5,945 results match your criteria Pancreatic Pseudocysts


An end-to-end pancreatic anastomosis in robotic central pancreatectomy.

World J Surg Oncol 2019 Apr 13;17(1):67. Epub 2019 Apr 13.

Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, 28 Fuxing Road, Beijing, 100853, China.

Background: Suturing the proximal pancreatic stump and performing pancreaticoenterostomy for the distal pancreatic stump following central pancreatectomy is a conventional procedure. This reconstruction after resection of the pathological pancreatic lesion brings changes in anatomy and physiology. In this study, an innovative one-stage robotic end-to-end pancreatic anastomosis was reported to replace the conventional pancreaticoenterostomy following central pancreatectomy. Read More

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http://dx.doi.org/10.1186/s12957-019-1609-5DOI Listing

Endoscopic management of pancreatic fluid collections.

Authors:
Haroon Shahid

Transl Gastroenterol Hepatol 2019 26;4:15. Epub 2019 Feb 26.

Department of Endoscopic Ultrasound, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Pancreatic fluid collections (PFCs) are common complications of acute pancreatitis. Asymptomatic collections do not require drainage while symptomatic or infected collections should be drained. Drainage can be performed surgically, percutaneously, or endoscopically. Read More

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http://tgh.amegroups.com/article/view/4910/html
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http://dx.doi.org/10.21037/tgh.2019.01.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421163PMC
February 2019
1 Read

Endoluminal radiofrequency ablation of the main pancreatic duct is a secure and effective method to produce pancreatic atrophy and to achieve stump closure.

Sci Rep 2019 Apr 11;9(1):5928. Epub 2019 Apr 11.

Department of Surgery, Hospital del Mar, Barcelona, Spain.

Radiofrequency energy has been used both experimentally and clinically to manage the pancreatic remnant after distal pancreatectomies. Our goal was to determine whether endoluminal radiofrequency (RF) ablation of the main pancreatic duct in large animals would be more efficient than glue occlusion as an exocrine pancreatic atrophy-inducing procedure. Thirty-four Landrace pigs were assigned to either the transpapilar (n = 16) or transection (n = 18) groups. Read More

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http://www.nature.com/articles/s41598-019-42411-7
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http://dx.doi.org/10.1038/s41598-019-42411-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459817PMC
April 2019
3 Reads

Natural History of Spontaneous Rupture of a Pancreatic Pseudocyst Into the Peritoneal Cavity and Its Minimal Noninvasive Management.

Pancreas 2019 04;48(4):e20-e21

Division of Gastroenterology and Hepatology University of Miami Miller School of Medicine Miami, FL Division of Gastroenterology and Pancreatic Center Renji Hospital School of Medicine, Shanghai Jiao Tong University Shanghai, China Division of Gastroenterology Department of Medicine University of Miami Miller School of Medicine Miami, FL.

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http://dx.doi.org/10.1097/MPA.0000000000001284DOI Listing

Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen.

Case Rep Gastrointest Med 2019 6;2019:2021712. Epub 2019 Mar 6.

Warren Alpert Medical School, Brown University, Providence, RI, USA.

Heterotopic pancreas, also known as ectopic pancreas, is pancreatic tissue located outside the pancreatic parenchyma without vascular or ductal communication with the gland. Ectopic pancreas is rarely symptomatic, typically detected incidentally at surgery or autopsy. Eighty-five to 90% are in the upper GI tract, especially the gastric antrum. Read More

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http://dx.doi.org/10.1155/2019/2021712DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431401PMC
March 2019
1 Read

Successful endoscopic closure of an esophagobronchial fistula due to a pancreatic pseudocyst with over-the-scope clip system and endoscopic naso-pancreatic drainage.

Dig Endosc 2019 Apr 3. Epub 2019 Apr 3.

Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

A 63-year-old man with a history of alcoholic pancreatitis presented to our hospital with dyspnea. Chest X-ray demonstrated pleural effusion (Fig. 1a), and magnetic resonance cholangiopancreatography (MRCP) revealed that the pancreatic pleural effusion was connected with a pancreatic pseudocyst via the mediastinum (Fig. Read More

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http://dx.doi.org/10.1111/den.13415DOI Listing
April 2019
1 Read

Cell-free DNA next-generation sequencing successfully detects infectious pathogens in pediatric oncology and hematopoietic stem cell transplant patients at risk for invasive fungal disease.

Pediatr Blood Cancer 2019 Apr 2:e27734. Epub 2019 Apr 2.

Division of Hematology, Oncology and Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.

Background: We sought to determine if next-generation sequencing (NGS) of microbial cell-free DNA (cfDNA) in plasma would detect pathogens in pediatric patients at risk for invasive fungal disease (IFD).

