Abstract
Although widely used in the biliary tree, little data is available on endoscopic placement of stents or drains within the pancreas. This report describes 17 patients, nine with acute relapsing pancreatitis and eight with chronic pancreatitis, who had drain or stent placement for hypertensive pancreatic duct (PD) sphincter, dominant ductal stenosis, duct disruption, or pseudocyst. Two patients have subsequently undergone surgery, and six other patients continue long-term stent placement with marked reduction of chronic pain or attacks of recurrent pancreatitis. All six pseudocysts resolved, although one recurred and required surgery. It is concluded that pancreatic drains or stents may obviate the need for surgery, temporize before definitive therapy, or direct a subsequent surgical procedure.
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- Brandabur J. J., Kozarek R. A., Ball T. J., Hofer B. O., Ryan J. A., Jr, Traverso L. W., Freeny P. C., Lewis G. P. Nonoperative versus operative treatment of obstructive jaundice in pancreatic cancer: cost and survival analysis. Am J Gastroenterol. 1988 Oct;83(10):1132–1139. [PubMed] [Google Scholar]
- Cotton P. B., Forbes A., Leung J. W., Dineen L. Endoscopic stenting for long-term treatment of large bile duct stones: 2- to 5-year follow-up. Gastrointest Endosc. 1987 Dec;33(6):411–412. doi: 10.1016/s0016-5107(87)71675-7. [DOI] [PubMed] [Google Scholar]
- Huibregtse K., Katon R. M., Coene P. P., Tytgat G. N. Endoscopic palliative treatment in pancreatic cancer. Gastrointest Endosc. 1986 Oct;32(5):334–338. doi: 10.1016/s0016-5107(86)71878-6. [DOI] [PubMed] [Google Scholar]
- Huibregtse K., Schneider B., Vrij A. A., Tytgat G. N. Endoscopic pancreatic drainage in chronic pancreatitis. Gastrointest Endosc. 1988 Jan-Feb;34(1):9–15. doi: 10.1016/s0016-5107(88)71221-3. [DOI] [PubMed] [Google Scholar]
- McCarthy J., Geenen J. E., Hogan W. J. Preliminary experience with endoscopic stent placement in benign pancreatic diseases. Gastrointest Endosc. 1988 Jan-Feb;34(1):16–18. doi: 10.1016/s0016-5107(88)71222-5. [DOI] [PubMed] [Google Scholar]
- Siegel J. H., Snady H. The significance of endoscopically placed prostheses in the management of biliary obstruction due to carcinoma of the pancreas: results of nonoperative decompression in 277 patients. Am J Gastroenterol. 1986 Aug;81(8):634–641. [PubMed] [Google Scholar]