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胰管分离综合征。内镜治疗。

Disconnected pancreatic duct syndrome. Endoscopic approach.

机构信息

Aparato Digestivo, Hospital Universitario Clínico San Cecilio, España.

UGC Aparato Digestivo, Hospital Universitario Clínico San Cecilio.

出版信息

Rev Esp Enferm Dig. 2022 Dec;114(12):767-768. doi: 10.17235/reed.2022.9261/2022.

Abstract

Disconnected pancreatic duct syndrome (DPCS) is due to disruption of the main pancreatic duct (PC) or its secondary branches, a complication present in 30-80% of acute necrotizing pancreatitis. The secretion of pancreatic enzymes by isolated functioning pancreatic tissue can facilitate the recurrence of encapsulated necrotic collections, so its endoscopic management remains a controversial issue in daily practice. We present a case of disconnected pancreatic duct syndrome resolved after placement of a pancreatic stent.

摘要

断流性胰管综合征(DPCS)是由于主胰管(PC)或其二级分支中断引起的,在 30-80%的急性坏死性胰腺炎中可见该并发症。孤立的功能胰腺组织分泌的胰酶可促进包裹性坏死性积聚物的复发,因此其内镜处理在日常实践中仍是一个有争议的问题。我们报告了一例放置胰管支架后缓解的断流性胰管综合征。

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