Percutaneous Plastic Stent Insertion for Treatment of Disconnected Pancreatic Duct

Codina, Jaume; Gelabert, Antoni; Casellas, Margarida; Borreguero, Diego Preciado; Huertas, Carlos; Falgueras, Laia; Pedraza, Salvador

doi:10.1016/j.jvir.2017.04.010

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…Interventional techniques can also enable placement of an internalized endoscopic-type plastic stent that bridges across both portions of the duct to reestablish continuity and secretion drainage into the duodenum (Fig. 3) [2]. We did not observe any ductal rupture or pancreatic secretion leaks provoked by duct occlusion with n-BCA or coils.…”

Section: Discussionmentioning

confidence: 73%

“…Catheter exchanges were performed to resolve catheter dislodgements, migration, or obstruction. The duct external drainage can be followed by placement stent (7 French, 7 cm, Geenen, Cook Medical Inc., Bloomington, IN) [2], if the physician determined that ductal continuity could be reestablished in cases of fistula along the main duct. For pancreato-jejunostomy anastomosis leak the cannulated duct was left to external drainage without other interventions.…”

Section: Methodsmentioning

confidence: 99%

“…Author details 1 Interventional Radiology Department, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guandong, China. 2 Division of Interventional Radiology, Mayo Clinic, Jacksonville, FL 32224, USA. 3 Department of General…”

Section: Abbreviationsmentioning

confidence: 99%

“…While percutaneous drainage of PFC is widely utilized, a focal disruption of the duct can be an uncontrolled source of pancreatic secretions that can interfere with healing. Percutaneous interventions of the main pancreatic duct have been described but the experience reported is limited [2][3][4]. This study evaluates the feasibility, safety, and efficacy of percutaneous direct pancreatic duct interventions in the management of duct fistulas that were ineligible for, or had failed surgical and endoscopic management.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous direct pancreatic duct intervention in management of pancreatic fistulas: a primary treatment or temporizing therapy to prepare for elective surgery

Paz‐Fumagalli

Wang

et al. 2021

BMC Gastroenterol

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Background This study evaluates preliminary results of image-guided percutaneous direct pancreatic duct intervention in the management of pancreatic fistula after surgery or pancreatitis when initially ineligible for surgical or endoscopic therapy. Methods Between 2001 and 2018 the medical records of all patients that underwent percutaneous pancreatic duct intervention for radiographically confirmed pancreatic fistula initially ineligible for surgical or endoscopic repair were reviewed for demographics, clinical history, procedure details, adverse events, procedure related imaging and laboratory results, ability to directly catheterized the main pancreatic duct, and whether desired clinical objectives were met. Results In 10 of 11patients (6 male and 5 female with mean age 60.5, range 39–89) percutaneous pancreatic duct cannulation was possible. The 10 duct interventions included direct ductal suction drainage in 7, percutaneous duct closure in 3 and stent placement in 1. Pancreatic fistulas closed in 7 of 10, 2 were temporized until elective surgery, and 1 palliated until death from malignancy. The single patient with failed duct cannulation resolved the fistula with prolonged catheter drainage of the peri-pancreatic cavity. There were no major adverse events related to intervention. Conclusion In patients with pancreatic fistulas initially ineligible for endoscopic therapy or elective surgery, direct percutaneous pancreatic duct interventions are possible, can achieve improvement without major morbidity or mortality, and can improve and maintain the medical condition of patients in preparation for definitive surgery.

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Section: Discussionmentioning

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Section: Abbreviationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous direct pancreatic duct intervention in management of pancreatic fistulas: a primary treatment or temporizing therapy to prepare for elective surgery

Paz‐Fumagalli

Wang

et al. 2021

BMC Gastroenterol

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“…The technical success rate of pancreatic duct cannulation, as shown in a recent study by Li et al [ 27 ], was 90.9%. In the literature, the experience reported is narrow but showed that this kind of therapy should be considered in patients ineligible for surgery [ 35 , 36 ]. Moreover, endoscopic and percutaneous drainage showed a similarly high rate of clinical success, replacing surgery and reducing lengths of hospital stay [ 37 , 38 , 39 , 40 , 41 , 42 , 43 ].…”

Section: Percutaneous Fluid Collection Drainagementioning

confidence: 99%

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Mosconi

Cocozza

Piacentino

et al. 2022

JCM

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Pancreatic surgery still remains burdened by high levels of morbidity and mortality with a relevant incidence of complications, even in high volume centers. This review highlights the interventional radiological management of complications after pancreatic surgery. The current literature regarding the percutaneous drainage of fluid collections due to pancreatic fistulas, percutaneous transhepatic biliary drainage due to biliary leaks and transcatheter embolization (or stent–graft) due to arterial bleeding is analyzed. Moreover, also, percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also examined. Moreover, a topic not usually treated in other similar reviewsas percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also one of our areas of focus. In islet auto-transplantation, the patient is simultaneously donor and recipient. Differently from islet allo-transplantation, it does not require immunosuppression, has no risk of rejection and is usually efficient with a small number of transplanted islets.

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Percutaneous Stent Placement for Pancreatic Duct Stricture in a Patient with Previous Gastric and Pancreatic Surgery

Aljoqiman

Park

Kim

2020

Journal of Vascular and Interventional Radiology

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Percutaneous Plastic Stent Insertion for Treatment of Disconnected Pancreatic Duct

Cited by 6 publications

References 4 publications

Percutaneous direct pancreatic duct intervention in management of pancreatic fistulas: a primary treatment or temporizing therapy to prepare for elective surgery

Percutaneous direct pancreatic duct intervention in management of pancreatic fistulas: a primary treatment or temporizing therapy to prepare for elective surgery

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Percutaneous Stent Placement for Pancreatic Duct Stricture in a Patient with Previous Gastric and Pancreatic Surgery

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