5,917 results match your criteria Pancreatic Pseudocysts


Evolution of Transluminal Necrosectomy for Acute Pancreatitis to Stent in Stent Therapy: Step-Up Approach Leads to Low Mortality and Morbidity Rates in 302 Consecutive Cases of Acute Pancreatitis.

J Laparoendosc Adv Surg Tech A 2019 Feb 14. Epub 2019 Feb 14.

1 Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria.

Background: The step-up approach, using either flexible endoscopy or a minimal invasive retroperitoneal access, has reduced mortality and morbidity in patients with acute pancreatitis. The use of fully covered self-expanding metal stents (FCSEMS) or lumen apposing metal stents (LAMS) facilitates endoscopic necrosectomy and drainage of walled-off necrosis (WON). The aim of our analysis was to investigate the 30/90/365-day mortality and morbidity rates of the subtypes of the revised Atlanta classification for acute pancreatitis. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0768
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http://dx.doi.org/10.1089/lap.2018.0768DOI Listing
February 2019
3 Reads

The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor.

Case Rep Gastrointest Med 2019 14;2019:5187874. Epub 2019 Jan 14.

Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Cystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT. Read More

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http://dx.doi.org/10.1155/2019/5187874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348892PMC
January 2019

Clinical characteristics and outcomes of immune checkpoint inhibitor-induced pancreatic injury.

J Immunother Cancer 2019 Feb 6;7(1):31. Epub 2019 Feb 6.

Departments of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Background: Immune checkpoint inhibitor (ICI)-induced pancreatic injury (ICIPI) is not well documented in the literature. We aimed to describe the clinical characteristics and outcomes of patients who developed ICIPI.

Methods: We reviewed the medical records of consecutive patients who had a confirmed diagnosis of ICIPI (Common Terminology Criteria for Adverse Events grade ≥ 3 lipase elevation with or without clinical symptoms) from April 2011 through April 2018. Read More

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http://dx.doi.org/10.1186/s40425-019-0502-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364483PMC
February 2019

Complications of Long-Term Indwelling Transmural Double Pigtail Stent Placement for Symptomatic Peripancreatic Fluid Collections.

Dig Dis Sci 2019 Feb 6. Epub 2019 Feb 6.

Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0375, Japan.

Background: Endoscopic transmural drainage is performed for symptomatic peripancreatic fluid collections (PPFCs). Long-term transmural double-pigtail stent (DPS) placement is useful in preventing recurrences. There are few reports on the long-term safety of DPS placement. Read More

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http://dx.doi.org/10.1007/s10620-019-05508-7DOI Listing
February 2019
1 Read

A rare case report of ascending colon perforation secondary to acute pancreatitis.

Int J Surg Case Rep 2019 Jan 21;55:62-65. Epub 2019 Jan 21.

Caboolture Hospital, 120 McKean Street, 4510 Queenland, Australia. Electronic address:

Introduction: Severe acute pancreatitis is associated with high morbidity and mortality. This is a result of the development of pancreatic and extra-pancreatic necrosis with subsequent infection which can lead to multiorgan failure. Complications include localized ileus, abscess formation, mechanical obstruction, rupture and perforation into the gastrointestinal tract and fistula formation (Aldridge et al. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.12.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351346PMC
January 2019
1 Read

Advanced endoscopic interventions on the pancreas and pancreatic ductal system: a primer for radiologists.

Insights Imaging 2019 Jan 28;10(1). Epub 2019 Jan 28.

Digestive Endoscopy, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157, Milan, Italy.

In recent years, technological advancements including endoscopic ultrasound (EUS) guidance and availability of specifically designed stents further expanded the indications and possibilities of interventional endoscopy. Although technically demanding and associated with non-negligible morbidity, advanced pancreatic endoscopic techniques now provide an effective minimally invasive treatment for complications of acute and chronic pancreatitis.Aiming to provide radiologists with an adequate familiarity, this pictorial essay reviews the indications, techniques, results and pre- and post-procedural cross-sectional imaging appearances of advanced endoscopic interventions on the pancreas and pancreatic ductal system. Read More

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https://insightsimaging.springeropen.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s13244-019-0689-7DOI Listing
January 2019
3 Reads

Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018.