Procedures: Pediatric hematology, oncology, and stem cell transplant patients deemed at risk for new IFD had blood samples drawn at three time-points separated by 1-month intervals. The primary outcome measure was detection of fungal pathogens compared to standard clinical testing. Read More

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http://dx.doi.org/10.1002/pbc.27734DOI Listing
April 2019
2 Reads

Impact of endoscopic ultrasound on diagnosis and management of presumed mucinous neoplasms when done for pancreatic cyst morphology change on non-invasive surveillance imaging.

Endosc Int Open 2019 Apr 15;7(4):E389-E395. Epub 2019 Mar 15.

Department of Digestive Diseases, Yale School of Medicine, New Haven, CT.

 Guidelines for management of presumed neoplastic pancreatic cysts have encouraged noninvasive imaging for low-risk surveillance, while reserving endoscopic ultrasound for worrisome features including morphologic change. We aim to study the impact of endoscopic ultrasound on diagnosis and management compared with non-invasive imaging.  A single-institution pancreatic cyst database was retrospectively queried for patients who underwent endoscopic ultrasound for the indication of change in cyst morphology. Read More

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http://dx.doi.org/10.1055/a-0824-6240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420337PMC

Laparoscopic Transgastric Sutured Cystogastrostomy for Post-traumatic Pancreatic Pseudocyst in a Low Resource Setting: Case Report and Literature Review.

West Afr J Med 2019 Jan-Apr;36(1):80-82

General Surgery Unit, Department of Surgery, Faculty of Clinical Sciences College of Medicine, University of Lagos & Lagos University Teaching Hospital, PMB 12003, Idi-Araba. Lagos. Nigeria.

Pancreatic pseudocyst (PPC) complicating blunt and penetrating abdominal injury is well documented in paediatric age groups. In adults, PPC is often one of the sequelae of acute pancreatitis rather than trauma. Blunt abdominal trauma accounts for most documented cases of post-traumatic PPC. Read More

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March 2019
1 Read

Intrasplenic Pancreatic Pseudocyst after Chemoradiation of a Pancreatic Adenocarcinoma Mimicking Progressive Disease: A Case Report and Review of the Literature.

Case Rep Oncol Med 2019 14;2019:5808714. Epub 2019 Feb 14.

Klinik für Onkologie, Helios Hospital Emil von Behring, Berlin, Germany.

Chemoradiation is one of the therapeutic options in palliative treatment of locally advanced pancreatic adenocarcinoma, with a well-known safety profile. In this case report, we describe the treatment-related occurrence of an intrasplenic pancreatic pseudocyst which was successfully removed by gastrocystic drainage. This rare complication should be considered in the follow-up and clinical management of patients, particularly if left-sided complaints occur. Read More

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http://dx.doi.org/10.1155/2019/5808714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393913PMC
February 2019

Rare and unexpected cause of diabetes in a teenager.

Arch Dis Child Educ Pract Ed 2019 Mar 20. Epub 2019 Mar 20.

Department of Paediatric Endocrinology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.

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http://dx.doi.org/10.1136/archdischild-2018-315857DOI Listing

A pancreatic hemorrhagic pseudocyst with pseudoaneurysm and the role of doppler ultrasonography: a case report.

Rev Assoc Med Bras (1992) 2019 Feb;65(2):123-126

Department of Radiology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, Korea.

Hemorrhagic pseudocysts with pseudoaneurysms are a rare and fatal complication of chronic pancreatitis due to the erosion of pancreatic to peripancreatic arteries. The timing of the rupture cannot be accurately predicted, but prompt diagnosis and management are essential to prevent further bleeding. We describe the case of a 68-year-old man who presented acute epigastric pain and anemia and had a history of chronic pancreatitis with a pseudocyst. Read More

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http://dx.doi.org/10.1590/1806-9282.65.2.123DOI Listing
February 2019
1 Read
0.915 Impact Factor

Pseudocyst of the pancreas masquerading as spontaneous pneumomediastinum.

J Surg Case Rep 2019 Mar 13;2019(3):rjz068. Epub 2019 Mar 13.

Department of Cardiothoracic Surgery, Monash Medical Centre, Monash Health, Melbourne, Australia.

Pseudocyst of the pancreas extending into the thorax represents a rare but potentially catastrophic diagnosis. It can be difficult to both diagnose and manage, with only limited management suggestions within the literature. While pleural effusion is a common complication of pancreatitis, transthoracic extension of a pseudocyst is a rare phenomenon. Read More

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http://dx.doi.org/10.1093/jscr/rjz068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415621PMC
March 2019
1 Read

Unusual Case of Life-Threatening Gastro Intestinal Bleed from a Splenic Artery Pseudoaneurysm: Case Report and Review of Literature.

