Pancreatic Pseudocyst
Pancreatic Cyst
Pancreatitis, Alcoholic
Pancreatitis
Endosonography
Pancreatitis, Chronic
Endoscopes, Gastrointestinal
Cholangiopancreatography, Endoscopic Retrograde
Gastrostomy
Mediastinal Cyst
Bromhexine
Pancreatic Ducts
Cysts
Tomography, X-Ray Computed
Endoscopy
Pancreas
Carmine
Percutaneous drainage of pancreatic pseudocysts is associated with a higher failure rate than surgical treatment in unselected patients. (1/183)
OBJECTIVE: The primary aim was to compare directly the effectiveness of percutaneous drainage versus surgical treatment of pancreatic pseudocysts in unselected patients. The authors also wished to identify factors that may predict a successful outcome with percutaneous drainage. SUMMARY BACKGROUND DATA: Pancreatic pseudocysts are a common complication of pancreatitis, and recent data suggest that many pseudocysts may be observed or treated successfully by percutaneous drainage. Failures with percutaneous drainage have been recognized increasingly, and a direct comparison of percutaneous and surgical treatment was initiated to identify factors that may affect outcome with these approaches. METHODS: A computerized index search of the medical records of patients with a diagnosis of pancreatic pseudocyst was performed from 1984 to 1995. One hundred seventy-three patients were identified retrospectively and assigned to treatment groups: observation (n = 41), percutaneous drainage (n = 66), or surgical treatment (n = 66). Data on demographics, clinical presentation, pseudocyst etiology and characteristics, diagnostic evaluation, management, and outcome were obtained. Treatment failure was defined as persistence of a symptomatic pseudocyst or the need for additional intervention other than the original treatment. RESULTS: The etiology of pancreatitis, clinical presentation, and diagnostic evaluation did not differ between groups. Twenty-seven percent had documented chronic pancreatitis, and the etiology of pancreatitis was alcohol in 61% of patients. Mean pseudocyst size was 4.2 +/- 1 cm, 8.2 +/- 1.1 cm, and 7.4 +/- 1.3 cm in the observed, percutaneously treated, and surgically treated groups, respectively. Expectant treatment was successful in 93% of patients. Percutaneous drainage was successful in 42% of patients, whereas surgical treatment resulted in a success rate of 88%. Patients treated by percutaneous drainage had a higher mortality rate (16% vs. 0%), a higher incidence of complications (64% vs. 27%), and a longer hospital stay (45 +/- 5 days vs. 18 +/- 2 days) than patients treated by surgery. Eighty-seven percent of patients in whom percutaneous drainage failed required surgical salvage therapy. Multiple logistic regression analysis failed to reveal any factors significantly associated with a successful outcome after percutaneous drainage. CONCLUSIONS: Percutaneous drainage results in higher mortality and morbidity rates and a longer hospital stay than surgical treatment of pancreatic pseudocysts. The clinical benefit of percutaneous drainage of pancreatic pseudocysts in unselected patients has not been realized, and the role of this treatment should be established in a clinical trial. (+info)Post-traumatic pancreatitis with associated aneurysm of the splenic artery: report of 2 cases and review of the literature. (2/183)
In patients with acute pancreatitis, profuse gastrointestinal bleeding is associated with a high death rate. The cause of such bleeding must be evaluated and the bleeding controlled urgently. Aneurysm formation is usually the cause of the bleeding. Angiography is needed to make a definitive diagnosis and the bleeding site should be controlled by angiographic embolization if possible. If this fails, aneurysm resection is necessary. Two patients are described. Both had aneurysms of the splenic artery, presenting as massive gastrointestinal bleeding in one patient and bleeding into an associated pseudocyst in the other. They required surgical repair, which was successful in both cases. (+info)Pancreatic pseudocysts transpapillary and transmural drainage. (3/183)
BACKGROUND: Pancreatic pseudocyst endoscopic drainage has been described as a good treatment option, with morbidity and mortality rates that are lower than surgery. The aim of our study is to describe the efficacy of different forms of endoscopic drainage and estimate pseudocyst recurrence rate after short follow up period. PATIENTS AND METHODS: We studied 30 patients with pancreatic pseudocyst that presented some indication for treatment: persistent abdominal pain, infection or cholestasis. Clinical evaluation was performed with a pain scale, 0 meaning absence of pain and 4 meaning continuous pain. Pseudocysts were first evaluated by abdominal CT scan, and after endoscopic retrograde pancreatography the patients were treated by transpapillary or transmural (cystduodenostomy or cystgastrostomy) drainage. Pseudocyst resolution was documented by serial CT scans. RESULTS: 25/30 patients could be treated. Drainage was successful in 21 (70% in an 'intention to treat' basis). After a mean follow-up of 42 +/- 35.82 weeks, there was only 1 (4.2%) recurrence. A total of 6 complications occurred in 37 procedures (16.2%), and all but 2 were managed clinically and/or endoscopically: there was no mortality related to the procedure. Patients submitted to combined drainage needed more procedures than the other groups. There was no difference in the efficacy when we compared the three different drainage methods. CONCLUSIONS: We concluded that pancreatic pseudocyst endoscopic drainage is possible in most patients, with high success rate and low morbidity. (+info)Experience of combined endoscopic percutaneous stenting with ultrasound guidance for drainage of pancreatic pseudocycts. (4/183)
The therapeutic options for treatment of pancreatic pseudocysts are numerous. We report our experience of combined endoscopic and ultrasound guided percutaneous stenting for pancreatic pseudocysts. Data were prospectively collected for 20 consecutive patients. All patients had undergone a standard technique of combined endoscopic and ultrasound guided percutaneous placement of double J stents, between a pancreatic pseudocyst and the stomach. Patients age ranged between 25 and 84 years. Thirteen of the pseudocysts were due to acute pancreatitis and 7 were due to chronic pancreatitis. The duration of the combined procedure was mean 50 min (range 30-95 min). The length of hospital stay was mean 5 days (range 2-77 days. Only two patients suffered postoperative complications; one was re-admitted 2 weeks following stenting with acute cholecystitis, the other suffering a perforated duodenal ulcer 3 weeks after stenting. There were two failures early in the series, both due to stent migration, these stents were of a small size, (4.7 French). Following this the stent size was increased to at least 7 French, no further failures occurred. There was no operative mortality for the series. Follow-up ranged between 6 months and 5 years. We conclude that a combined percutaneous and endoscopic cyst-gastrostomy stent is a safe and effective treatment for patients with suitably placed pseudocysts. (+info)Two cases of chronic pancreatitis with pseudocyst complicated by obstructive jaundice. (5/183)