Endoscopy 2019 Feb 17;51(2):179-193. Epub 2019 Jan 17.

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, The Netherlands.

ESGE suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as the first-line therapy for painful uncomplicated chronic pancreatitis (CP) with an obstructed main pancreatic duct (MPD) in the head/body of the pancreas. The clinical response should be evaluated at 6 - 8 weeks; if it appears unsatisfactory, the patient's case should be discussed again in a multidisciplinary team and surgical options should be considered.Weak recommendation, low quality evidence. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0822-0832
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http://dx.doi.org/10.1055/a-0822-0832DOI Listing
February 2019
19 Reads

A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst: A retrospective, cohort study.

Medicine (Baltimore) 2019 Jan;98(3):e14179

Department of Gastroenterology, Changhai Hospital, Second Military Medical University.

Although endoscopic ultrasound (EUS)-guided transmural drainage of pancreatic fluid collections with metal stents is generally preferred over plastic stents, its superiority among different types of metal stents has not yet been well studied. We conducted this study to compare clinical outcomes and complications of a novel self-expanding biflanged metal stent (BFMS) and a traditional-shaped tubular metal stent (TMS) in treating pancreatic pseudocyst (PPC).This was a retrospective analysis on consecutive patients with PPC underwent EUS-guided transmural drainage with either TMS or BFMS in a single tertiary center with expertise in management of complex biliary and pancreatic problems. Read More

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http://dx.doi.org/10.1097/MD.0000000000014179DOI Listing
January 2019
4 Reads
5.723 Impact Factor

Pancreatic pseudocyst-portal vein fistula with refractory hepatic pseudocyst: Two cases treated with EUS cyst-gastrostomy and review of the literature.

Endosc Int Open 2019 Jan 15;7(1):E83-E86. Epub 2019 Jan 15.

Division of Gastroenterology, University of Alberta Hospital, Edmonton, Alberta, Canada.

 Pseudocysts are the most common pancreatic cystic lesions and they usually develop in association with pancreatitis of at least 4 weeks' duration. Extra-pancreatic pseudocysts, although reported, are relatively uncommon. Secondary liver pseudocysts are recognized within the literature, and most patients described have required percutaneous or surgical drainage due to infection or symptoms. Read More

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http://dx.doi.org/10.1055/a-0754-2247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333533PMC
January 2019

Acute-phase endovascular management of an uncommon bleeding peripancreatic pseudoaneurysm.

J Radiol Case Rep 2018 May 31;12(5):12-18. Epub 2018 May 31.

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, via Vetoio, L'Aquila, Italy.

Pancreatic pseudoaneurysms represent relatively rare but potentially lethal complications of acute or chronic pancreatitis, involving several visceral arteries. Due to their intrinsic instability and subsequent high risk of massive bleeding, these lesions require prompt treatment, regardless of the size of the pseudoaneurysm. First option of treatment is today represented by transcatheter embolization; this treatment, in fact, shows higher rates of clinical and technical success and lower recurrence rates than conventional surgery. Read More

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http://www.radiologycases.com/index.php/radiologycases/artic
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http://dx.doi.org/10.3941/jrcr.v12i5.3285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310209PMC
May 2018
3 Reads

[Endoscopic and surgical treatment of chronic pancreatitis].

Internist (Berl) 2019 Jan 11. Epub 2019 Jan 11.

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377 München, Deutschland.

With an increasing number of hospital admissions, an average of 16-to 20 days in hospital per year, 34% of patients constantly taking pain medication, 57% in need of enzyme supplementation, and 29% with diabetes mellitus, chronic pancreatitis is a debilitating disease of high socio-economic relevance. In total, 33% of all patients suffering from chronic pancreatitis can no longer practice their original profession. The number of unemployed chronic pancreatitis patients due to prolonged stays in hospital or continued alcohol abuse is known to be as high as 40%. Read More

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http://dx.doi.org/10.1007/s00108-018-0546-7DOI Listing
January 2019
3 Reads

Mass Spectrometry-Based Comprehensive Analysis of Pancreatic Cyst Fluids.

Biomed Res Int 2018 29;2018:7169595. Epub 2018 Nov 29.

Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.