Case Rep Gastrointest Med 2019 6;2019:8528906. Epub 2019 Feb 6.

Clinical Assistant Professor, Department of Gastroenterology, Aurora St. Luke's Medical Center, 2900 W. Oklahoma Avenue, Milwaukee, WI 53215, USA.

Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Read More

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https://www.hindawi.com/journals/crigm/2019/8528906/
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http://dx.doi.org/10.1155/2019/8528906DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381554PMC
February 2019
5 Reads

[Open transgastric necrosectomy for extended walled-off pancreas necrosis].

Magy Seb 2019 Mar;72(1):8-12

Sebészeti Intézet, Debreceni Egyetem Klinikai Központ 4032 Debrecen, Móricz Zs. krt. 22.

Aims: In severe acute pancreatitis the timing of necrosectomy is ideally should be postponed 4-6 weeks after the onset of the disease when the walled-of pancreatic necrosis (WOPN) has developed. The authors present their experience with open transgastric necrosectomy for extended WOPN.

Patients And Methods: The authors performed 17 (12 male, 5 female with a mean age of 61. Read More

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http://dx.doi.org/10.1556/1046.72.2019.1.2DOI Listing
March 2019
3 Reads

Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections.

Clin Endosc 2019 Mar 13. Epub 2019 Mar 13.

Department of Internal Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.

Background/aims: : Endoscopic ultrasound (EUS)-guided transmural drainage for peripancreatic fluid collections (PFCs) has gained wide acceptance as a nonsurgical intervention. Although a lumen-apposing metal stent (LAMS) was recently introduced, there are few data comparing the clinical outcomes between LAMS and plastic stent (PS) drainage.

Methods: : Endoscopy databases of all patients who had undergone EUS-guided drainage for PFCs were searched and the clinical outcomes of EUS-guided drainage according to stent-type used were compared. Read More

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http://dx.doi.org/10.5946/ce.2018.154DOI Listing
March 2019
3 Reads

ERCP-associated infected intrahepatic pancreatic pseudocyst.

IDCases 2019 15;15:e00507. Epub 2019 Feb 15.

Department of Medicine, University of Minnesota Medical School, 420 Delaware Street SE, MMC 284, Minneapolis, MN, 55455, USA.

Introduction: Pancreatic pseudocysts are abnormal mature collections of pancreatic fluid that can develop in association with acute or chronic pancreatitis. Here, we share the discovery of an infected hepatic subcapsular pseudocyst of the pancreas causing septic shock following endoscopic retrograde cholangiopancreatography (ERCP).

Presentation Of Case: A 55-year-old woman with ethanol-related chronic pancreatitis and biliary stricture was transferred to the ICU for hypotension 8 hours following ERCP. Read More

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http://dx.doi.org/10.1016/j.idcr.2019.e00507DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389541PMC
February 2019
1 Read

Black pleural effusion caused by pancreatic pseudocyst rupture.

Clin Case Rep 2019 Feb 2;7(2):385-386. Epub 2019 Jan 2.

Division of Pulmonary Medicine, Department of Medicine Keio University School of Medicine Tokyo Japan.

The images show the path of pancreatic pleural effusion from the pancreatic pseudocyst in a patient with alcoholic pancreatitis who presented with black pleural effusion, however, without symptoms. Pancreatic pseudocyst rupture rarely causes pleural effusion; however, it should be considered in patients with chronic pancreatitis with black pleural effusion. Read More

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http://dx.doi.org/10.1002/ccr3.1994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389461PMC
February 2019
1 Read

Pseudo to pseudo connection: pseudoaneurysm draining into the pseudocyst causing pseudohaemobillia.

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.

Haemosuccus pancreaticus (HP) is an exceedingly rare cause of lower gastrointestinal (GI) bleed where pseudoaneurysm of the peripancreatic vessels ruptures into a pancreatic pseudocyst and blood travel through the pancreatic duct, thereby, draining into GI tract via the ampulla of Vater. We present a case of 65-year-old African-American woman with a history of alcohol abuse presented with melena for 1 day. The contrast-enhanced CT of abdomen/pelvis showed peripancreatic vascular pseudoaneurysm with active haemorrhage. Read More

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http://dx.doi.org/10.1136/bcr-2018-228441DOI Listing
March 2019
1 Read

Endoscopic Management of Acute Biliopancreatic Disorders.

J Gastrointest Surg 2019 May 28;23(5):1055-1068. Epub 2019 Feb 28.

Division of Minimally Invasive and Bariatric Surgery, Department of General Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, H149, Hershey, PA, 17033, USA.

