Year 2022 / Volume 114 / Number 12
Letter
Disconnected pancreatic duct syndrome. Endoscopic approach

767-768

DOI: 10.17235/reed.2022.9261/2022

Alfredo Ortiz Sánchez, Eloísa Cervilla Sáez de Tejada, Beatriz Zúñiga de Mora Figueroa, Fernando Berdugo Hurtado, María del Mar Díaz Alcázar,

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.
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References
1. Arvanitakis M, Dumonceau JM, Albert J, et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018 May;50(5):524-546.
2. Rana SS, Shah J, Sharma RK, Gupta R. Clinical and morphological consequences of permanent indwelling transmural plastic stents in disconnected pancreatic duct syndrome. Endosc Ultrasound. 2020 Mar-Apr;9(2):130-137.
3. Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018. Endoscopy. 2019 Feb;51(2):179-193.
García García de Paredes A, López-Durán S, Foruny Olcina JR, Albillos A, Vázquez-Sequeiros E. Management of pancreatic collections: an update. Rev Esp Enferm Dig. 2020 Jun;112(6):483-490. doi: 10.17235/reed.2020.6814/2019.
Figueiredo LM, Lourenço L, Horta D, Martins A. Endoscopic therapy in disconnected duct syndrome: re-connecting the duct. Rev Esp Enferm Dig. 2020 Jul;112(7):571-572. doi: 10.17235/reed.2020.6650/2019.
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Citation tools
Ortiz Sánchez A, Cervilla Sáez de Tejada E, Zúñiga de Mora Figueroa B, Berdugo Hurtado F, Díaz Alcázar M. Disconnected pancreatic duct syndrome. Endoscopic approach. 9261/2022


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Publication history

Received: 05/10/2022

Accepted: 14/10/2022

Online First: 25/10/2022

Published: 12/12/2022

Article Online First time: 20 days

Article editing time: 68 days


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