Pancreatic cyst fluids (PCFs) enriched in tumour-derived proteins are considered a potential source of new biomarkers. This study aimed to determine compositional and quantitative differences between the degradome and proteome of PCFs aspirated from different types of pancreatic cyst lesions (PCLs). 91 patients who underwent endoscopic ultrasound-fine needle aspiration under routine clinical diagnosis of PCLs were enrolled. Read More

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https://www.hindawi.com/journals/bmri/2018/7169595/
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http://dx.doi.org/10.1155/2018/7169595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304507PMC
November 2018
5 Reads

Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature.

World J Clin Cases 2018 Dec;6(16):1182-1188

Department of Surgery, 2 Faculty of Medicine, Charles University and Central Military Hospital, Prague 16002, Czech Republic.

Background: The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Read More

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https://www.wjgnet.com/2307-8960/full/v6/i16/1182.htm
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http://dx.doi.org/10.12998/wjcc.v6.i16.1182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306634PMC
December 2018
5 Reads

During EUS imaging, there is frequently a twist! This looks like a pancreatic pseudocyst, but could it be a GIST?

Authors:
Manoop S Bhutani

Gastrointest Endosc 2018 Dec 21. Epub 2018 Dec 21.

Department of Gastroenterology, Hepatology, and Nutrition, UT MD Anderson Cancer Center, Houston, Texas, USA.

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http://dx.doi.org/10.1016/j.gie.2018.12.013DOI Listing
December 2018

Pancreatico-Pleural Fistula - from Diagnosis to Management. A Case Report.

J Gastrointestin Liver Dis 2018 Dec;27(4):465-469

Grigore T. Popa University of Medicine and Pharmacy Iași;Regional Institute of Oncology, Iași, Romania.

Pancreatic pseudocysts are frequent complications of both acute and chronic pancreatitis. By contrast, pancreatico-pleural fistula is rare. Here we report a case of massive pleural effusion secondary to a fistula in the left hemi-diaphragm, between a pancreatic pseudocyst and the left pleura, in a patient with a right kidney tumor and bilateral massive pulmonary thromboembolism. Read More

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http://dx.doi.org/10.15403/jgld.2014.1121.274.pleDOI Listing
December 2018
2 Reads

Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts: a large, comparative, international, multicenter study.

Endoscopy 2018 Dec 7. Epub 2018 Dec 7.

Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA.

Background:  Larger caliber lumen-apposing stents (LAMSs) have been increasingly used in the management of pancreatic fluid collections, specifically when solid debris is present; however, their advantages over smaller caliber plastic stents in the management of pancreatic pseudocysts are unclear. The aim of this study was to investigate the safety and efficacy of LAMS specifically in the management of pancreatic pseudocysts compared with double-pigtail plastic stents (DPPSs).

Methods:  We performed a multicenter, international, retrospective study between January 2012 and August 2016. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0759-1353
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http://dx.doi.org/10.1055/a-0759-1353DOI Listing
December 2018
6 Reads

[Gastric intramural pseudocyst in a heterotopic pancreas causing gastric outlet obstruction. Report of one case].

Rev Med Chil 2018 Aug;146(8):933-937

Servicio de Cirugía, Clínica Alemana, Santiago, Chile.

Heterotopic pancreas is a silent gastrointestinal malformation that may become clinically evident when complicated by inflammation and pseudocyst formation. We report a 26 year-old male presenting with vomiting, pain and abdominal distention. An abdominal CT scan showed an important gastric distention secondary to a 4-cm cystic lesion located in the antrum wall. Read More

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http://dx.doi.org/10.4067/s0034-98872018000800933DOI Listing
August 2018
3 Reads

Role of imaging in the diagnosis of chronic pancreatitis.

Radiologia 2018 Dec 1. Epub 2018 Dec 1.

Servicio de Radiodiagnóstico, Hospital Universitario Doctor Peset, Valencia, España.

Chronic pancreatitis is a progressive fibroinflammatory process in the pancreas that causes permanent structural damage and leads to a deterioration in exocrine and endocrine function. The appearance of flares of acute pancreatitis, pseudocysts, and inflammatory masses all form part of the natural history of this disease. Vascular and / or digestive complications may occur, and patients with chronic pancreatitis have an increased risk of pancreatic adenocarcinoma. Read More

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http://dx.doi.org/10.1016/j.rx.2018.10.004DOI Listing
December 2018
1 Read

Application of endoscopic ultrasound-guided-fine needle aspiration combined with cyst fluid analysis for the diagnosis of mediastinal cystic lesions.

