Disconnected panreatic duct syndrome

作者：Manuel Ramia Jose; Fabregat Joan; Perez Miranda Manuel; Figueras Joan

来源：Cirugia Espanola, 2014, 92(1): 4-10.

DOI：10.1016/j.ciresp.2013.02.024

• Disconnected pancreatic duct syndrome
• Pancreas
• Surgery
• Pancreatitis
• Review

Disconnected pancreatic duct syndrome (DPDS) is characterized by disruption of the main pancreatic duct with a loss of continuity between the pancreatic duct and the gastrointestinal tract caused by ductal necrosis after severe acute necrotizing pancreatitis treated medically, by percutaneous drainage, or necrosectomy.
There are no clear epidemiological data on the real incidence of DPDS; approximately 10 to 30% of patients with severe acute pancreatitis could develop DPDS. The existing literature is scarce, the terminology is confusing and therapeutic algorithms are not clearly defined. Both endoscopic and surgical management have been described.
We have performed a sytematic review of the literature on DPDS.

• 出版日期2014-1