We recently treated two cases of chronic pancreatitis with obstructive jaundice due to compression of the common bile duct by pancreatic pseudocyst. The two cases were males admitted with the complaint of icteric skin color. The first, a 46-year-old male, admitted with the complaint of icteric skin color. He was treated by operative cystojejunostomy after percutaneous drainage of the pseudocyst and percutaneous transhepatic biliary drainage. The other case was a 58 year-old male who admitted with the complaint of icteric skin color. He had an infected pseudocyst in the pancreas and was endoscopically treated. Both of them were discharged with favorable clinical course and normal laboratory findings after the treatment. The former patient remained well 11 months after treatment, but the latter patient died from necrotizing pancreatitis and septic shock 6 months after treatment. Most cases of obstructive jaundice associated with pseudocysts appear to be due to fibrotic stricture of the intrapancreatic portion of the common bile duct rather than due to compression of the bile duct by the pseudocyst. In a patient with secondary pancreatic infection or obstructive jaundice following pancreatic disease, differentiating between these two conditions is an important aspect of accurate diagnosis and therapy. Herein we report two unusual cases of chronic pancreatitis with pseudocyst complicated by obstructive jaundice. (+info)Mucinous tumors of the exocrine pancreas. (6/183)
BACKGROUND: Mucin-producing cystic neoplasms of the pancreas account for 1% of all malignant tumors of the pancreas. They include mucinous cystic neoplasms (MCNs) and mucinous ductal ectasia (MDE), also known as intraductal mucin-hypersecreting neoplasms. METHODS: This review focuses on the clinical presentation, the role of diagnostic imaging modalities, and cyst fluid analysis preoperatively in the differentiation between these tumors and other nonneoplastic cysts of the pancreas. RESULTS: MCNs and MDE evolve from pancreatic duct epithelium, produce an abundance of mucin, and are considered premalignant or malignant. While MCNs affect primarily middle-aged women with lesions occurring predominantly in the body and tail of the pancreas, MDE affects primarily men in the sixth or seventh decade with lesions more often located in the head of the pancreas. CONCLUSIONS: All mucin-producing cystic tumors of both types require surgical resection because they are frankly malignant or premalignant. Survival rates of both tumors are better than those reported for ductal cell carcinomas. Future studies are needed to improve the accuracy of diagnosing these tumors preoperatively. (+info)Visceral pseudoaneurysms due to pancreatic pseudocysts: rare but lethal complications of pancreatitis. (7/183)
OBJECTIVE: Erosion of pancreatic pseudocysts into adjacent vessels is a rare but highly lethal cause of intra-abdominal hemorrhage. Percutaneous angiographic embolization (PAE) of the bleeding artery has recently been advocated as the preferred therapy. This study was undertaken to survey the outcome after treatment of this complication and to make recommendations for its management. METHODS: An 11-year retrospective analysis was performed of all patients treated at a large tertiary care referral center for visceral artery pseudoaneurysms associated with pancreatic pseudocysts. RESULTS: From 1988 to 1998, 256 patients were admitted for complications of pancreatic pseudocysts. Sixteen patients (11 men and 5 women) were identified in whom a pseudocyst had eroded into a major blood vessel with hemorrhage or development of a false aneurysm. The mean age was 45 years (range, 23-67 years). Active bleeding was present in 13 patients, whereas three had evidence of recent hemorrhage. Ten of 16 patients initially underwent operative therapy, four elective and six emergency, whereas six stable patients were initially treated with PAE. Technical failures of the initial treatment or secondary complications required both therapeutic modalities in six patients, which resulted in 13 total surgical interventions and 10 PAEs. The surgical morbidity rate was 62% (8 of 13), whereas that of PAE was 50% (5 of 10). Three deaths occurred after emergency operations, two of which failed to stop the bleeding, accounting for all of the deaths in the series (3 [19%] of 16). A trend was noted toward increased death with necrotizing pancreatitis (P =.07) and emergency surgery (P =.06). Ranson's criteria were not found to be predictive of death in this series. Surgical drainage procedures were required in seven (44%) of 16 patients for infections (n = 3) or mass effect of the pseudoaneurysm (n = 3). The mean size of pseudoaneurysms that required operative intervention for secondary complications was 13.9 cm, compared with 7.7 cm for all others in the series (P =.046). Long-term follow-up was available in all 13 survivors at a mean of 44 months (range, 1-108 months). CONCLUSIONS: The management of pancreatic pseudocyst-associated pseudoaneurysms remains a challenging problem with high morbidity and death rates. Operation and PAE play complementary management roles. PAE is recommended as the initial therapy for hemodynamically stable patients. Surgery should be reserved for actively bleeding, hemodynamically unstable patients; for failed embolization; and for other secondary complications such as infection or extrinsic compression. (+info)Three truncated forms of serum albumin associated with pancreatic pseudocyst. (8/183)
Plasma from a patient with chronic pancreatic pseudocyst showed an additional more negative albumin band (18%) on agarose gel electrophoresis. Both components bound (63)Ni(2+), indicating intact N-terminals; however, electrospray ionisation analysis of the intact proteins showed the mass of more negative albumin was 1254 Da less than the control and that the apparently normal band was 112 Da less. Reverse phase mapping and mass analysis of CNBr peptides showed three proteolytically modified forms of the C-terminal peptide indicating that some 81% of the albumin molecules lacked the C-terminal Leu residue, that 18% lacked the C-terminal KKLVAASQAALGL and that approximately 1% lacked the QAALGL sequence. These findings were further verified by tryptic mapping of the aberrant CNBr peptides. The truncations probably result from exposure of the albumin to 'leaking' pancreatic endo and exoproteases. During less acute phases of the disease, the 13 and 6 residue truncated forms together decreased to less than 1%, while the des-Leu(585) form made up the balance; no normal albumin was detected. This suggested that the des-Leu(585) form might be present at low levels in the plasma of normal individuals and CNBr mapping confirmed that it constituted 4-15% of the albumin from normal plasma. (+info)A pancreatic pseudocyst is a fluid-filled sac that forms in the abdomen, usually as a result of pancreatitis or trauma to the pancreas. It is composed of cells and tissues from the pancreas, along with enzymes, debris, and fluids. Unlike true cysts, pseudocysts do not have an epithelial lining. They can vary in size and may cause symptoms such as abdominal pain, nausea, vomiting, or fever. In some cases, they may resolve on their own, but larger or symptomatic pseudocysts may require medical intervention, such as drainage or surgery.
A pancreatic cyst is a fluid-filled sac that forms in the pancreas, a gland located behind the stomach that produces enzymes to help with digestion and hormones to regulate blood sugar levels. Pancreatic cysts can be classified into several types, including congenital (present at birth), retention (formed due to blockage of pancreatic ducts), and pseudocysts (formed as a result of injury or inflammation).
While some pancreatic cysts may not cause any symptoms, others can lead to abdominal pain, bloating, nausea, vomiting, or jaundice. Some cysts may also have the potential to become cancerous over time. Therefore, it is essential to monitor and evaluate pancreatic cysts through imaging tests such as ultrasound, CT scan, or MRI, and in some cases, endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) may be necessary for further evaluation.
