文献

1
Pancreatic necrosis: Complications and changing trend of treatment.胰腺坏死：并发症与治疗的变化趋势
World J Gastrointest Surg. 2019 Apr 27;11(4):198-217. doi: 10.4240/wjgs.v11.i4.198.
2
Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis: a pooled analysis of individual data for 1980 patients.微创和内镜下与开放性坏死组织清除术治疗坏死性胰腺炎：对 1980 名患者的个体数据进行的汇总分析。
Gut. 2018 Apr;67(4):697-706. doi: 10.1136/gutjnl-2016-313341. Epub 2017 Aug 3.
3
Gastrointestinal Fistulas in Acute Pancreatitis With Infected Pancreatic or Peripancreatic Necrosis: A 4-Year Single-Center Experience.
急性胰腺炎合并感染性胰腺或胰周坏死患者的胃肠道瘘：一项为期4年的单中心经验
Medicine (Baltimore). 2016 Apr;95(14):e3318. doi: 10.1097/MD.0000000000003318.
4
Operative management of acute pancreatitis.急性胰腺炎的手术治疗。
Surg Clin North Am. 2013 Jun;93(3):595-610. doi: 10.1016/j.suc.2013.02.007. Epub 2013 Mar 29.
5
Pancreatic choledochal fistula complicating acute pancreatitis.并发急性胰腺炎的胰胆管瘘
Am J Case Rep. 2012;13:47-50. doi: 10.12659/AJCR.882600. Epub 2012 Mar 20.