2008
DOI: 10.1016/j.gie.2007.07.017
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Disconnected pancreatic tail syndrome: potential for endoscopic therapy and results of long-term follow-up

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Cited by 123 publications
(113 citation statements)
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“…3 Although limited, current data suggest that the outcomes of endoscopy and surgery for the management of DPDS are suboptimal. [4][5][6] In a recent study of 31 patients who underwent endoscopic transmural drainage of PFCs in the setting of DPDS, there was 42% recurrence of PFCs on long-term follow-up. 6 A randomized trial from Europe that compared permanent and temporary stents for transmural drainage of PFCs found that stent removal was associated with higher rates of PFC recurrence.…”
Section: Shyam Varadarajulu MD C Mel Wilcox Mdmentioning
confidence: 99%
“…3 Although limited, current data suggest that the outcomes of endoscopy and surgery for the management of DPDS are suboptimal. [4][5][6] In a recent study of 31 patients who underwent endoscopic transmural drainage of PFCs in the setting of DPDS, there was 42% recurrence of PFCs on long-term follow-up. 6 A randomized trial from Europe that compared permanent and temporary stents for transmural drainage of PFCs found that stent removal was associated with higher rates of PFC recurrence.…”
Section: Shyam Varadarajulu MD C Mel Wilcox Mdmentioning
confidence: 99%
“…ERCP remains the definitive test for diagnosis and therapy. Data suggest that the ability to place a "bridging" stent that crosses the disruption is associated with higher success for resolution of a disruption [24,25]. However, surgery may be necessary if initial attempts at endoscopic treatment are unsuccessful.…”
Section: Local Complicationsmentioning
confidence: 99%
“…Endoscopic treatment of the disrupted PD includes transpapillary stent bridging of the pancreatic leak or diverting pancreatic duct flow [59]. The efficacy of these techniques has been demonstrated in several studies [60][61][62]. Complete duct disruptions are refractory to transpapillary stenting because the upstream disconnected segment maintains secretion.…”
Section: Endoscopic Management Of Local Complications In Ap (Pancreatmentioning
confidence: 99%