6,284 results match your criteria Pancreatic Pseudocysts


Lifetime smoking history and cohort-based smoking prevalence in chronic pancreatitis.

Pancreatology 2021 May 29. Epub 2021 May 29.

Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Background/objective: Smoking prevalence in patients with chronic pancreatitis [CP] is high. We aimed to understand lifetime history of smoking and cohort trends in CP patients to inform effective strategies for smoking cessation.

Method: Data on 317 CP patients from the North American Pancreatitis Study 2 [NAPS2] Continuation and Validation Study and the NAPS2 Ancillary Study were analyzed. Read More

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Acute Pancreatitis with an Ongoing Pancreatic Duct Leak Complicated by Refractory Pleural Effusion: A Case Report.

Am J Case Rep 2021 Jun 11;22:e931330. Epub 2021 Jun 11.

Department of Gastroenterology, Community Memorial Health Systems, Ventura, CA, USA.

BACKGROUND Acute pancreatitis causes a significant systemic inflammatory response that affects multiple organs. Pulmonary complications include pleural effusions, hypoxia, atelectasis, and acute respiratory distress syndrome. Pleural effusion is an indicator of poor prognosis in pancreatitis. Read More

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[A case of mediastinal pancreatic pseudocyst diagnosed and treated successfully by endoscopic procedure].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(6):578-585

Department of Gastroenterology and Hepatology, Sapporo Medical University.

A 60-year-old man was admitted for investigation of a mediastinal cystic lesion. During endoscopic retrograde pancreatography, the contrast medium leaked from the head of the main pancreatic duct, and the cystic fluid collected with endoscopic ultrasonography (EUS) -guided aspiration showed high levels of pancreatic enzymes. Therefore, we diagnosed mediastinal pancreatic pseudocyst. Read More

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Head-to-head comparison between endoscopic ultrasound guided lumen apposing metal stent and plastic stents for the treatment of pancreatic fluid collections: A systematic review and meta-analysis.

J Hepatobiliary Pancreat Sci 2021 Jun 9. Epub 2021 Jun 9.

Gastroenterology Unit oh Hospital General Universitario de Alicante, Alicante, Spain.

Background And Aims: Peripancreatic fluid collections (PFCs) result from acute or chronic pancreatic inflammation that suffers a rupture of its ducts. Currently, it exists three options for drainage or debridement of pancreatic pseudocysts and WON. The traditional procedure is the drainage by placing double pigtail plastic stents (DPPS); LAMS has a biflanged design with a wide lumen that avoids occlusion with necrotic tissue, which is more common with DPPS and reduces the possibility of migration. Read More

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Early occurrence of pseudocysts in acute pancreatitis - A multicenter international cohort analysis of 2275 cases.

Pancreatology 2021 May 19. Epub 2021 May 19.

Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary; Szentágothai Research Center, Medical School, University of Pécs, Pécs, Hungary.

Background: Pseudocysts being the most frequent local complications of acute pancreatitis (AP) have substantial effect on the disease course, hospitalization and quality of life of the patient. Our study aimed to understand the effects of pre-existing (OLD-P) and newly developed (NEW-P) pseudocysts on AP.

Methods: Data were extracted from the Acute Pancreatitis Registry organized by the Hungarian Pancreatic Study Group (HPSG). Read More

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Splenocystojejunostomy for the treatment of a symptomatic splenic pseudocyst.

Ann R Coll Surg Engl 2021 Jun;103(6):e202-e205

Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.

Pancreatic pseudocyst is a widely recognised local complication following acute pancreatitis. Typically occurring more than four weeks after acute pancreatitis, a pseudocyst is a mature, encapsulated collection found within the peripancreatic tissues manifesting as abdominal pain, structural compression, gastroparesis, sepsis and organ dysfunction. Therapeutic interventions include endoscopic transpapillary or transmural drainage, percutaneous catheter drainage and open surgery. Read More

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Pancreatic pseudocyst, pancreatitis, and incomplete pancreas divisum in a child treated with endotherapy: a case report.

J Int Med Res 2021 May;49(5):3000605211014395

Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, China.

Pancreatic divisum (PD) is caused by the lack of fusion of the pancreatic duct during the embryonic period. Considering the incidence rate of PD, clinicians lack an understanding of the disease, which is usually asymptomatic. Some patients with PD may experience recurrent pancreatitis and progress to chronic pancreatitis. Read More

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Autoimmune pancreatitis with pancreatic calculi and pseudocyst: a case report.

J Int Med Res 2021 May;49(5):3000605211014798

Department of Digestive Medicine, Shenzhen Hospital of Southern Medical University, Shenzhen, Guangdong, People's Republic of China.