Thorac Cancer 2019 Feb 27;10(2):156-162. Epub 2018 Nov 27.

Department of Gastroenterology and Hepatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, China.

Background: Mediastinal cystic lesions account for approximately 15-20% of all mediastinal masses and are difficult to differentiate because of similar imaging manifestation. The aim of this study was to differentiate mediastinum cystic lesions through endoscopic ultrasound-guided-fine needle aspiration (EUS-FNA) and parameters from cyst-fluid analysis.

Methods: Over a period of eight years, 37 patients suspected with mediastinal cystic lesions were assessed. Read More

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http://dx.doi.org/10.1111/1759-7714.12924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360264PMC
February 2019
3 Reads

Challenging Lumen-Apposing Metal Stent Removal after Successful Drainage of a Pancreatic Pseudocyst.

GE Port J Gastroenterol 2018 Nov 6;25(6):333-334. Epub 2018 Mar 6.

Department of Gastroenterology, Hygeia Hospital, Athens, Greece.

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https://www.karger.com/Article/FullText/487035
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http://dx.doi.org/10.1159/000487035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244103PMC
November 2018
11 Reads

True Congenital Pancreatic Cyst: A Rare Entity.

Cureus 2018 Sep 17;10(9):e3318. Epub 2018 Sep 17.

Pathology, Shifa International Hospital, Islamabad, PAK.

Pancreatic cysts are common in adults but rarely seen in children. Out of those seen in children, the majority are pseudocysts. This article presents a unique case of a child diagnosed with a true congenital pancreatic cyst which was ultimately excised completely. Read More

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https://www.cureus.com/articles/14868-true-congenital-pancre
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http://dx.doi.org/10.7759/cureus.3318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248713PMC
September 2018
9 Reads

Colon perforation due to fistulization of a pancreatic pseudocyst.

Rev Esp Enferm Dig 2019 Feb;111(2):157-158

UGC Aparato Digestivo, Hospital Universitario San Cecilio, España.

We present a computed tomography image of a patient with acute necrotizing pancreatitis due to alcohol, who developed several pseudocysts, one of which fistulized into the colon. Read More

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https://online.reed.es/fichaArticulo.aspx?iarf=685760748232-
Publisher Site
http://dx.doi.org/10.17235/reed.2018.5884/2018DOI Listing
February 2019
11 Reads

Pancreatic cysts or pancreatic cystic neoplasms? An analysis of 145 cases.

Pol Przegl Chir 2018 Jun;90(5):22-26

Uniwersytet Medyczny w Łodzi Uniwersytecki Szpital Kliniczny nr. 1 im. Norberta Barlickiego w Łodzi Klinika Chirurgii Ogólnej i Transplantacyjnej.

Introduction Frequency of detection of pancreatic cystic lesions increased recent years. The majorities are pseudocysts, the remaining cysts are mainly neoplasms. Proven risk of malignancy affects intraductal papillary mucinous neoplasms (IPMN) and mucinous cystic neoplasms (MCN). Read More

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https://ppch.pl/gicid/01.3001.0012.1267
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http://dx.doi.org/10.5604/01.3001.0012.1267DOI Listing
June 2018
10 Reads

Novel lumen-apposing metal stent for the drainage of pancreatic fluid collections: An Italian multicentre experience.

United European Gastroenterol J 2018 Nov 17;6(9):1363-1371. Epub 2018 Jun 17.

Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.

Background: Endoscopic ultrasound (EUS)-guided drainage is the procedure of choice for pancreatic fluid collection (PFC) management. Recently developed lumen-apposing fully covered self-expandable metal stents (LAMSs) may facilitate drainage, especially of necrotic and complex PFCs.

Objective: To evaluate the feasibility and efficacy of a newly developed LAMS (Nagi, Taiwong Medical Co. Read More

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http://dx.doi.org/10.1177/2050640618785078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206530PMC
November 2018
3 Reads

Large mesenteric hematoma after extracorporeal shock wave lithotripsy for pancreatic stones: A case report.

