Transpapillary drainage of pancreatic parenchymal necrosis

Mateusz Jagielski; Marian Smoczyński; Krystian Adrych

doi:10.5114/wiitm.2015.54075

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abstract:

Case report

Transpapillary drainage of pancreatic parenchymal necrosis

Mateusz Jagielski

,

Marian Smoczyński

,

Krystian Adrych

Videosurgery Miniinv 2015; 10 (3): 491–494

DOI: https://doi.org/10.5114/wiitm.2015.54075

Online publish date: 2015/09/14

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In the last two decades the strategy of treatment of necrotizing pancreatitis has changed. Endoscopic therapy of patients with symptomatic walled-off pancreatic necrosis has a high rate of efficiency. Here we present a description of a patient with parenchymal limited necrosis of the pancreas and a disruption of the main pancreatic duct. In the treatment, active transpapillary drainage of the pancreatic necrosis (through the major duodenal papilla) was performed and insertion of an endoprosthesis into the main pancreatic duct (through the minor duodenal papilla) was applied, which enabled a bypass over the infiltration and resulted in complete resolution.

keywords:

Transpapillary drainage of pancreatic parenchymal necrosis

Mateusz Jagielski , Marian Smoczyński , Krystian Adrych

walled-off pancreatic necrosis, acute pancreatitis, endoscopic drainage, transpapillary drainage

Mateusz Jagielski

,

Marian Smoczyński

,

Krystian Adrych