Autoimmune pancreatitis (AIP) is a unique form of pancreatitis often associated with infiltration of immunoglobulin G4-positive cells, a swollen pancreas, and diffuse narrowing of the pancreatic ducts. Unlike acute pancreatitis, AIP is rarely complicated with pseudocysts. Pancreatic calculi, a feature of ordinary chronic pancreatitis, are unusual during short-term follow-up in patients with AIP. Read More

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Pancreatic cystic lesions in diabetes mellitus patients.

Prz Gastroenterol 2021 4;16(1):62-66. Epub 2020 Jun 4.

Department of Gastroenterology, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.

Introduction: According to the literature exocrine pancreatic insufficiency is relatively common among patients with diabetes mellitus (DM). Pseudocysts are the most common cystic lesions and may be formed in the setting of acute or chronic pancreatitis. However, whether DM is involved or not in pancreatic cyst formation is still not well established. Read More

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Predicting the Need for Step-Up Therapy After EUS-Guided Drainage of Pancreatic Fluid Collections With Lumen-Apposing Metal Stents.

Clin Gastroenterol Hepatol 2021 Jun 1. Epub 2021 Jun 1.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

Background & Aims: A significant proportion of individuals with pancreatic fluid collections (PFCs) require step-up therapy after endoscopic drainage with lumen-apposing metal stents. The aim of this study is to identify factors associated with PFCs that require step-up therapy.

Methods: A retrospective cohort study of patients undergoing endoscopic ultrasound-guided drainage of PFCs with lumen-apposing metal stents from April 2014 to October 2019 at a single center was performed. Read More

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Primary squamous cell carcinoma of the pancreas with a large pseudocyst of the pancreas as the first manifestation: a rare case report and literature review.

BMC Gastroenterol 2021 May 8;21(1):208. Epub 2021 May 8.

Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Background: Primary squamous cell carcinoma (SCC) of the pancreas with pseudocysts, especially diagnosed by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), is extremely rare.

Case Presentation: A 64-year-old man was admitted to our department for abdominal distension. Two months ago, he experienced abdominal pain for 1 day and was diagnosed with acute pancreatitis in another hospital. Read More

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Mediastinal Extension of Pancreatic Pseudocyst: A Rare Pediatric Presentation.

J Indian Assoc Pediatr Surg 2021 Jan-Feb;26(1):44-47. Epub 2021 Jan 11.

Department of Paediatric Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

Pancreatic pseudocysts are cystic cavities which are localized collection of pancreatic secretions, rich in amylase and other enzymes, present in and around pancreas, encased in a false epithelial lining of fibrous or reactive granulation tissue. Extension of a pancreatic pseudocyst into the mediastinum is rare. We are reporting a case of a 5-year-old child with mediastinal pancreatic pseudocyst which was successfully drained by cystojejunostomy. Read More

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January 2021

Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture.

J Surg Case Rep 2021 Apr 19;2021(4):rjab071. Epub 2021 Apr 19.

Esophagogastric Surgery Unit, Department of Digestive Surgery, Hospital Dr. Sotero del Rio, Pontificia Universidad Católica de Chile, Santiago, Chile.

Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. However, spleen involvement in pancreatitis is rare. We present a patient with a pancreatic tail pseudocyst with splenic extension and rupture. Read More

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Idiopathic giant pancreatic pseudocyst presenting in emergency with abdominal compartment syndrome and intestinal occlusion: Case report and review of the literature.

Int J Surg Case Rep 2021 Apr 26;81:105812. Epub 2021 Mar 26.

General and Emergency Surgery Department, Garibaldi Hospital, Piazza Santa Maria di Gesù 5, 95100, Catania, Italy.

Introduction And Importance: This is the first case of idiopathic giant pancreatic pseudocyst (IGPP) causing intestinal occlusion, intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) reported in the literature. Diagnosis of IGPP in emergency is a challenge because of its rarity and the absence of a history of pancreatitis or pancreatic trauma and specific clinical presentation. Abdominal contrast-enhanced computed tomography (CECT) represents the gold standard in diagnosing of pancreatic cyst (PP). Read More

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Single-step EUS-guided drainage of a pancreatic pseudocyst with a modified guidewire as a cystotome.

VideoGIE 2021 Feb 3;6(2):93-94. Epub 2020 Nov 3.

Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China.

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February 2021

Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature.

Case Rep Gastrointest Med 2021 2;2021:6610610. Epub 2021 Apr 2.

Al-Ahli Hospital, Hebron, State of Palestine.