Medicine (Baltimore) 2018 Nov;97(44):e13114

Department of Gastroenterology, The Second Clinical Medical College (Shenzhen People's Hospital), Jinan University, Guangdong, China.

Rationale: Mesenteric hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic stones is a very rare complication which has never been reported before.

Presenting Concerns: We reported a case of a 36-year-old male diagnosed as chronic pancreatitis with pancreatic stones and a large pancreatic pseudocyst. He underwent 3 repeated sessions of pancreatic ESWL (P-ESWL). Read More

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http://dx.doi.org/10.1097/MD.0000000000013114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221730PMC
November 2018
2 Reads

Three cases of pancreatic pseudocysts associated with dorsal pancreatic agenesis.

Radiol Case Rep 2019 Jan 23;14(1):79-82. Epub 2018 Oct 23.

Department of Pathology, Ajou University School of Medicine, Suwon, South Korea.

Agenesis of the dorsal pancreas (ADP) is an extremely rare congenital anomaly. Human pancreas is formed by ventral and dorsal endodermal buds of the foregut endoderm. The dorsal bud forms the upper part of the head, neck, body, and tail of the pancreas and the ventral bud generates most of the head and uncinate process. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.09.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202790PMC
January 2019
3 Reads

Pancreatic Lymphangioma: A Case Report and Literature Review.

J Comput Assist Tomogr 2018 Oct 26. Epub 2018 Oct 26.

Department of Radiology, Thomas Jefferson University School of Medicine, Philadelphia, PA.

We report a case of a 29-year-old woman with a pancreatic lymphangioma who presented clinically as a case of acute pancreatitis. Lymphangiomas are benign tumors of vascular origin with lymphatic differentiation, most commonly found in the head and neck. Pancreatic lymphangiomas are extremely rare, accounting for only 1% of abdominal lymphangiomas, with approximately 60 cases reported in the literature. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000818DOI Listing
October 2018
11 Reads

Lumen-apposing metal stent acted as an interim role in walled-off necrosis drainage.

Gut 2018 Oct 27. Epub 2018 Oct 27.

Department of Gastroenterology, Changhai Hospital, Second Military Medical University (Naval Medical University), Shanghai, China.

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http://gut.bmj.com/lookup/doi/10.1136/gutjnl-2018-317494
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http://dx.doi.org/10.1136/gutjnl-2018-317494DOI Listing
October 2018
9 Reads

Fulminant Emphysematous Pancreatic Pseudocyst: Infected with Normal Skin Flora.

Am J Med 2019 Feb 25;132(2):e41-e42. Epub 2018 Oct 25.

Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

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http://dx.doi.org/10.1016/j.amjmed.2018.10.001DOI Listing
February 2019
1 Read

Obesity and Pancreatic Cysts in African American Patients.

Cureus 2018 Aug 20;10(8):e3160. Epub 2018 Aug 20.

Department of Medicine & Cancer Center, Howard University College of Medicine, Washington DC, USA.

Objective Obesity is one of the risk factors for pancreatic cancer and a prognostic factor for acute-chronic pancreatitis. Aim To explore the relationship and association between obesity and pancreatic cysts over a 25-year period in African American patients. Methods We reviewed the medical records of 207 patients diagnosed with pancreatic cysts via radiology and pathology data from January 1988 to December 2012. Read More

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http://dx.doi.org/10.7759/cureus.3160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197533PMC
August 2018
2 Reads

Recommendations from the United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis.

Pancreatology 2018 Dec 6;18(8):847-854. Epub 2018 Oct 6.

Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.

Background: In collaboration with United European Gastroenterology, the working group on 'Harmonizing diagnosis and treatment of chronic pancreatitis across Europe' (HaPanEU) developed European guidelines for the management of chronic pancreatitis using an evidence-based approach.

Methods: Recommendations of multidisciplinary review groups based on systematic literature reviews to answer predefined clinical questions are summarised. Recommendations are graded using the Grading of Recommendations Assessment, Development and Evaluation system. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14243903183069
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http://dx.doi.org/10.1016/j.pan.2018.09.016DOI Listing
December 2018
15 Reads

Safety and rate of delayed adverse events with lumen-apposing metal stents (LAMS) for pancreatic fluid collections: a multicenter study.