Treatment options for pancreatic cysts depend on the type, size, location, and symptoms of the cyst, as well as the patient's overall health condition. Some cysts may require surgical removal, while others can be managed with regular monitoring and follow-up care. It is essential to consult a healthcare provider for proper evaluation and management of pancreatic cysts.
Drainage, in medical terms, refers to the removal of excess fluid or accumulated collections of fluids from various body parts or spaces. This is typically accomplished through the use of medical devices such as catheters, tubes, or drains. The purpose of drainage can be to prevent the buildup of fluids that may cause discomfort, infection, or other complications, or to treat existing collections of fluid such as abscesses, hematomas, or pleural effusions. Drainage may also be used as a diagnostic tool to analyze the type and composition of the fluid being removed.
A cystostomy is a surgical procedure that creates an opening through the wall of the bladder to allow urine to drain out. This opening, or stoma, is usually connected to a external collection device, such as a bag or a tube. The purpose of a cystostomy is to provide a stable and reliable way for urine to leave the body when a person is unable to urinate naturally due to injury, illness, or other medical conditions that affect bladder function.
There are several types of cystostomies, including temporary and permanent procedures. A temporary cystostomy may be performed as a short-term solution while a patient recovers from surgery or an injury, or when a person is unable to urinate temporarily due to an obstruction in the urinary tract. In these cases, the cystostomy can be closed once the underlying issue has been resolved.
A permanent cystostomy may be recommended for individuals who have irreversible bladder damage or dysfunction, such as those with spinal cord injuries, neurological disorders, or certain types of cancer. In these cases, a cystostomy can help improve quality of life by allowing for regular and reliable urinary drainage, reducing the risk of complications like urinary tract infections and kidney damage.
It's important to note that a cystostomy is a significant surgical procedure that carries risks and potential complications, such as bleeding, infection, and injury to surrounding tissues. As with any surgery, it's essential to discuss the benefits and risks of a cystostomy with a healthcare provider to determine whether it's the right option for an individual's specific medical needs.
Alcoholic pancreatitis is a specific type of pancreatitis, which is inflammation of the pancreas. This condition is caused by excessive and prolonged consumption of alcohol. The exact mechanism by which alcohol induces pancreatitis is not fully understood, but it is believed that alcohol causes damage to the cells of the pancreas, leading to inflammation. This can result in abdominal pain, nausea, vomiting, fever, and increased heart rate. Chronic alcoholic pancreatitis can also lead to serious complications such as diabetes, malnutrition, and pancreatic cancer. Treatment typically involves supportive care, such as hydration, pain management, and nutritional support, along with abstinence from alcohol. In severe cases, surgery may be necessary to remove damaged tissue or to relieve blockages in the pancreas.
Pancreatitis is a medical condition characterized by inflammation of the pancreas, a gland located in the abdomen that plays a crucial role in digestion and regulating blood sugar levels. The inflammation can be acute (sudden and severe) or chronic (persistent and recurring), and it can lead to various complications if left untreated.
Acute pancreatitis often results from gallstones or excessive alcohol consumption, while chronic pancreatitis may be caused by long-term alcohol abuse, genetic factors, autoimmune conditions, or metabolic disorders like high triglyceride levels. Symptoms of acute pancreatitis include severe abdominal pain, nausea, vomiting, fever, and increased heart rate, while chronic pancreatitis may present with ongoing abdominal pain, weight loss, diarrhea, and malabsorption issues due to impaired digestive enzyme production. Treatment typically involves supportive care, such as intravenous fluids, pain management, and addressing the underlying cause. In severe cases, hospitalization and surgery may be necessary.
Endosonography, also known as endoscopic ultrasound (EUS), is a medical procedure that combines endoscopy and ultrasound to obtain detailed images and information about the digestive tract and surrounding organs. An endoscope, which is a flexible tube with a light and camera at its tip, is inserted through the mouth or rectum to reach the area of interest. A high-frequency ultrasound transducer at the tip of the endoscope generates sound waves that bounce off body tissues and create echoes, which are then translated into detailed images by a computer.
Endosonography allows doctors to visualize structures such as the esophageal, stomach, and intestinal walls, lymph nodes, blood vessels, and organs like the pancreas, liver, and gallbladder. It can help diagnose conditions such as tumors, inflammation, and infections, and it can also be used to guide biopsies or fine-needle aspirations of suspicious lesions.
Overall, endosonography is a valuable tool for the diagnosis and management of various gastrointestinal and related disorders.
Chronic pancreatitis is a long-standing inflammation of the pancreas that leads to irreversible structural changes and impaired function of the pancreas. It is characterized by recurrent or persistent abdominal pain, often radiating to the back, and maldigestion with steatorrhea (fatty stools) due to exocrine insufficiency. The pancreatic damage results from repeated episodes of acute pancreatitis, alcohol abuse, genetic predisposition, or autoimmune processes. Over time, the pancreas may lose its ability to produce enough digestive enzymes and hormones like insulin, which can result in diabetes mellitus. Chronic pancreatitis also increases the risk of developing pancreatic cancer.
An endoscope is a medical device used for visualizing the internal surfaces of hollow organs or cavities in the body. Gastrointestinal (GI) endoscopes are specifically designed to examine the digestive tract, including the esophagus, stomach, small intestine, large intestine (colon), and rectum.
There are several types of GI endoscopes, including:
1. Gastroscope: Used for examining the stomach and upper part of the small intestine (duodenum).
2. Colonoscope: Used for examining the large intestine (colon) and rectum.
3. Sigmoidoscope: A shorter version of a colonoscope, used for examining the lower part of the large intestine (sigmoid colon) and rectum.
4. Duodenoscope: Used for examining and treating conditions in the pancreas and bile ducts.
5. Enteroscope: A longer endoscope used to examine the small intestine, which is more challenging to reach due to its length and location.
GI endoscopes typically consist of a long, flexible tube with a light source, camera, and channels for instruments to be passed through. The images captured by the camera are transmitted to a monitor, allowing the medical professional to inspect the internal surfaces of the digestive tract and perform various procedures, such as taking biopsies or removing polyps.
Endoscopic retrograde cholangiopancreatography (ERCP) is a medical procedure that combines upper gastrointestinal (GI) endoscopy and fluoroscopy to diagnose and treat certain problems of the bile ducts and pancreas.
During ERCP, a flexible endoscope (a long, thin, lighted tube with a camera on the end) is passed through the patient's mouth and throat, then through the stomach and into the first part of the small intestine (duodenum). A narrow plastic tube (catheter) is then inserted through the endoscope and into the bile ducts and/or pancreatic duct. Contrast dye is injected through the catheter, and X-rays are taken to visualize the ducts.
