Free implications of prophylactic pancreatic stent placement in previously normal pancreatic ducts
. Endoscopy 2009; 41:1095-8.
In conclusion, patients with associated invasive carcinoma from pancreatic ITPN may have presented a trend toward larger tumor size and dilated pancreatic duct
with pancreatoliths, but the differences were not statistically significant.
This situation can be associated with dilated main pancreatic duct
, especially if the polypoid endoluminal growth pattern is present.
DDS can be managed by endoscopic sphincterotomy with a bridging stent placement across the discontinuity in the pancreatic duct
. The management of complete DDS depends on the presence or absence of a significant fluid collection (> 2 cm), demonstrable duct disconnection, and presence or absence of an external drain.
Various risk factors have been identified including difficult cannulation, pancreatic duct
cannulation, pancreatic duct
contrast injection, balloon sphincteroplasty, young age and female gender6.
Comparison of the mucins 1, 4 and 5AC expression between normal pancreatic ducts
and different degrees of pancreatic intraepithelial neoplasia
These include the anatomy of the pancreatic duct
, its size and diameter, the spread of pancreatitis in the pancreas gland, the presence of an accompanying pseudocyst or biliary tract obstructions, and the general condition of patient.
So, we started and preferred to use a polyolefin elastomer material with double-bended type (S shape) [15-17], which was a more soft material and suitable at the main pancreatic duct
. This is the first reason we only use S-type pancreatic stent in our Hospital.
ERCP is usually useful to diagnose pancreatic duct
; however, in our case, the transpapillary approach or cannulation to the pancreatic duct
could not be performed because of direct invasion of the carcinoma.
Stergiou, "Endoscopic pancreatic duct
stenting for relief of pancreatic cancer pain," European Journal of Gastroenterology & Hepatology, vol.
It is defined as bleeding into the duodenum from the Vater papilla through the route of the pancreatic duct
, also known as Wirsungorrhaghia [1-3].
Sixty five percent of the pancreatic cancer occurs in pancreatic head.4 These present earlier as compared to body and tail tumors due to bile duct and pancreatic duct