Preoperative Endoscopic Retrograde Pancreatography in Acute Pancreatitis

A 61-year-old woman with intraductal papillary mucinous neoplasm (IPMN) infection, who was treated with antibiotics, developed IPMN reinfection with febrile epigastric pain and was febrile. CT showed that the diameter of the IPMN had grown and hardened, with thickening of the cyst wall. Endoscopic retrograde pancreatography was then performed and a nasopancreatic cyst drainage tube was placed into the cyst. Symptoms and inflammatory findings improved considerably 17 days after endoscopic drainage. Few reports and evidence have been found regarding IPMN infections, and the frequency of onset, route of infection and optimal drainage method remain unknown. This study indicated that endoscopic transpapillary pancreatic cyst drainage was effective and is highly recommended for IPMN infection.

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ID: 3522056 PROGNOSTIC SCORES IN POST-ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY ACUTE PANCREATITIS: IS THERE A BETTER OPTION?

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2021.03.307 ◽

2021 ◽

Vol 93 (6) ◽

pp. AB151

Author(s):

Vítor Macedo Silva ◽

Marta Freitas ◽

Rui S. Magalhães ◽

Tiago Cúrdia Gonçalves ◽

Pedro Boal Carvalho ◽

...

Keyword(s):

Acute Pancreatitis ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Prognostic Scores ◽

Endoscopic Retrograde

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Comparison of Endoscopic Retrograde Pancreatography with Functional and Histologic Changes in Chronic Pancreatitis

Acta Radiologica ◽

10.1177/028418518702800312 ◽

1987 ◽

Vol 28 (3) ◽

pp. 289-293 ◽

Cited By ~ 13

Author(s):

H. A. Heij ◽

H. Obertop ◽

M. van Blankenstein ◽

G. A. J. J. Nix ◽

D. L. Westbroek

Keyword(s):

Chronic Pancreatitis ◽

Discriminant Analysis ◽

Test Data ◽

Pancreatic Surgery ◽

Pancreatic Disease ◽

Pancreatic Tissue ◽

Endoscopic Retrograde Pancreatography ◽

Endoscopic Retrograde ◽

The Relationship ◽

Histologic Changes

The findings from endoscopic retrograde pancreatography (ERP) and secretin-CCK test data were compared in 69 patients: 36 with chronic pancreatitis, 9 with possible chronic pancreatitis, and 24 without chronic pancreatic disease. The ERP findings were also compared with the histologic changes in pancreatic tissue in 18 patients who underwent pancreatic surgery for chronic pancreatitis. ERP films were reviewed according to the criteria proposed by Kasugai et coll. (8) with special attention paid to the side branches. Secretin-CCK test data were interpreted using the discriminant analysis. A good correlation between bicarbonate and chymotrypsin output and ductular changes at ERP was found. The results of ERP and the secretin-CCK test were compatible in 86 per cent of the patients. The relationship between ERP findings and histologic changes was not straightforward. It was concluded that ERP and the secretin-CCK test are complementary in the diagnosis of chronic pancreatitis. ERP does not necessarily represent the histology in chronic pancreatitis.

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