Hastier P, Rouquier P, Buckley M, Simler J M, Dumas R, Delmont J P
Fédération des Maladies de l'Appareil Digestif, Hôpital de l'Archet II, Nice, France.
Eur J Gastroenterol Hepatol. 1998 Jun;10(6):527-9. doi: 10.1097/00042737-199806000-00017.
A case is reported of a female with chronic alcoholic calcifying pancreatitis who presented with a wirsungo-cysto-pleural fistula. Endoscopic retrograde pancreatography demonstrated the fistulous tract and a naso-pancreatic drain was inserted. Subsequently, this drain was replaced by a pancreatic endoprosthesis. This endoscopic therapy led to full resolution of the fistula. We suggest that endoscopic intervention is the first-line treatment for this condition and that surgical intervention should be reserved as a second-line treatment.
报告了一例患有慢性酒精性钙化性胰腺炎的女性患者，该患者出现了胰管-囊肿-胸膜瘘。内镜逆行胰胆管造影显示了瘘管，并插入了鼻胰引流管。随后，该引流管被胰内支架取代。这种内镜治疗使瘘管完全愈合。我们建议内镜干预是这种情况的一线治疗方法，手术干预应留作二线治疗。