Introduction: A pancreatic pseudocyst (PP) with major diameter equal to 10 cm or more is called a giant pseudocyst. The ideal management for giant PPs is controversial. Endoscopic drainage is an alternative nonsurgical approach for PP management. Read More

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Sickle Cell Trait Presenting as Chronic Calcific Pancreatitis with Pseudocyst- A Case Report.

Indian J Clin Biochem 2021 Apr 1;36(2):239-241. Epub 2020 Jul 1.

Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Raipur, India.

Sickle cell disease is known to cause acute pancreatitis either due to gall stones obstructing the pancreatic duct or by vaso-occlusive mechanism. However chronic pancreatitis is a very rare complication in sickle cell anemia. We report a case of sickle cell trait presenting with chronic pancreatitis with pseudo cyst. Read More

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Cytologic Assessment of Cystic/Intraductal Lesions of the Pancreatobiliary Tract.

Authors:
Michelle D Reid

Arch Pathol Lab Med 2021 Apr 9. Epub 2021 Apr 9.

From the Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.

Context.—: Because of new and improved imaging techniques, cystic/intraductal pancreatobiliary tract lesions are increasingly being discovered, and brushings or endoscopic ultrasound/computed tomography/magnetic resonance imaging-guided fine-needle aspiration biopsies from these lesions have become an integral part of pathologists' daily practice. Because patient management has become increasingly conservative, accurate preoperative diagnosis is critical. Read More

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Bedside Percutaneous Approach in a Critically Ill ICU Patient with Complex Pancreatobiliary Disorder Followed by Endoscopic Approach: Lessons Learnt from a Tertiary Referral Center.

Case Rep Gastroenterol 2021 Jan-Apr;15(1):210-217. Epub 2021 Feb 18.

Digestive Disease and GI Oncology Center, Medistra Hospital, Jakarta, Indonesia.

Pancreatobiliary disorder is a challenging clinical condition, especially when this condition is causing severe infection or biliary sepsis, and sometimes it requires intensive care unit (ICU) treatment. Biliary drainage is the mainstay of therapy; however, the choice of the drainage method is dependent on the patient's clinical condition and the disease itself. A 79-year-old female was transferred on a ventilator to our ICU from another hospital due to biliary sepsis, a large common bile duct stone, and an infected pancreatic pseudocyst. Read More

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February 2021

Novel multidisciplinary hub-and-spoke tertiary service for the management of severe acute pancreatitis.

BMJ Open Gastroenterol 2021 Mar;8(1)

HPB Surgical Unit, Freeman Hospital, Newcastle upon Tyne, UK.

Objective: Severe acute pancreatitis (SAP) is associated with high mortality (15%-30%). Current guidelines recommend these patients are best managed in a multidisciplinary team setting. This study reports experience in the management of SAP within the UK's first reported hub-and-spoke pancreatitis network. Read More

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Factors associated with prior acute pancreatitis episodes among patients with chronic pancreatitis.

Dig Liver Dis 2021 Mar 20. Epub 2021 Mar 20.

Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai 200433, China; Shanghai Institute of Pancreatic Diseases, 168 Changhai Road, Shanghai 200433, China. Electronic address:

Background: The relationship between chronic pancreatitis (CP) and acute pancreatitis (AP) is complex and not well understood. CP could be preceded by antecedent episodes of AP.

Aims: The aim of this study was to explore both genetic and environmental factors associated with AP episodes before the diagnosis of CP. Read More

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Blunt High-Grade Pancreatic Injury in Children: A 20-Year Experience in Two Pediatric Surgical Centers.

Isr Med Assoc J 2021 Mar;23(3):180-185

Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center, Petah Tikva, Israel.

Background: Pancreatic trauma is uncommon in pediatric patients and presents diagnostic and therapeutic challenges. While non-operative management (NOM) of minor pancreatic injuries is well accepted, the management of major pancreatic injuries remains controversial.

Objectives: To evaluate management strategies for major blunt pancreatic injury in children. Read More

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Clinical study on cystogastrostomy and Roux-en-Y-type cystojejunostomy in the treatment of pancreatic pseudocyst: A single-center experience.

Medicine (Baltimore) 2021 Mar;100(10):e25029

Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Abstract: The main purpose is to compare the efficacy of cystogastrostomy (CG) and Roux-en-Y-type cystojejunostomy (RCJ) in the treatment of pancreatic pseudocyst (PPC), and to explore the risk factors of recurrence and complications after internal drainage.Two hundred eight patients undergoing either CG or RCJ for PPC Between January 1, 2013and February 1, 2019, at West China Hospital of Sichuan University were retrospectively analyzed. The cure rate, complication rate and related factors were compared between the 2 groups. Read More

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[Endoscopic transluminal drainage of infected pancreatic necrosis].