Endosc Int Open 2018 Oct 8;6(10):E1267-E1275. Epub 2018 Oct 8.

Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.

Endoscopic drainage with dedicated lumen-apposing metal stents (LAMS) is routinely performed for symptomatic pancreatic fluid collections (PFCs), walled-off necrosis (WON) and pseudocyst (PP). There has been increasing concern regarding delayed adverse events associated with the indwelling LAMS.  Multicenter retrospective analysis of consecutive patients who underwent endoscopic ultrasound (EUS)-guided LAMS placement for PFC from January 2010 to May 2017. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0732-502
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http://dx.doi.org/10.1055/a-0732-502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175687PMC
October 2018
3 Reads

Hybrid transgastric approach for the treatment of gastroesophageal junction pathologies.

Dis Esophagus 2019 Feb;32(2)

IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.

Flexible endoscopy has evolved to the point that it includes many endoluminal procedures that once required open or laparoscopic surgery, for instance, antireflux surgery, pyloromyotomy, mucosal and submucosal tumor resections, and even full-thickness resection. However, these procedures remain technically demanding due to flexible technology issues: difficult imaging, limited energy devices, lack of staplers, unsatisfactory suturing abilities, and so on. Transgastric laparoscopy or hybrid laparoscopy/flex endoscopy has been described for almost two decades as an alternative to a pure endoluminal approach, mainly for pancreatic pseudocyst drainage and full-thickness and mucosal resection of various lesions. Read More

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http://dx.doi.org/10.1093/dote/doy095DOI Listing
February 2019
2 Reads

Balloon dilator controls massive bleeding during endoscopic ultrasound-guided drainage for pancreatic pseudocyst: A case report and review of literature.

World J Clin Cases 2018 Oct;6(11):459-465

Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.

Pancreatic pseudocyst (PPC), a common sequela of acute or chronic pancreatitis, was defined by the revised Atlanta classification as "a collection." Endoscopic ultrasound (EUS)-guided drainage is often considered a standard first-line therapy for patients with symptomatic PPC. This effective approach exhibits 90%-100% technical success and 85%-98% clinical success. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i11.459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163145PMC
October 2018
3 Reads

Therapeutic plasma exchange for hypertriglyceridemia induced acut pancreatitis: the 33 cases experience from a tertiary reference center in Turkey.

Turk J Gastroenterol 2018 11;29(6):676-683

Departmeny of Hematology, Kent Hospital, İzmir, Turkey.

Background/aims: Hypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis. In patients with severe HTG (TG level>1000 mg/dL), it may be beneficial to immediately lower the levels of triglyceride (TG) and chylomicrons. In this study, we present one of the largest case series on the use of therapeutic plasma exchange (TPE) for hypertriglyceridemia-induced acute pancreatitis (HTG-AP). Read More

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http://dx.doi.org/10.5152/tjg.2018.17627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284677PMC
November 2018
2 Reads

Identification of risk factors for pancreatic pseudocysts formation, intervention and recurrence: a 15-year retrospective analysis in a tertiary hospital in China.

BMC Gastroenterol 2018 Oct 1;18(1):143. Epub 2018 Oct 1.

Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, No.1838, North Guangzhou Avenue, Guangzhou, 510515, People's Republic of China.

Background: Pancreatic pseudocyst (PPC) is a common complication of acute and chronic pancreatitis. To our knowledge no study has systematically reported the risk factors for the formation, intervention and recurrence of PPC. Therefore, the present study aimed to investigate the potential risk factors for PPC, with regards to its formation, intervention and recurrence. Read More

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http://dx.doi.org/10.1186/s12876-018-0874-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167814PMC
October 2018
3 Reads

A rare case of acute obstructive suppurative pancreatic ductitis associated with ERCP.

Rev Esp Enferm Dig 2019 Jan;111(1):73

Department of Gastroenterology, Changhai Hospital, China.

A 76-year-old male with severe abdominal pain and a high fever was admitted to our hospital. The patient underwent a therapeutic endoscopic retrograde Cholangiopancreatography (ERCP) procedure one month previously due to acute biliary pancreatitis and a plastic biliary stent (8.5F) was placed. Read More

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https://online.reed.es/fichaArticulo.aspx?iarf=685768742236-
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http://dx.doi.org/10.17235/reed.2018.5756/2018DOI Listing
January 2019
4 Reads

Algorithm for the multidisciplinary management of hemorrhage in EUS-guided drainage for pancreatic fluid collections.

