The incidence of main pancreatic duct disruption in severe biliary pancreatitis

Endoscopic placement of permanent indwelling transmural stents in disconnected pancreatic duct syndrome: does benefit outweigh the risks?

“…1,2 Complications of DPDS include recurrent pancreatic fluid collections (PFCs), ascites, fistula formation, and pseudoaneurysm. 3 Although limited, current data suggest that the outcomes of endoscopy and surgery for the management of DPDS are suboptimal.…”

Combined sinus tract endoscopy and endoscopic retrograde cholangiopancreatography in management of pancreatic necrosis and abscess

“…Choledocholithiasis and pancreatic duct disruption are not uncommon in pancreatic necrosis and abscess, and the role of early ERCP to detect choledocholethiasis and pancreatic duct disruption in severe pancreatitis has been documented [4,[10][11][12]. Our practice is to perform ERCP to clear the common bile duct and performed pancreatic duct stenting if there is evidence of main duct disruption.…”

“…The use of sinus tract endoscopy in managing postoperative fistula [9,13,14] and drained pancreatic necrosis [3] has been reported. In addition, choledocholithiasis and pancreatic duct disruption are not uncommon in severe pancreatic necrosis, and the therapeutic role of ERCP in severe pancreatitis has been documented [4,11,12]. In this study, we report our experiences of combining sinus tract endoscopy (STE) and endoscopic retrograde cholangiopancreatography (ERCP) in managing patients with pancreatic necrosis and abscess.…”

Efficacy of Lanreotide 30 mg on Prevention of Pain Relapse after Oral Refeeding in Patients with Necrotizing Acute Pancreatitis

“…Furthermore, extravasation of pancreatic secretion through the disrupted main or branched ducts may occur. It is well established that pancreatic duct disruption occurs frequently in cases of necrotizing pancreatitis and that it does not always result in effusion of pancreatic secretions in extrapancreatic spheres nor in the necessity of surgical intervention [8].…”