Pancreatic necrosis often results in main pancreatic duct injury and eventual discontinuity, or so-called disconnected pancreatic duct syndrome (DPDS), with recurrent symptoms from duct obstruction and\/or recurrent pancreatic fluid collections (PFC). Some practices have resorted to leaving a transgastric double-pigtail stent in place long term after endoscopic decompression and resolution of walled-off necrosis (WON). <\/p>\n\n\n\n
The authors of this study compared the recurrence of PFC at 3, 6, and 12 months among 104 patients with DPDS who were randomized to plastic stent placement (n=52) or no stent (n=52) upon completion of large-caliber stent drainage for WON. Metal stents were typically removed 4 weeks after initial drainage. <\/p>\n\n\n\n
Plastic stents were successfully placed in 88.5% of patients and subsequently migrated in 19.2% of patients during 8 months of follow-up (median interquartile range, 2.5-12). Overall fluid collections recurred in 7 (13%) of the stented patients and 13 (25%) of the nonstented patients, which was not statistically different at 3, 6, and 12 months. Recurrent fluid collections following prophylactic stenting warranted repeat stenting in 1 patient and surgery in 2. Recurrence without prophylactic stenting required repeat EUS-guided stent placement in 4 patients.<\/p>\n","protected":false},"excerpt":{"rendered":"
Pancreatic necrosis often results in main pancreatic duct injury and eventual discontinuity, or so-called disconnected pancreatic duct syndrome (DPDS), with recurrent symptoms from duct obstruction and\/or recurrent pancreatic fluid collections (PFC). Some practices have resorted to leaving a transgastric double-pigtail stent in place long term after endoscopic decompression and resolution of walled-off necrosis (WON). The … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[3259,1588,3260,2128,1562,3261,1326],"class_list":["post-12154","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-disconnected-pancreatic-duct-syndrome","tag-dpds-2","tag-pancreatic-fluid-collections","tag-pancreatobiliary","tag-pfc-2","tag-walled-off-necrosis-2","tag-won"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=12154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}