Dystrophie kystique du deuxième duodénum sur pancréas aberrant

Marmorale, A; Tercier, Stéphane; Peroux, J.-L.; Monticelli, I; Namara, M. Mc; Huguet, C

doi:10.1016/s0003-3944(03)00053-1

Cited by 14 publications

(4 citation statements)

References 5 publications

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“…For example, a computerized tomography (CT) scan was used in all patients observed in the period 1990-1995 and in 75% of patients in the period 2001-2006. Today the gold standard for diagnosis is ultrasound endoscopy [29][30][31][32], with which it is possible to distinguish the cystic and solid variants, and magnetic resonance cholangiopancreaticography [33][34][35][36][37], which has a high level of sensitivity and specificity (Fig. 2a, b).…”

Section: Discussionmentioning

confidence: 99%

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“Paraduodenal” Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution

et al. 2009

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Section: Discussionmentioning

confidence: 99%

“…Apart from surgical procedures that involve removal of the diseased pancreas [46], some organ preserving techniques have been reported in the literature [29, 47]. These studies are based on small numbers of patients and do not demonstrate histological confirmation or the results of short follow‐up.…”

Section: Discussionmentioning

confidence: 99%

“Paraduodenal” Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution

et al. 2009

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Section: Discussionmentioning

confidence: 99%

“…Still, there is a difficult therapeutic dilemma whether to treat such a lesion by duodenopancreatectomy or by limited local excision [38]. Regarding the surgical procedure, there is some evidence that a conservative surgical procedure, including segmental duodenal resection, can be an alternative approach to the Whipple procedure [38]. Marmorale et al [38] reported digestive deviations in the event of an obstructive lesion without painful episodes or limited resection of the second duodenum without pancreatectomy, a procedure which depends on the suprapapillary localization of the cystic lesions.…”

Section: Discussionmentioning

confidence: 99%

Cystic Dystrophy in Heterotopic Pancreas of the Duodenal Wall

Jovanović¹,

Alempijević²,

Lukić³

et al. 2008

Dig Surg

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Background: Cystic dystrophy in heterotopic pancreas (CDHP) is a rare condition. It has been recently reported as one of the etiologic obstructive factors of chronic pancreatitis. The aim of our study was to evaluate diagnosis and management of CDHP in the duodenal wall in a surgical series. Methods: We retrospectively reviewed 13 patients with available clinical data. Results: There were 11 male and 2 female patients, median age 42 years. The average duration of symptoms was 7.5 months. 6 of them (46%) were alcoholics, and 10 (75%) had signs of chronic pancreatitis. Almost all of them (12/13; 92%) revealed disabling pain, while 4 (31%) had associated jaundice. In 4 of 7 patients (57%), weight loss was observed. Most often the patients were suspected of having pancreatic head mass with or without signs of chronic pancreatitis. All patients underwent surgical treatment. Pathological examination showed the presence of cysts surrounded by inflammation and fibrosis in the duodenal wall, as well as the presence of chronic pancreatitis in the pancreas proper. Conclusions: Cystic dystrophy of the duodenal wall represents a significant proportion of patients undergoing surgery for chronic pancreatitis. Pancreatoduodenectomy is the best therapeutic option.

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