World J Clin Cases 2018 Sep;6(10):308-321

Department of Ultrasound, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.

Pancreatic fluid collections (PFCs), common sequelae of acute or chronic pancreatitis, are broadly classified as pancreatic pseudocysts or walled-off necrosis according to the revised Atlanta classification. Endoscopic ultrasound (EUS)-guided drainage is often considered a standard first-line therapy preferable to surgical or interventional radiology approaches for patients with symptomatic PFC. EUS-guided drainage is effective and successful; it has a technical success rate of 90%-100% and a clinical success rate of 85%-98%. Read More

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http://www.wjgnet.com/2307-8960/full/v6/i10/308.htm
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http://dx.doi.org/10.12998/wjcc.v6.i10.308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163138PMC
September 2018
3 Reads

Arterial Pseudoaneurysm within a Pancreatic Pseudocyst.

Case Rep Gastroenterol 2018 May-Aug;12(2):513-518. Epub 2018 Aug 28.

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.

The formation of pancreatic pseudocysts and (pseudo-)aneurysms of intestinal vessels are rare but life-threatening complications in acute and chronic pancreatitis. Here we report the rare case of a patient suffering from chronic pancreatitis with an arterial pseudoaneurysm within a pancreatic pseudocyst and present its successful therapeutic management by angioembolization to prevent critical bleeding. A 67-year-old male with a history of chronic pancreatitis presented with severe acute abdominal pain and vomiting to the emergency department. Read More

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https://www.karger.com/Article/FullText/492459
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http://dx.doi.org/10.1159/000492459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167644PMC
August 2018
3 Reads

Right atrium floating thrombus and bilateral pulmonary embolism in a patient with pancreatic pseudocyst.

J Cardiol Cases 2018 Aug 26;18(2):57-59. Epub 2018 May 26.

Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.

Pulmonary embolism in the context of pancreatitis is a rare condition and even fewer cases of pulmonary embolism associated with pancreatic pseudocyst and chronic pancreatitis have been reported in the literature. We present the case of a patient diagnosed with chronic pancreatitis due to alcohol ingestion complicated with pancreatic pseudocyst, with no classic thrombogenic risk factors, who developed right atrial thrombus and massive bilateral pulmonary embolism. < Venous thromboembolism risk is present in acute pancreatitis or pancreatic cancer, but even chronic pancreatitis may promote thrombogenesis and trigger the development of a life-threatening condition such as pulmonary embolism. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149608PMC
August 2018
4 Reads

Spontaneous rupture of a pancreatic pseudocyst.

BMJ Case Rep 2018 Oct 2;2018. Epub 2018 Oct 2.

Internal Medicine, Sparrow Hospital, Michigan State University, Lansing, Michigan, USA.

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http://dx.doi.org/10.1136/bcr-2018-226296DOI Listing
October 2018
11 Reads

Isolated pancreatic tail remnants after transgastric necrosectomy can be observed.

J Surg Res 2018 Nov 14;231:109-115. Epub 2018 Jun 14.

Division of Surgical Oncology, Department of Surgery, Stanford University, Stanford, California.

Background: Severe necrotizing pancreatitis may result in midbody necrosis and ductal disruption leaving an isolated pancreatic tail. The purpose of this study was to characterize outcomes among patients with an isolated tail remnant who underwent transgastric drainage or necrosectomy (endoscopic or surgical) and determine the need for subsequent operative management.

Materials And Methods: Patients with necrotizing pancreatitis and retrogastric walled-off collections treated by surgical transgastric necrosectomy or endoscopic cystgastrostomy ± necrosectomy between 2009 and 2017 were identified by a retrospective chart review. Read More

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http://dx.doi.org/10.1016/j.jss.2018.05.020DOI Listing
November 2018
7 Reads

[Treatment of Pancreatic Fluid Collections].