Purpose: Endoscopy is playing an ever-increasing role in the management of acute biliopancreatic disorders. With the management paradigm shifting away from more invasive surgical approaches, surgeons need to be aware of the treatment options available to improve patient care. Our manuscript serves to improve surgeons' knowledge and understanding of these emerging treatment modalities to expand their algorithmic approach to biliopancreatic disorders. Read More

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http://dx.doi.org/10.1007/s11605-019-04143-xDOI Listing
May 2019
2 Reads

Endoscopic versus surgical treatment for pancreatic pseudocysts: Systematic review and meta-analysis.

Medicine (Baltimore) 2019 Feb;98(8):e14255

Gastroenterology Department, Gastrointestinal Endoscopy Unit, University of Sao Paulo School of Medicine, Avenida Dr. Enéas de Carvalho Aguiar.

Objective: This systematic review and meta-analysis aims to compare surgical and endoscopic treatment for pancreatic pseudocyst (PP).

Methods: The researchers did a search in Medline, EMBASE, Scielo/Lilacs, and Cochrane electronic databases for studies comparing surgical and endoscopic drainage of PP s in adult patients. Then, the extracted data were used to perform a meta-analysis. Read More

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http://dx.doi.org/10.1097/MD.0000000000014255DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407966PMC
February 2019
1 Read

Endoscopic management of complications of acute pancreatitis: an update on the field.

Expert Rev Gastroenterol Hepatol 2018 Dec 25;12(12):1207-1218. Epub 2018 Oct 25.

a Department of Medicine A , University Medicine Greifswald , Greifswald , Germany.

Introduction: Acute pancreatitis is a frequent, nonmalignant gastrointestinal disorder leading to hospital admission. For its severe form and subsequent complications, minimally invasive and endoscopic procedures are being used increasingly, and are subject to rapid technical advances. Areas covered: Based on a systematic literature search in PubMed, medline, and Web-of-Science, we discuss the currently available treatment strategies for endoscopic therapy of pancreatic pseudocysts, walled-off pancreatic necrosis (WON), and disconnected pancreatic duct syndrome (DPDS), and compare the efficacy and safety of plastic and metal stents. Read More

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http://dx.doi.org/10.1080/17474124.2018.1537781DOI Listing
December 2018

SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE.

Arq Gastroenterol 2018 Oct-Dec;55(4):412-416

Pontifícia Universidade Católica de Campinas (PUCCAMP), Faculdade de Medicina, Campinas, SP, Brasil.

Background: Cystic lesions of the pancreas represent a group of pancreatic diseases with great histological heterogeneity, varying from benign lesions, some of them with malignant potential, to overt malignant lesions.

Objective: To describe the cases of cystic lesions of the pancreas which underwent surgical intervention at a tertiary university hospital.

Methods: This is a retrospective population-based study (historical cohort) which was carried out enrolling individuals attended at the Outpatient service of Pancreas Surgery of the Hospital de Clínicas of Unicamp. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-89DOI Listing
March 2019
2 Reads

Endoscopic cystogastrostomy versus surgical cystogastrostomy in the management of acute pancreatic pseudocysts.

J Minim Access Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Gastrointestinal Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, New Delhi, India.

Background: Studies comparing surgical versus endoscopic drainage of pseudocyst customarily include patients with both acute and chronic pseudocysts and the endoscopic modalities used for drainage are protean. We compared the outcomes following endoscopic cystogastrostomy (ECG) and surgical cystogastrostomy (SCG) in patients with acute pseudocyst.

Methods: Seventy-three patients with acute pseudocyst requiring drainage from 2011 to 2014 were analysed (18 patients excluded: transpapillary drainage n = 15; cystojejunostomy n = 3). Read More

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http://dx.doi.org/10.4103/jmas.JMAS_109_18DOI Listing
February 2019
1 Read

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
9 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
2 Reads

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 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
3 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352387PMC
January 2019
9 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
46 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370115PMC
January 2019
10 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
1 Read

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
8 Reads

Pancreatic Cystic Lesions in Cases of Autoimmune Pancreatitis.

Pancreas 2019 02;48(2):e14

Division of Endoscopy, Shizuoka Cancer Center Nagaizumi, Japan Division of Endoscopy Yokohama City University Hospital Yokohama, Japan.

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http://dx.doi.org/10.1097/MPA.0000000000001213DOI Listing
February 2019

[Endoscopic and surgical treatment of chronic pancreatitis].

Internist (Berl) 2019 Mar;60(3):235-246

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
March 2019
5 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
10 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
11 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
2 Reads

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
4 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
14 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
4 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
2 Reads

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
5 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
14 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
16 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
14 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
Publisher Site
http://dx.doi.org/10.5604/01.3001.0012.1267DOI Listing
June 2018
15 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