ERCP can be used to diagnose a variety of conditions affecting the bile ducts and pancreas, including gallstones, tumors, strictures (narrowing of the ducts), and chronic pancreatitis. It can also be used to treat certain conditions, such as removing gallstones from the bile duct or placing stents to keep the ducts open in cases of stricture.
ERCP is an invasive procedure that carries a risk of complications, including pancreatitis, infection, bleeding, and perforation (a tear in the lining of the GI tract). It should only be performed by experienced medical professionals in a hospital setting.
Gastrostomy is a surgical procedure that creates an opening through the abdominal wall into the stomach. This opening, called a stoma or gastrostomy tract, allows for the passage of a tube (gastrostomy tube) that can be used to provide enteral nutrition and hydration directly into the stomach when a person is unable to consume food or fluids by mouth due to various medical conditions such as dysphagia, neurological disorders, or head and neck cancers.
Gastrostomy tubes come in different types and sizes, including percutaneous endoscopic gastrostomy (PEG) tubes, laparoscopic gastrostomy tubes, and open surgical gastrostomy tubes. The choice of the procedure depends on various factors such as the patient's medical condition, anatomy, and overall health status.
The primary purpose of a gastrostomy is to ensure adequate nutrition and hydration for individuals who have difficulty swallowing or are unable to consume enough food or fluids by mouth to meet their nutritional needs. It can also help prevent complications associated with prolonged fasting, such as malnutrition, dehydration, and weight loss.
A mediastinal cyst is a rare, abnormal fluid-filled sac located in the mediastinum, which is the central part of the chest cavity that separates the lungs and contains various organs such as the heart, esophagus, trachea, thymus gland, and lymph nodes. Mediastinal cysts can be congenital (present at birth) or acquired (develop later in life). They are usually asymptomatic but can cause symptoms depending on their size and location. Symptoms may include chest pain, cough, difficulty breathing, or swallowing. Treatment typically involves surgical removal of the cyst to prevent complications such as infection, bleeding, or pressure on surrounding structures.
Pancreatic diseases refer to a group of medical conditions that affect the structure and function of the pancreas, a vital organ located in the abdomen. The pancreas has two main functions: an exocrine function, which involves the production of digestive enzymes that help break down food in the small intestine, and an endocrine function, which involves the production of hormones such as insulin and glucagon that regulate blood sugar levels.
Pancreatic diseases can be broadly classified into two categories: inflammatory and non-inflammatory. Inflammatory pancreatic diseases include conditions such as acute pancreatitis, which is characterized by sudden inflammation of the pancreas, and chronic pancreatitis, which is a long-term inflammation that can lead to scarring and loss of function.
Non-inflammatory pancreatic diseases include conditions such as pancreatic cancer, which is a malignant tumor that can arise from the cells of the pancreas, and benign tumors such as cysts or adenomas. Other non-inflammatory conditions include pancreatic insufficiency, which can occur when the pancreas does not produce enough digestive enzymes, and diabetes mellitus, which can result from impaired insulin production or action.
Overall, pancreatic diseases can have serious consequences on a person's health and quality of life, and early diagnosis and treatment are essential for optimal outcomes.
Bromhexine is a medication that belongs to a class of drugs known as mucolytic agents. It works by thinning and loosening mucus in the airways, making it easier to cough up and clear the airways. This can be particularly helpful for people with respiratory conditions such as bronchitis, emphysema, and chronic bronchitis.
Bromhexine is available in various forms, including tablets, syrup, and solution for inhalation. It is typically taken two to three times a day, and the dosage may vary depending on the individual's age, weight, and medical condition.
It is important to follow the instructions of a healthcare provider when taking bromhexine or any other medication. Side effects of bromhexine may include nausea, vomiting, diarrhea, headache, and dizziness. In rare cases, it may cause more serious side effects such as allergic reactions, difficulty breathing, or irregular heartbeat. People with a history of asthma, stomach ulcers, or bleeding disorders should use bromhexine with caution and under the supervision of a healthcare provider.
The pancreatic ducts are a set of tubular structures within the pancreas that play a crucial role in the digestive system. The main pancreatic duct, also known as the duct of Wirsung, is responsible for transporting pancreatic enzymes and bicarbonate-rich fluid from the pancreas to the duodenum, which is the first part of the small intestine.
The exocrine portion of the pancreas contains numerous smaller ducts called interlobular ducts and intralobular ducts that merge and ultimately join the main pancreatic duct. This system ensures that the digestive enzymes and fluids produced by the pancreas are effectively delivered to the small intestine, where they aid in the breakdown and absorption of nutrients from food.
In addition to the main pancreatic duct, there is an accessory pancreatic duct, also known as Santorini's duct, which can sometimes join the common bile duct before emptying into the duodenum through a shared opening called the ampulla of Vater. However, in most individuals, the accessory pancreatic duct usually drains into the main pancreatic duct before entering the duodenum.
A pancreatic fistula is an abnormal connection or passage between the pancreas and another organ, often the digestive system. It usually occurs as a complication following trauma, surgery, or inflammation of the pancreas (such as pancreatitis). The pancreas secretes digestive enzymes, and when these enzymes escape the pancreas through a damaged or disrupted duct, they can cause irritation and inflammation in nearby tissues, leading to the formation of a fistula.
Pancreatic fistulas are typically characterized by the drainage of pancreatic fluid, which contains high levels of digestive enzymes, into other parts of the body. This can lead to various symptoms, including abdominal pain, swelling, fever, and malnutrition. Treatment may involve surgical repair of the fistula, as well as supportive care such as antibiotics, nutritional support, and drainage of any fluid collections.
A cyst is a closed sac, having a distinct membrane and division between the sac and its surrounding tissue, that contains fluid, air, or semisolid material. Cysts can occur in various parts of the body, including the skin, internal organs, and bones. They can be caused by various factors, such as infection, genetic predisposition, or blockage of a duct or gland. Some cysts may cause symptoms, such as pain or discomfort, while others may not cause any symptoms at all. Treatment for cysts depends on the type and location of the cyst, as well as whether it is causing any problems. Some cysts may go away on their own, while others may need to be drained or removed through a surgical procedure.
X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.
The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.
CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.
In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.
CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.
In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.
Endoscopy is a medical procedure that involves the use of an endoscope, which is a flexible tube with a light and camera at the end, to examine the interior of a body cavity or organ. The endoscope is inserted through a natural opening in the body, such as the mouth or anus, or through a small incision. The images captured by the camera are transmitted to a monitor, allowing the physician to visualize the internal structures and detect any abnormalities, such as inflammation, ulcers, or tumors. Endoscopy can also be used for diagnostic purposes, such as taking tissue samples for biopsy, or for therapeutic purposes, such as removing polyps or performing minimally invasive surgeries.
