Colonic Complications of Acute Pancreatitis

Abcarian, Herand; Eftaiha, Mohammed; Kraft, Avram R.; Nyhus, Lloyd M.

doi:10.1001/archsurg.1979.01370330017003

Cited by 48 publications

(13 citation statements)

References 9 publications

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“…Histologically, the so-called pericolitis, infl ammatory granulation tissue and infl ammatory cell infi ltration, was observed on the colonic wall. 4 No thrombosis was seen in the marginal artery of the colon (Fig. 2C).…”

Section: Casementioning

confidence: 95%

“…[1][2][3] Colonic complications occur at a frequency of 1% in patients with acute pancreatitis. 4,5 Among these complications, the exact frequency of colonic fi stula remains unknown and little information is available on colonic fi stula as a late complication associated with severe acute pancreatitis. We report two cases successfully treated with surgery for colonic fi stula associated with severe acute pancreatitis and refer to the importance of a long-term followup after treating patients for severe acute pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

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Colonic fistula associated with severe acute pancreatitis: Report of two cases

Suzuki

Sakaguchi

et al. 2008

Surg Today

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Colonic fistula is a rare and potentially critical sequela of severe acute pancreatitis, which requires surgical treatment. We report two cases that were successfully treated by a colectomy for colonic fistula associated with severe acute pancreatitis. Case 1 is a 71-year-old man infected with pseudocysts owing to severe acute pancreatitis that developed into a colonic fistula as an early complication with a resulting pancreatic abscess. This patient underwent a left hemicolectomy, a transverse colostomy, and drainage of the pancreatic abscess. He has done well without recurrent disease for 35 months following surgery. Case 2 is a 58-year-old woman who had a past history of drainage during a laparotomy for a pancreatic abscess induced by endoscopic retrograde cholangiopancreatography 10 years earlier. She was admitted to our hospital with left lateral abdominal pain and low-grade fever. Abdominal magnetic resonance imaging showed a retroperitoneal abscess and fistula to the descending colon. She underwent a left hemicolectomy and drainage of the retroperitoneal abscess. She has remained symptom-free for 20 months following surgery. The colonic fistula should therefore be recognized as a late complication during long-term follow-up as well as an early sequela associated with severe acute pancreatitis.

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Section: Casementioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Colonic fistula associated with severe acute pancreatitis: Report of two cases

Suzuki

Sakaguchi

et al. 2008

Surg Today

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“…In almost all cases, the pseudocyst spontaneously drained into a hollow viscus without concomitant bleeding. When the colon is involved, the transverse colon and splenic flexure are the most frequent sites targeted, depending on the pseudocyst location [37].…”

Section: Literature Reviewmentioning

confidence: 99%

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

Razik

May

Saibil

2016

JGLD

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Pancreatic pseudocysts and foci of walled-off necrosis (WON) are well-known complications of acute pancreatitis. We present a case of severe gallstone pancreatitis complicated by WON, fistulization to the bowel and gastrointestinal bleeding. Bleeding was localized to a pseudoaneurysm of the gastroduodenal artery within the WON using imaging and endoscopy. Angiography and image-guided therapy were then used to control bleeding with coil-embolization. To our knowledge, this is the first report of non-operative management of a patient with severe pancreatitis complicated by WON and a bleeding pseudoaneurysm with multiple communications to the hollow viscera. Therapeutic options are discussed and a thorough literature review is included. Abbreviations: EGD: esophagogastroduodenoscopy; ERCP: endoscopic retrograde cholangiopancreatography; GDA: gastroduodenal artery; GI: gastrointestinal; IEP: interstitial edematous pancreatitis; IPDA: inferior pancreaticoduodenal artery; WON: walled-off necrosis.

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“…Data were then extracted from these 43 articles (37 case reports discussing 65 patients and 6 retrospective cohort studies reporting 32 patients [43][44][45][46][47][48] ) and then pooled for analysis. Data were extracted for pooling on demography (age, gender, race, aetiology of pancreatitis), incidence of colonic complications, mode of presentation, temporal delay to diagnosis, method of diagnosis, type of treatment and outcome.…”

Section: Data Extraction and Outcome Categoriesmentioning

confidence: 99%