Khirurgiia (Mosk) 2021 (3):20-25

Sklifosovsky Research Institute for Emergency Care, Moscow, Russian Federation.

Objective: To report initial experience of endoscopic transluminal drainage of infected pancreatic necrosis.

Material And Methods: There were 8 patients with acute severe pancreatitis and large-focal pancreatic necrosis who underwent transluminal drainage of destruction zones for the period from December 2018 to October 2019.

Results: Transluminal drainage of pancreatogenic destruction zones in acute severe pancreatitis can be considered as the only surgical approach in 50% of cases that is comparable with literature data. Read More

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Endoscopic management of chronic pancreatitis.

Dig Endosc 2021 Mar 9. Epub 2021 Mar 9.

Asian Institute of Gastroenterology, Hyderabad, India.

Chronic pancreatitis (CP) is an inflammatory process characterized by irreversible morphological changes in the pancreas. Pain is the predominant symptom observed during the course of CP. The etiopathogenesis of pain in CP is multifactorial and includes ductal hypertension due to obstruction of the pancreatic duct (PD), neuropathic causes, and extrapancreatic complications of CP like pseudocyst and distal biliary obstruction. Read More

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Delayed Internal Pancreatic Fistula and Pseudocyst Formation Three Years Status-Post Distal Pancreatectomy in the Setting of Acute Pancreatitis.

S D Med 2020 Nov;73(11):520-522

Department of Surgery, Sanford USD Medical Center, Sioux Falls, South Dakota.

Pancreatic duct rupture and fistula formation are known complications of distal pancreatectomy (DP); however, internal pancreatic fistulas and duct ruptures as a result of pancreatitis with delayed onset after DP are rare. This case reports a 77-year-old man with acute pancreatitis presenting with a delayed pancreatic duct rupture, fistula, and pseudocyst formation at the resection site three years status-post distal pancreatectomy for resection of intraductal papillary mucinous neoplasm of pancreas. This case report is designed to bring attention to the possible risk of delayed internal pancreatic fistula years post distal pancreatectomy, in the setting of a first episode of acute pancreatitis. Read More

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November 2020

The Role of Endoscopic Transpapillary Stenting of the Main Pancreatic Duct during the Endoscopic Treatment of Pancreatic Fluid Collections.

J Clin Med 2021 Feb 14;10(4). Epub 2021 Feb 14.

Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, 87-100 Torun, Poland.

Endotherapy is a recognized, widely available, and minimally invasive treatment method for pancreatic fluid collections (PFCs) formed in the course of acute pancreatitis (AP). The use of endoscopic techniques in the treatment of main pancreatic duct (MPD) disruption due to AP remains unclear. In this article, a comprehensive review of current literature referencing our observations was performed to identify publications on the role of MPD stenting in patients undergoing endoscopic drainage of PFCs resulting from AP. Read More

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February 2021

Pancreatic Pseudocyst Hemorrhage Complicated by an Acute ST-Elevation Myocardial Infarction.

Cureus 2021 Feb 27;13(2):e13585. Epub 2021 Feb 27.

Gastroenterology, Baystate Medical Center, Springfield, USA.

ST-segment elevation myocardial infarction is a medical emergency that requires immediate treatment with potent anti-platelet and anti-coagulant therapies and reperfusion by percutaneous coronary intervention. The use of anti-platelet and anti-coagulant therapies can result in hemorrhagic complications, and their use is challenging in a patient with an active gastrointestinal bleed. We report the case of a patient who simultaneously presented with both an ST-segment elevation myocardial infarction and a hemorrhagic pancreatic pseudocyst. Read More

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February 2021

Pancreatic Pseudocyst Fistulization: An Unusual Case of Upper GI Bleeding.

Cureus 2021 Jan 27;13(1):e12933. Epub 2021 Jan 27.

Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.

The pancreas is an unusual source of gastrointestinal (GI) bleeding. GI bleeding from the pancreas is most frequently a result of complications from acute or chronic pancreatitis resulting in vascular damage and bleeding into the pancreatic duct. Rarely, however, a pancreatic pseudocyst can come into contact with the GI tract and form a fistula. Read More

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January 2021

Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst.

Clin Endosc 2021 Mar 3. Epub 2021 Mar 3.

Department of Internal Medicine, Wonkwang University College of Medicine and Hospital, Iksan, Korea.

Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. Read More

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