The pancreas is a glandular organ located in the abdomen, posterior to the stomach. It has both exocrine and endocrine functions. The exocrine portion of the pancreas consists of acinar cells that produce and secrete digestive enzymes into the duodenum via the pancreatic duct. These enzymes help in the breakdown of proteins, carbohydrates, and fats in food.
The endocrine portion of the pancreas consists of clusters of cells called islets of Langerhans, which include alpha, beta, delta, and F cells. These cells produce and secrete hormones directly into the bloodstream, including insulin, glucagon, somatostatin, and pancreatic polypeptide. Insulin and glucagon are critical regulators of blood sugar levels, with insulin promoting glucose uptake and storage in tissues and glucagon stimulating glycogenolysis and gluconeogenesis to raise blood glucose when it is low.
An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.
Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.
Examples of acute diseases include:
* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.
It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.
Carmine is a natural red pigment that is derived from the dried bodies of female cochineal insects (Dactylopius coccus). It has been used for centuries as a coloring agent in food, cosmetics, and textiles. In medical terms, carmine is sometimes used as a stain to provide contrast in microscopic examinations of biological tissues.
It's important to note that some people may have allergic reactions to carmine, and it has been associated with anaphylaxis in rare cases. Therefore, products containing carmine should be labeled appropriately to alert consumers to its presence.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Pancreatic pseudocyst
Fabian Udekwu
David B. Adams
Gastric outlet obstruction
Pseudocyst
Hemosuccus pancreaticus
Pancreatic fistula
Pancreatic injury
Octreotide
Glucagonoma
Pancreatic abscess
Cystogastrostomy
Wandering spleen
Kenneth Binmoeller
Abdominal mass
Acute pancreatitis
List of MeSH codes (C04)
Jaundice
Thoracentesis
List of MeSH codes (C06)
List of ICD-9 codes 520-579: diseases of the digestive system
Roux-en-Y anastomosis
Esophagogastroduodenoscopy
Panniculitis
Gastroenterology
Pancreatic disease
Hereditary pancreatitis
Greater pancreatic artery
Gastrointestinal disease
Ranson criteria
Pancreatic pseudocyst - Wikipedia
EUS-Guided Pancreatic Pseudocyst Drainage
Pancreatic pseudocyst: MedlinePlus Medical Encyclopedia
Pancreatic Pseudocysts Differential Diagnoses
Next generation sequencing of the cellular and liquid fraction of pancreatic cyst fluid supports discrimination of IPMN from...
Pancreatic Pseudocyst Stent
Recent trends in management of pancreatic pseudocysts<...
Pancreatic Pseudocyst
Totally Laparoscopic Roux-en-Y Cystojejunostomy for Large Pancreatic Pseudocyst - CRSLS
Pediatric Pancreatitis and Pancreatic Pseudocyst: Background, History of the Procedure, Problem
Secondary Varicocele Caused by Pancreatic Pseudocyst Obstructing Testicular Venous Drainage | JOP. Journal of the...
Chapter 24: Indications and Outcomes of Gastrointestinal Endoscopy - NIDDK
Acute pancreatitis
What causes a pancreatic pseudocyst? Archives - Dr. Amit Agrawal - Best Gastroenterologist Doctor in Indore - Agrawal...
Successful resolution of a hemorrhagic pancreatic pseudocyst ruptured into the stomach complicating obstructive pancreatitis...
Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage in Children: A Case Series. | J Indian Assoc Pediatr Surg;27(4):...
Blunt Costophrenic Angle in a Patient with Pancreatitis | AAFP
Diagnostic Ultrasound for Sonographers Elsevier eBook on VitalSource, 1st Edition - 9780323680356
Volume 54 Issue 1 | Acta Cytologica | Karger Publishers
Interventional Endoscopy: Department of Medicine: Feinberg School of Medicine
Kathryn Peacher, CRNP,NP,C| Gastroenterology | MedStar Health
World Journal of Gastrointestinal Endoscopy - Baishideng Publishing Group
Prior Cyst Gastrostomy from the SAGES Video Library
Biomarkers Search
Endoscopic Ultrasound | Johns Hopkins Medicine
Subdiaphragmatic abscess
Pancreatic Divisum Workup: Imaging Studies, Procedures
Nagle A
Pancreatitis32
- Pancreatic pseudocysts are usually complications of pancreatitis, although in children they frequently occur following abdominal trauma. (wikipedia.org)
- medical citation needed] Pancreatic pseudocyst can occur due to a variety of reasons, among them pancreatitis (chronic), pancreatic neoplasm and/or pancreatic trauma. (wikipedia.org)
- The most common etiologies for pancreatic pseudocysts include chronic pancreatitis , acute pancreatitis , and pancreatic trauma. (medscape.com)
- One type, pancreatic pseudocyst-portal vein fistulization (PPVF), is an extremely rare complication of pancreatitis that can lead to embolization of pancreatic fluid to the liver and subsequent hepatic pseudocyst formation. (medscape.com)
- Abdominal computed tomography (CT) scanning is performed in virtually every patient presenting with clinically significant pancreatitis or abdominal trauma severe enough to result in pancreatic ductal disruption. (medscape.com)
- Pancreatic pseudocysts (see the image below) are best defined as localized fluid collections that are rich in amylase and other pancreatic enzymes, that have a nonepithelialized wall consisting of fibrous and granulation tissue, and that usually appear several weeks after the onset of pancreatitis. (medscape.com)
- There is a hope for patients and clinicians who are treating pancreatic pseudocysts, a terrible and debilitating condition in patients recovering from acute pancreatitis. (medgadget.com)
- Acute pancreatitis results, amongst other things, in the disruption of pancreatic parenchyma and the ductal system. (jkashukmd.com)
- We report a 14-year-old boy suffering from acute pancreatitis due to blunt abdominal trauma that occurred during a football game, and resulted in a large pseudocyst formation. (hippokratia.gr)
- Pancreatic duct stones are common in people with chronic pancreatitis and can be painful as they block the duct along with pancreatic enzymes needed for digestion. (hopkinsmedicine.org)
- 0.05) in the mean patient age (years), gender, body mass index (BMI) (kg/m 2 ), etiology of pancreatitis (% gallstone), or size (cm) of pancreatic pseudocyst between the groups. (wustl.edu)
- Mediastinal pancreatic pseudocyst in chronic pancreatitis. (thieme-connect.de)
- Pancreatic Surgery - pancreatic resections are offered to patients with pancreatic cancers as well as chronic pancreatitis. (apollohospitals.com)
- Most people with pancreatic abscesses have had pancreatitis. (limamemorial.org)
- Pancreatitis, primarily a non-surgical disease, is the most common pancreatic disorder in dogs and cats. (ivis.org)
