Relapsing chronic pancreatitis is often caused by elevated pressure within the pancreatic duct due to impaired pancreatic juice outflow in the presence of pancreatic duct stricture or stones formed by chronic pancreatic inflammation. Most of this condition is alcoholic, and patients should stop drinking as a treatment. Alleviating the impaired pancreatic juice outflow and decompressing the panc...

Aim: Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is a serious complication of ERCP. In this study, we aimed to compare the use rectal indomethacin, pancreatic stenting or both techniques for prevention PEP.
 Material and Method: Patients who underwent ERCP first time due choledocholithiasis between January 2022 June were retrospectively reviewed. The clini...

BACKGROUND Portal vein stenosis develops due to different causes including postoperative inflammation and oncological processes. However, limited effective therapy is available for portal vein stenosis. The objectives of this study were to evaluate the efficacy of a portal vein stent for portal vein stenosis after hepatobiliary pancreatic surgery and to determine the factors associated with ste...

Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therap...

S44 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Endoscopic ultrasound-guided pancreatic duct stenting with a new plastic stent for nondilated pancreatic duct in pancreatic fistula after pancreaticoduodenectomy Eisuke Iwasaki, Takao Itoi, Kazuhiro Minami1, Minoru Kitago1, Taizo Hibi1, Takanori Kanai1 Tokyo Medical University, Tokyo, Japan, 1Keio University School of Medicine, M...

BACKGROUND The most common adverse event of endoscopic retrograde cholangiopancreatography is pancreatitis. Precut sphincterotomy has been regarded as a risk factor. Some authors have stated that early precut may actually reduce post-ERCP pancreatitis risk. However, early precut as a preventive measure has not been compared to other preventive measures, such as pancreatic duct stent placement. ...

CONTEXT The association of Santorinicele with pancreas divisum has been well described. There is an increased risk of recurrent acute pancreatitis in patients with pancreas divisum who also have Santorinicele. Focal saccular dilation of the terminal part of the main pancreatic duct has been described as an incidental finding and termed, 'Wirsungocele'. CASE REPORT We report a case of a 39-yea...

Pancreatic cancer is the fourth leading cause of cancer-related death in the United States and one of the leading causes of cancer mortality in the United States. Due to its aggressive behavior and lack of effective therapies, palliation plays a critical role in the management of the disease. Most patients with pancreatic cancer suffer from severe pain, which adversely predicts prognosis and si...

CONTEXT There is limited experience with pancreatic endotherapy in patients with pancreatic injury due to trauma. OBJECTIVE To retrospectively evaluate our experience of endoscopic management of pancreatic trauma. PATIENTS Eleven patients (10 males and 1 female; mean age: 21.8±11.9 years) with pancreatic trauma. INTERVENTION Endoscopic therapy. Patients with pseudocyst and a gastroduodena...

CONTEXT Pancreaticopleural fistula is seen in acute and chronic pancreatitis or after traumatic or surgical disruption of the pancreatic duct. Surgery leads to healing in 80-90% of cases but carries a mortality of up to 10%. AIM Our aim was to assess the management of pancreaticopleural fistula on a specialist pancreatic Unit. METHODS Patients presenting with pancreaticopleural fistulae wer...