Paraduodenal pancreatitis as an uncommon cause of gastric outlet obstruction: A case report and review of the literature

Larjani, Soroush; Stephens, Leslie; James, Paul D.; Martel, Guillaume; Mimeault, Richard; Balaa, Fady; Bertens, Kimberly A.

doi:10.1016/j.ijscr.2017.07.043

Cited by 9 publications

(5 citation statements)

References 24 publications

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“…Benign diseases that cause duodenal stenosis include inflammatory bowel diseases such as Crohn disease, 1 duodenal ulcers, chronic/recurrent pancreatitis, 2 among others. Malignancies that cause duodenal stenosis include duodenal tumors and direct tumor invasions to the surrounding organs.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Stenosis Due to Carcinoma of the Lower Bile Duct: A Case Report

Maki

Irisawa

Notohara

et al. 2020

Clin Med Insights Case Rep

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An 83-year-old man was referred to our hospital for a detailed evaluation for vomiting. Esophagogastroduodenoscopy and abdominal computed tomography showed duodenal stenosis with wall thickness. Biopsy including endoscopic ultrasound-guided fine-needle aspiration of the thickened wall showed inflammation without malignancy. During the clinical course, wall thickening of the distal bile duct appeared. Biopsy under endoscopic retrograde cholangiography showed papillary adenocarcinoma. Surgery revealed that the tumor had widely invaded the duodenal wall from the outside; therefore, only gastrojejunostomy was performed. It was hypothesized that the cholangiocarcinoma had progressed to the serosal side, disseminated in the peritoneum, infiltrated the duodenal serosa, and caused duodenal stenosis.

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Section: Discussionmentioning

confidence: 99%

Duodenal Stenosis Due to Carcinoma of the Lower Bile Duct: A Case Report

Maki

Irisawa

Notohara

et al. 2020

Clin Med Insights Case Rep

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“…Основной причиной дуоденальной непроходимости считается распространение воспаления на парадуоденальную клетчатку и стенку ДПК. Развитие декомпенсированной формы нарушения эвакуации из желудка возникает редко [34][35][36].…”

Section: осложнения хронического панкреатитаunclassified

“…Комментарии: Пациентам с сохраняющимися симптомами, несмотря на прием начальных доз современных пищеварительных ферментных препаратов, покрытых кишечнорастворимой оболочкой (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) пожизненная заместительная терапия в подобранной дозе [62,123].…”

Section: лечение экзокринной и эндокринной недостаточности пжunclassified

Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis

Кригер

Okhlobystin

et al. 2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancreatic ducts, which cause pain and/or persistent impairment of function. Current concept on the etiology of CP is reflected by the TIGAR-O classification. The criteria for establishing the diagnosis of CP include typical attacks of abdominal pain and/or clinical and laboratory signs of exocrine, endocrine insufficiency with the mandatory detection of characteristic morphological changes (calcifications in the parenchyma and pancreatic ductal stones, dilatation of the main pancreatic duct and its branches). CT, MRCP, and pancreatobiliary endosonography are recommended as the methods of choice to verify the diagnosis of CP. Conservative treatment of patients with CP is provided for symptom relief and prevention of complications. Individual cases with severe non-interactable abdominal pain, as well as a complicated course of the disease (development of ductal hypertension due to main pancreatic duct stones or strictures, obstructive jaundice caused by compression of the common bile duct, symptomatic postnecrotic cysts, portal hypertension due to compression of the portal vein or thrombosis of the splenic vein, persistent duodenal obstruction, pseudoaneurysm of the celiac trunk basin and the superior mesenteric artery) serve as an indication for endoscopic or surgical treatment. The Guidelines set out modern approaches to the diagnosis, conservative, endoscopic and surgical treatment of CP, and the prevention of its complications.Conclusion. The implementation of clinical guidelines can contribute to the timely diagnosis and improve the quality of medical care for patients with chronic pancreatitis.

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“…Complications of the heterotopic pancreas are pancreatitis of the heterotopic tissue, pseudocyst formation, abscess, endocrine dysfunction, malignant degeneration, mechanical obstruction, and bleeding [4,6,[13], [14], [15]].…”

Section: Introductionmentioning

confidence: 99%