- Serum pancreatic lipase immunoreactivity (PLI) concentration is currently considered to be the clinicopathological test of choice for the diagnosis of canine and feline pancreatitis (Xenoulis, 2015). (ivis.org)
- I am a nationally recognised expert in advanced endoscopic therapy, chronic pancreatitis and pancreatic and upper gastro-intestinal cancer. (sheffield.ac.uk)
- Proteinuria occurs in some dogs with acute pancreatitis, possibly as a consequence of pancreatic enzyme-mediated glomerular damage, and is usually transient. (ivis.org)
- A diagnosis was made of pancreatitis, panniculitis, and polyarthritis (PPP) syndrome, with a presumed pancreatic malignancy. (hss.edu)
- PPP syndrome is rare, associated with both benign (e.g., pancreatitis or pseudocysts) and malignant pancreatic conditions. (hss.edu)
- Lipase testing is indicated in acute pancreatitis, as well as in the diagnosis of peritonitis, strangulated or infarcted bowel, and pancreatic cyst. (medscape.com)
- Because of its sensitivity, lipase testing is not very useful in chronic pancreatitis or pancreatic cancer. (medscape.com)
- Another theory is that alcohol may cause the small ductules in the pancreas that drain into the pancreatic duct to clog, eventually causing acute pancreatitis. (msdmanuals.com)
- Chronic pancreatitis and pancreatic cancer are two of the major diseases affecting the pancreas. (medscape.com)
- Physicians have known for more than 20 years that some patients with chronic pancreatitis eventually develop pancreatic cancer . (medscape.com)
- However, it is an uncommon event: Over two decades, only about 4% of patients with well-documented chronic pancreatitis will develop pancreatic cancer. (medscape.com)
- [ 1 ] Patients who experience only a single attack of acute pancreatitis without developing recurrent pancreatitis or chronic pancreatitis do not progress to pancreatic cancer. (medscape.com)
- The symptoms of chronic pancreatitis can be easily confused with those of pancreatic cancer, leading to diagnostic uncertainty. (medscape.com)
- In addition, so-called "type 3c diabetes" can be a complication in patients with either chronic pancreatitis or pancreatic cancer. (medscape.com)
- At the 46th Annual Meeting of the American Pancreatic Association, a mini-symposium was dedicated to discussing chronic pancreatitis, pancreatic cancer, and diabetes. (medscape.com)
- Patients with type 2 diabetes without underlying pancreatitis have an almost twofold excess risk for pancreatic cancer. (medscape.com)
- Chronic Pancreatitis to Pancreatic Cancer - Medscape - Dec 17, 2015. (medscape.com)
Drainage11
- By performing a minimally invasive procedure with AXIOS, physicians can establish a drainage conduit for pseudocysts, potentially decreasing chances for complications, such as secondary infections or bleeding. (medgadget.com)
- Unlike tubular stents used for bile and pancreatic duct drainage, the AXIOS Stent is designed to hold two lumens in apposition for translumenal drainage. (medgadget.com)
- Forty-six patients underwent surgery as the initial intervention (group A). Among 162 patients who underwent percutaneous or endoscopic drainage as the initial intervention, 75 patients required subsequent surgery after failure of nonsurgical intervention (group B). Groups were comparable in demographic variables and in location, number, and size of pseudocysts. (utmb.edu)
- Background: Internal drainage of pancreatic pseudocysts can be accomplished by traditional open or minimally invasive laparoscopic or endoscopic approaches. (wustl.edu)
- Primary endoscopic failures were salvaged by open pancreatic cystgastrostomy (n = 13), percutaneous drainage (n = 3), and repeat endoscopic drainage (n = 6). (wustl.edu)
- Conclusions: Laparoscopic and open pancreatic cystgastrostomy both have a higher primary success rate than endoscopic internal drainage, although repeat endoscopic cystgastrostomy provides overall success for selected patients. (wustl.edu)
- fine needle aspiration ultrasound-guided needle aspiration biopsies of tumors, and pancreatic pseudocyst drainage. (nursingcenter.com)
- 1990) Treatment of traumatic pancreatic pseudocysts in children: the role of percutaneous drainage. (utah.edu)
- He also has expertise in endoscopic ultrasound (EUS) with fine needle aspiration and biopsy (FNA/FNB), pancreatic pseudocyst drainage, ampullectomy, and pancreatoscopy. (ynhh.org)
- ESCP is used to treat obstructive jaundice secondary to pancreaticobiliary tumours, or pancreatic pseudocysts requiring drainage. (medicaldevice-network.com)
- EUS is used as a diagnostic and therapeutic tool, which can be utilised to perform ESCP bile duct and pancreatic duct drainage procedures. (medicaldevice-network.com)
Cysts4
- Pancreatic pseudocysts are sometimes called false cysts because they do not have an epithelial lining. (wikipedia.org)
- His research has focused on cholangioscopy-guided biopsies for indeterminate biliary strictures, endoscopic ultrasound for identifying advanced-grade pancreatic cysts and lumen apposing metal stents for management of pancreatic fluid collections. (uclahealth.org)
- There has been a continuous effort of International Societies to establish guidelines for the management of patients with pancreatic cysts being difficult to judge which one should be adopted. (spg.pt)
- To build a micro-simulation screening analysis (MISCAN) model, based on the outcome data of this study, in order to determine the optimal surveillance strategy for pancreatic cysts. (who.int)
Endoscopic ultrasound2
- Three views of a pancreatic pseudocyst noted during endoscopic ultrasound. (medscape.com)
- Endoscopic ultrasound is an imaging technique used to assess and stage gastrointestinal malignancies including esophageal, gastric, biliary, pancreatic, and colonic. (nursingcenter.com)
Cancer15
- What factors affect Pancreatic Cancer Survival Rate? (pancreaticcancertreatment.net)
- While the pancreatic cancer survival rate has been improving from decade to decade, the malignancy is still relatively incurable. (pancreaticcancertreatment.net)
- In cases where resection can be carried out, the average pancreatic cancer survival rate is approximately 18 - 20 months. (pancreaticcancertreatment.net)
- Tumor size has a huge influence on the pancreatic cancer survival rate. (pancreaticcancertreatment.net)
- In patients with advanced pancreatic cancer, where a complete cure is not possible, the progression of the malignancy may be accompanied by extreme fatigue and weakness, weight loss, and pain. (pancreaticcancertreatment.net)
- Effective techniques for pain management are available today, and are used by physicians experienced in the care of pancreatic cancer patients. (pancreaticcancertreatment.net)
- To provide reliable, up-to-date and easy to read information about pancreatic cancer. (pancreaticcancertreatment.net)