Korean J Gastroenterol 2018 Sep;72(3):97-103

Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Pancreatic Fluid Collection (PFC) develops as a result of acute pancreatitis, chronic pancreatitis, trauma, and postoperation. Although percutaneous drainage, surgery and Endoscopic Retrograde Panceatogram are used as conventional treatments in complicated PFC, the clinical course of PFC is unsatisfactory due to its clinical success rate and the risk of procedure-related complications. Endoscopic ultrasonography-guided transmural drainage of PFC is a safe and effective modality for the management of PFC, particularly in patients with pancreas necrosis. Read More

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http://dx.doi.org/10.4166/kjg.2018.72.3.97DOI Listing
September 2018
9 Reads

Endoscopic Interventions in Acute Pancreatitis: What the Advanced Endoscopist Wants to Know.

Radiographics 2018 Nov-Dec;38(7):2002-2018. Epub 2018 Sep 28.

From the Department of Diagnostic Radiology (B.M.C., K.K.J., B.R.F.) and Department of Medicine, Division of Gastroenterology (B.K.E.), Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239; Portland Gastroenterology Center, Portland, Maine (G.B.); and Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah (A.M.S.).

Endoscopic interventions play an important role in the modern management of pancreatic fluid collections. Successful management of pancreatitis is dependent on proper classification of the disease and its local complications. The 2012 revised Atlanta classification divides acute pancreatitis into subtypes of necrotizing pancreatitis and interstitial edematous pancreatitis (IEP) on the basis of the radiologic presence or absence of necrosis, respectively. Read More

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http://dx.doi.org/10.1148/rg.2018180066DOI Listing
September 2018
22 Reads

Spontaneous asymptomatic rupture of pseudocyst into stomach.

BMJ Case Rep 2018 Sep 26;2018. Epub 2018 Sep 26.

Department of Surgery, University College of Medical Sciences and GTB Hospital, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2018-226717DOI Listing
September 2018
1 Read

Interventional Endoscopic Ultrasonography in the Pancreas.

Gastrointest Endosc Clin N Am 2018 Oct 3;28(4):569-578. Epub 2018 Aug 3.

Division of Digestive and Liver Disease, Department of Medicine, Columbia University Medical Center, New York Presbyterian Hospital, 630 West 168th Street, Box 83, P&S3-401, New York, NY 10032, USA. Electronic address:

Endoscopic ultrasonography (EUS) has enabled therapeutic endoscopists to intervene on conditions that have otherwise not been accessible with conventional endoscopy. Inflammatory fluid collections of the pancreas that may benefit from drainage are often not identifiable without EUS. Furthermore, EUS may improve the safety of transmural drainage by allowing for the identification of intervening blood vessels and reducing the need for fluoroscopy, and is complemented by new devices that simplify the access and stent delivery process. Read More

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http://dx.doi.org/10.1016/j.giec.2018.06.003DOI Listing
October 2018

Current Guideline Controversies in the Management of Pancreatic Cystic Neoplasms.

Gastrointest Endosc Clin N Am 2018 Oct 1;28(4):529-547. Epub 2018 Aug 1.

Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA. Electronic address:

Pancreatic cystic lesions are a common clinical entity. The majority are neoplastic and have the potential for malignant transformation. To assist with patient management, a number of clinical guidelines have been developed over the past decade. Read More

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http://www.giendo.theclinics.com/article/S1052515718307244/p
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https://linkinghub.elsevier.com/retrieve/pii/S10525157183072
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http://dx.doi.org/10.1016/j.giec.2018.05.005DOI Listing
October 2018
10 Reads

Systematic Review of Endoscopic Cyst Gastrostomy.

Gastrointest Endosc Clin N Am 2018 Oct 3;28(4):477-492. Epub 2018 Aug 3.

Division of Gastroenterology, Lenox Hill Hospital, 100 East 77th Street, 2nd Floor, New York, NY 10075, USA. Electronic address:

Since the original description of pancreatic fluid collections (PFC) in 1761 by Morgagni, their diagnosis, description, and management have continued to evolve. The mainstay of therapy for symptomatic PFCs has been the creation of a communication between a PFC and the stomach, to enable drainage. Surgical creation of these drainage conduits had been the gold standard of therapy; however, there has been a paradigm shift in recent years with an increasing role of endoscopic drainage. Read More

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http://dx.doi.org/10.1016/j.giec.2018.06.002DOI Listing
October 2018