{"id":8829,"date":"2020-08-16T14:51:32","date_gmt":"2020-08-16T12:51:32","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=8829"},"modified":"2020-08-16T14:51:33","modified_gmt":"2020-08-16T12:51:33","slug":"when-draining-walled-off-pancreatic-necrosis-attention-to-disconnected-pancreatic-duct-syndrome-guides-terminal-steps-in-therap","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/when-draining-walled-off-pancreatic-necrosis-attention-to-disconnected-pancreatic-duct-syndrome-guides-terminal-steps-in-therap\/","title":{"rendered":"When Draining Walled-Off Pancreatic Necrosis, Attention to Disconnected Pancreatic Duct Syndrome Guides Terminal Steps in Therap"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Internal drainage using large-caliber lumen-apposing metal stents (LAMS) is now a dominant therapy for acute fluid collections and walled-off pancreatic necrosis associated with acute pancreatitis. Disconnected pancreatic duct syndrome (DPDS) is common among these patients. In this prospective observational study of endoscopic drainage for pancreatic fluid collections, LAMS were placed in 188 such patients, 94 of whom had DPDS confirmed by either MRCP or ERCP. In patients with DPDS, the LAMS was replaced approximately 1 month after the index procedure with two 7 Fr x 4 cm double-pigtail plastic stents to maintain persistent pancreatico-gastric or duodenal fistulae. This was successfully performed in 70 (74.5%) of the 94 patients with DPDS. During a median of 6 months follow-up, recurrent collections developed in 7 patients with DPDS, including 1 (1.4%) of the 70 patients with long-term plastic stent drainage, versus 6 (25%) of the 24 patients with unsuccessful plastic stent placement (<em>P<\/em>=.001).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Internal drainage using large-caliber lumen-apposing metal stents (LAMS) is now a dominant therapy for acute fluid collections and walled-off pancreatic necrosis associated with acute pancreatitis. Disconnected pancreatic duct syndrome (DPDS) is common among these patients. In this prospective observational study of endoscopic drainage for pancreatic fluid collections, LAMS were placed in 188 such patients, 94 &#8230; <a title=\"When Draining Walled-Off Pancreatic Necrosis, Attention to Disconnected Pancreatic Duct Syndrome Guides Terminal Steps in Therap\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/when-draining-walled-off-pancreatic-necrosis-attention-to-disconnected-pancreatic-duct-syndrome-guides-terminal-steps-in-therap\/\" aria-label=\"Read more about When Draining Walled-Off Pancreatic Necrosis, Attention to Disconnected Pancreatic Duct Syndrome Guides Terminal Steps in Therap\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1797],"tags":[1588,381,658,2108,320],"class_list":["post-8829","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-pankreatobiliaeres-system-und-leber","tag-dpds-2","tag-ercp","tag-lams","tag-mrcp","tag-pankreas"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8829","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=8829"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8829"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}