- Pancreatic cancer is becoming increasing common. (pancreaticcancertreatment.net)
- Pancreatic cancer (PC) is a fatal disease with a 5-year overall survival of less than 6% [1,2]. (spg.pt)
- Damm M, Efremov L, Jalal M, Nadeem N, Dober J, Michl P, Wohlgemuth W, Wadsley J, Hopper A, Krug S & Rosendahl J (2022) Body composition parameters as survival predictors in patients with pancreatic cancer - A retrospective multicenter analysis . (sheffield.ac.uk)
- Jalal M, Campbell JA, Wadsley J & Hopper AD (2021) Computed Tomographic Sarcopenia in Pancreatic Cancer: Further Utilization to Plan Patient Management . (sheffield.ac.uk)
- Portal hypertension of the SPLENIC VEIN due to occlusion caused by pancreatic pathology such as PANCREATIC PSEUDOCYST and PANCREATIC CANCER. (bvsalud.org)
- Having type 3c diabetes is associated with a 33-fold increased risk for pancreatic cancer-an enormous increase. (medscape.com)
- Suresh Chari, MD, continued the discussion of diabetes and pancreatic disorders, focusing on the relationship between diabetes and pancreatic cancer. (medscape.com)
- The risk is not as high as with type 3c diabetes, but it still constitutes a major risk factor for pancreatic cancer. (medscape.com)
Complications2
- Complications of pancreatic pseudocysts include infection, hemorrhage, obstruction and rupture. (wikipedia.org)
- Delayed surgical intervention for pancreatic pseudocysts is associated with higher incidences of postoperative complications, readmission, morbidity, and mortality. (utmb.edu)
Parenchyma3
- Some pseudocysts in the pancreatic parenchyma are loculated. (medscape.com)
- Contrast-enhanced computed tomography revealed a large posterior mediastinal cyst and calcified, heterogeneous pancreatic parenchyma. (thieme-connect.de)
- This exam revealed a lesion in the pancreatic head along with an atrophic pancreatic parenchyma, with lobularity, hyperechoic foci and stranding. (spg.pt)
Insufficiency5
- Jalal M, Rosendahl J, Campbell JA, Vinayagam R, Al-Mukhtar A & Hopper AD (2022) Identification of "Digital Sarcopenia" Can Aid the Detection of Pancreatic Exocrine Insufficiency and Malnutrition Assessment in Patients with Suspected Pancreatic Pathology . (sheffield.ac.uk)
- Jalal M, Campbell JA, Tesfaye S, Al-Mukhtar A & Hopper AD (2021) Yield of testing for micronutrient deficiencies associated with pancreatic exocrine insufficiency in a clinical setting: an observational study . (sheffield.ac.uk)
- Phillips ME, Hopper AD, Leeds JS, Roberts KJ, McGeeney L, Duggan SN & Kumar R (2021) Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines . (sheffield.ac.uk)
- Diagnosis of type 3c diabetes is based on a documented history of pancreatic disease, evidence of exocrine insufficiency, and ruling out type 1 and type 2 diabetes . (medscape.com)
- Diabetic patients have significantly reduced levels of fecal elastase 1, a marker of pancreatic insufficiency, compared with control subjects. (medscape.com)
Complication1
- Magnetic resonance cholangiopancreatography (MRCP) - to establish the relationship of the pseudocyst to the pancreatic ducts, though not routinely used Pancreatic pseudocyst treatment should be aimed at avoiding any complication (1 in 10 cases become infected). (wikipedia.org)
Pancreas Divisum1
- His main interests relate to the endoscopic evaluation and management of pancreaticobiliary disorders, including bile duct and pancreatic duct stones and strictures, pancreatic cancers, bile duct cancers, and pancreas divisum. (ynhh.org)
Enzymes7
- A pancreatic pseudocyst is a circumscribed collection of fluid rich in pancreatic enzymes, blood, and non-necrotic tissue, typically located in the lesser sac of the abdomen. (wikipedia.org)
- A pancreatic pseudocyst is a circumscribed collection of fluid rich in pancreatic enzymes, blood, and necrotic tissue, typically located in the lesser sac of the abdomen. (jkashukmd.com)
- This results in extravasation of pancreatic enzymes which in turn digest the adjoining tissues. (jkashukmd.com)
- This results in a collection of fluid containing pancreatic enzymes, hemolysed blood and necrotic debris around the pancreas. (jkashukmd.com)
- However these enzymes can be increased in non-pancreatic disease, and dogs with confirmed pancr eatitis may also have normal amylase and lipase activity. (ivis.org)
- Treatment of the underlying condition, with normalization of pancreatic enzymes, is the only effective approach. (hss.edu)
- This pancreatic fluid contains digestive enzymes that help digest food. (msdmanuals.com)
Tumors2
- Amylase (usually high in pseudocysts and low in tumors) The most useful imaging tools are: Ultrasonography - the role of ultrasonography in imaging the pancreas is limited by patient habitus, operator experience and the fact that the pancreas lies behind the stomach (and so a gas-filled stomach will obscure the pancreas). (wikipedia.org)
- Pancreatic islet cell tumors - These are known as neuroendocrine tumours, and are much less common. (apollohospitals.com)
Diagnosis3
- Siddiqi HA, Rabinowitz S, Axiotis CA. Laboratory diagnosis of gastrointestinal and pancreatic disorders. (medlineplus.gov)
- Elevated amylase and lipase levels of the cyst fluid confirmed the diagnosis of pancreatic pseudocyst, which was treated with an octreotide infusion and Roux-en-Y cystojejunostomy. (thieme-connect.de)
- It is also used in the diagnosis of peritonitis, strangulated or infarcted bowel, and pancreatic cyst. (medscape.com)
Symptomatic pancreatic2
- CT scan of a large symptomatic pancreatic pseudocyst abutting the posterior wall of the stomach. (medscape.com)
- of Colorado and The Denver VA Medical CenterBackground: Cystogastrostomy has been the procedure of choice for large, symptomatic pancreatic pseudocysts. (sages.org)
Management of pancreatic2
- Operative management of pancreatic pseudocysts in infants and children: a review of 75 cases. (thieme-connect.de)
- I am a co-author of the recent European and National Consensus guidelines in the management of Pancreatic Disease (2017 & 2020). (sheffield.ac.uk)
Exocrine2
- These concentrations reflect the origin of the lesion from extravasated pancreatic exocrine secretions resulting from pancreatic ductal disruption. (medscape.com)
- The reason for these differences is that acute fluid collections do not result from pancreatic ductal disruption and the subsequent leakage of pancreatic exocrine secretions. (medscape.com)
Cystic3
- Pancreatic pseudocysts are the most common cystic lesions of the pancreas, accounting for 75-80% of such masses. (medscape.com)
- This is a critical point in the differentiation of pancreatic pseudocysts from cystic neoplasms of the pancreas. (medscape.com)
- EUS revealed in the pancreatic head a cystic dilatation of the MPD (15×15 mm), with a hyperechogenic solid component and digitiform projections that conditioned almost complete occlusion of the duct (Figure 1). (spg.pt)
