Abstract

PRIARONE,, Carlos Maximiliano; PATINO,, Valentina  and  PINZON-FERNANDEZ., María Virginia. Percutaneous transgastric approach in pancreatic ductal disruption: Case series. Rev. colomb. Gastroenterol. [online]. 2021, vol.36, n.4, pp.480-484.  Epub Apr 20, 2022. ISSN 0120-9957.  https://doi.org/10.22516/25007440.725.

A total of six patients with pancreatic ductal disruption (PDD), treated with image-guided endoscopy percutaneous drainage were enrolled. Initially, patients had infected pancreatic necrosis, treated with transgastric percutaneous drainage, and after the infection was controlled, they developed PDD. In the imaging study process, four patients were diagnosed with partial duct disruption and two patients with complete duct disruption. In both cases the placement of a percutaneous transgastric prosthesis to drain the pancreatic fluids to the stomach was indicated. The prosthesis remained 183 days on average and there were no mortality cases. This therapeutic minimally invasive alternative has low rates of morbimortality and thus, the endoscopy percutaneous transgastric approach is considered as a viable treatment in PPD.

Keywords : Acute necrotizing pancreatitis; minimally invasive surgical procedures; pancreatic duct; pancreatic pseudocyst; pancreatic fistula.

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