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Evolution of lesions of the pancreatic duct following acute pancreatitis associated with a pseudocyst.
- Source :
-
Gastroenterologie clinique et biologique [Gastroenterol Clin Biol] 2006 Aug-Sep; Vol. 30 (8-9), pp. 949-53. - Publication Year :
- 2006
-
Abstract
- Aims: After an episode of acute pancreatitis, there is usually no sequelae; nevertheless cases of ductal stenosis have been reported. The aim of our study was to evaluate the frequency of pancreatic duct lesions after acute pancreatitis complicated by pseudocyst.<br />Patients and Methods: Between 1983 and 2004, 67 patients were admitted for severe acute pancreatitis. Out of these 67 patients, 36 patients were excluded because of chronic pancreatitis (N=12), intraductal papillary mucinous tumors of the pancreas (N=3), carcinoma (N=2), cystadenoma (N=3), alcohol consumption > 40 g/d (N=6), post-traumatic acute pancreatitis (N=3), and a follow-up less than 12 months (N=7).<br />Results: A stenosis of the main pancreatic duct was observed in 52% (16/31) of patients. This stenosis was isolated in 100% of cases, complete for 69% of them (11/16) and associated with upstream dilatation in 69% of cases (11/16). Although the pseudocyst was located in the body of the pancreas in 7/31 cases (48%), the stenosis was located in the head in 9/16 cases (56%). The predictive criteria of pancreatic duct lesions were complications associated with pseudocyst: extra-luminal compression (P=0.01), and vascular thrombosis (P=0.02).<br />Conclusion: After an episode of acute pancreatitis complicated by pseudocyst, pancreatic duct stenosis is observed in 52% of the cases. These results show that complete resolution of pancreatic abnormalities after acute pancreatitis is not achieved systematically.
Details
- Language :
- English
- ISSN :
- 0399-8320
- Volume :
- 30
- Issue :
- 8-9
- Database :
- MEDLINE
- Journal :
- Gastroenterologie clinique et biologique
- Publication Type :
- Academic Journal
- Accession number :
- 17075440
- Full Text :
- https://doi.org/10.1016/s0399-8320(06)73355-3