지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 208 - 213 (6page)
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Background/Aims: Groove pancreatitis (GP) is an uncommon disease involving the pancreaticoduodenal area. Possible pathogenesis includes obstructive pancreatitis in the duct of Santorini and impaired communication with the duct of Wirsung, minor papilla stenosis, and leakage causing inflammation. Limited data regarding endoscopic treatment have been published. Methods: Seven patients with GP receiving endoscopic treatment were reviewed. The morphology of the pancreatic duct was evaluated by a pancreatogram. Endoscopic dilation of the minor papilla and drainage of the duct of Santorini were performed. Results: There were two pancreatic divisum cases, one ansa pancreatica case and four impaired connections between the duct of Santorini and the main pancreatic duct. Three to 31 sessions of endoscopy, with 2 to 24 sessions of transpapillary stenting and dilation, were performed. Interventions through the minor papilla were successfully performed in six of seven cases. The pancreatic stenting duration ranged from 2 to 87 months. Five patients with evidence of chronic pancreatitis (CP) tended to receive more endoscopic interventions than did the two patients without CP (2–24 vs 2, respectively) for GP and other complications associated with CP. Conclusions: Disconnection or impairment of communication between the ducts of Santorini and Wirsung was observed in all cases of GP. No surgery was required, and endoscopic minor papilla dilation and drainage of the duct of Santorini were feasible for the treatment of GP.
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참고문헌 (15)
참고문헌 신청
Becker V / 1991 / Groove pancreatitis / Int J Pancreatol 10:173~182
Adsay NV / 2004 / Paraduodenal pancreatitis: a clinicopathologically distinct entity unifying cystic dystrophy of heterotopic pancreas para-duodenal wall cyst and groove pancreatitis / Semin Diagn Pathol 21:247~254
Arvanitakis M / 2014 / Endotherapy for paraduodenal pancreatitis: a large retrospective case series / Endoscopy 46:580~587
Isayama H / 2005 / Successful treatment for groove pancreatitis by endoscopic drainage via the minor papilla / Gastrointest Endosc 61:175~178
Kager LM / 2017 / Outcomes after conservative, endoscopic, and surgical treatment of groove pancreatitis: a systematic review / J Clin Gastroenterol 51:749~754
Adsay NV / 2004 / Paraduodenal pancreatitis: a clinicopathologically distinct entity unifying cystic dystrophy of heterotopic pancreas para-duodenal wall cyst and groove pancreatitis / Semin Diagn Pathol 21:247~254
Arvanitakis M / 2014 / Endotherapy for paraduodenal pancreatitis: a large retrospective case series / Endoscopy 46:580~587
Isayama H / 2005 / Successful treatment for groove pancreatitis by endoscopic drainage via the minor papilla / Gastrointest Endosc 61:175~178
Kager LM / 2017 / Outcomes after conservative, endoscopic, and surgical treatment of groove pancreatitis: a systematic review / J Clin Gastroenterol 51:749~754
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