Amylase3
- A pancreatic pseudocyst is a collection of amylase-rich, lipase-rich, and enterokinase-rich fluid. (medscape.com)
- These features are in contrast to those of pancreatic pseudocysts, which have high amylase concentrations, are surrounded by a thick, fibrous capsule, and are oval or round. (medscape.com)
- Classically, elevations in serum amylase and lipase activity have been used as indicators of pancreatic inflammation in dogs. (ivis.org)
Disease7
- Endoscopic treatment of pancreatic disease. (limamemorial.org)
- When pancreatic disease is suspected, diagnostic steps after physical examination include complete blood count, serum chemistry profile, imaging, and biopsy for cytology and histopathology. (ivis.org)
- I am pioneering novel imaging and therapeutic techniques in pancreatic disease. (sheffield.ac.uk)
- I am an active researcher in the areas of pancreatic disease, novel endoscopic techniques and academic gastroenterology. (sheffield.ac.uk)
- Priya Jamidar, MBChB, is director of the Endoscopy Program and an expert in biliary and pancreatic disease treatment and research. (ynhh.org)
- Pancreatic disease, panniculitis, polyarthrtitis syndrome successfully treated with total pancreatectomy: Case report and literature review. (hss.edu)
- Inhibition of islet cell function as a result of pancreatic disease is yet another reason. (medscape.com)
Disorders1
- This technology has the potential to expand the role of endoscopy in treating a variety of disorders of the pancreatic and biliary system," stated Kenneth Binmoeller, MD, Director of Interventional Endoscopy Services at California Pacific Medical Center in San Francisco, California. (medgadget.com)
Acute2
- Therefore, abdominal CT is commonly the initial radiologic examination used to identify an acute fluid collection related to pancreatic ductal disruption. (medscape.com)
- This is called an acute pancreatic collection. (jkashukmd.com)
Abscesses2
- The death rate from undrained pancreatic abscesses is very high. (limamemorial.org)
- Pancreatic abscesses on the contrary should be treated by omentalisation. (ivis.org)
Ductal2
- In addition, pseudocysts are associated with pancreatic ductal obstruction and pancreatic neoplasms. (medscape.com)
- These are called pancreatic ductal adenocarcinomas. (apollohospitals.com)
Inflammation1
- Pancreatic inflammation increases enzyme levels. (medscape.com)
Symptoms2
- Signs and symptoms of pancreatic pseudocyst include abdominal pain, bloating, nausea, vomiting and lack of appetite. (wikipedia.org)
- A small pseudocyst that is not causing any symptoms may be managed conservatively. (jkashukmd.com)
Octreotide1
- Treatment with nonsteroidal anti-inflammatory drugs, steroids, and high doses of intravenous octreotide, an octapeptide inhibitor of pancreatic hormones, has been reported, although it is usually ineffective [3]. (hss.edu)
Neoplasms1
- IPMN accounts for less than 10% of all pancreatic neoplasms and particularly IPMNs with high-grade dysplasia are associated with a significantly increased risk of invasive PC [6]. (spg.pt)
Necrosis1
- First, an organized necrosis is actually devitalized pancreatic tissue that appears cystlike on computed tomography (CT) scans, but it appears to be solid on other imaging modalities. (medscape.com)
Ultrasound2
- Ultrasound guided aspiration of pancreatic pseudocysts is in the majority of cases succesful and the treatment of choice since several years. (ivis.org)
- Laboratory analysis revealed a mild increase in total bilirubin, and abdominal ultrasound revealed a pancreatic mass and several hepatic masses. (hss.edu)
Ducts1
- These make up the vast majority of all pancreatic cancers (around 90%) and come from the cells that line the ducts in the pancreas which carry digestive juices into the intestine. (apollohospitals.com)
Malignancy1
- Patients with pancreatic malignancy and panniculitis (either with or without arthritis) seem to have a shorter median survival time than patients without this presentation [3]. (hss.edu)
Fluid-filled sac1
- What is Pancreatic Pseudocyst A pancreatic pseudocyst is a fluid-filled sac that develops in the pancreas. (agrawalgastrocarecenterindore.com)
Treatment5
- Treatment usually depends on the mechanism that brought about the pseudocyst. (wikipedia.org)
- No medications are specific to the treatment of pancreatic pseudocysts. (medscape.com)
- The surgical treatment of pancreatic pseudocysts (PC) has a less important role now that endoscopic and radiologic intervention can effectively treat PC. (mssm.edu)
- Cooperman, AM 2001, ' Surgical treatment of pancreatic pseudocysts ', Surgical Clinics of North America , vol. 81, no. 2, pp. 411-419. (mssm.edu)
- What is endoscopic treatment of pancreatic pseudocyst? (agrawalgastrocarecenterindore.com)
Minimally invasive1
- Our team is skilled in endoscopic procedures as well as minimally invasive pancreatic surgery. (hopkinsmedicine.org)
Hepatic1
- Biopsy of the pancreatic and hepatic masses were positive for an acinar cell carcinoma. (hss.edu)
Patients3
- Medical records of all 284 patients admitted with pancreatic pseudocysts at our institution (1/1990-9/2005) were analyzed. (utmb.edu)
- Forty-two percent of group B patients developed infection within their pseudocysts after their nonsurgical interventions. (utmb.edu)
- Methods: Records of 83 patients undergoing laparoscopic (n = 16), endoscopic (n = 45), and open (n = 22) pancreatic cystgastrostomy were analyzed on an intention-to-treat basis. (wustl.edu)
Abstract1
- abstract = "Nonsurgical interventions are increasingly applied for pancreatic pseudocysts. (utmb.edu)
Surgical3
- Pancreatic pseudocysts: Is delayed surgical intervention associated with adverse outcomes? (utmb.edu)
- We hypothesized that surgical therapy applied after failure of percutaneous or endoscopic therapies for pseudocysts is associated with poorer outcomes than cases in which surgery is the initial intervention. (utmb.edu)
- Dive into the research topics of 'Pancreatic pseudocysts: Is delayed surgical intervention associated with adverse outcomes? (utmb.edu)
Masses1
- Pancreatic pseudocysts account for approximately 75% of all pancreatic masses. (wikipedia.org)
Duodenum2
- Normally, the pancreas secretes pancreatic fluid through the pancreatic duct into the first part of the small intestine (duodenum). (msdmanuals.com)
- If a gallstone becomes stuck in the sphincter of Oddi (the opening where the pancreatic duct empties into the duodenum), pancreatic fluid stops flowing. (msdmanuals.com)
Cystojejunostomy1
- Thoracoabdominal pseudocyst of pancreas: An rare location, managed by retrocolic retrogastric Roux-en-Y cystojejunostomy. (thieme-connect.de)
Infection1
- Pancreatic infection. (limamemorial.org)