Year 2020 / Volume 112 / Number 7
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Endoscopic therapy in disconnected duct syndrome: re-connecting the duct

571-572

DOI: 10.17235/reed.2020.6650/2019

Luísa Martins Figueiredo, Luis Lourenço, David Horta, Alexandra Martins,

Abstract
We report the case of a 61-year-old male patient with a history of acute necrotizing biliary pancreatitis and a disconnected duct syndrome. He underwent transgastric drainage using a luminal apposing metal stent and transgastric necrosectomy with complete resolution of the necrosis. A pancreatic fistula was identified during pancreatography and a pancreatic plastic stent was placed in order to manage the disconnected duct syndrome. The tip of the pancreatic stent could be seen inside the pancreatic collection, which is an unusual finding. There was a resolution of the collection and the pancreatic stent was removed.
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References
1. Chen Yan, Jiang Yueping, Qian Wei, et al Endoscopic transpapillary drainage in disconnected pancreatic duct syndrome after acute pancreatitis and trauma: long-term outcomes in 31 patients BMC Gastroenterol. 2019; 19: 54. doi: 10.1186/s12876-019-0977-1
2. Alsaad Ali A, Dhannoon Sarah M, Phillips Michael B Disconnected pancreatic duct syndrome: a multidisciplinary management dilemma BMJ Case Rep. 2016; 2016: bcr2016217099. doi: 10.1136/bcr-2016-217099
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Figueiredo L, Lourenço L, Horta D, Martins A. Endoscopic therapy in disconnected duct syndrome: re-connecting the duct. 6650/2019


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Publication history

Received: 26/09/2019

Accepted: 06/10/2019

Online First: 16/06/2020

Published: 08/07/2020

Article revision time: 4 days

Article Online First time: 264 days

Article editing time: 286 days


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