Post written by Rungsun Rerknimitr, MD, FRCP (London), FASGE, from Chulalongkorn University, Bangkok, Thailand. Our case is about a 10-year-old girl with known tropical chronic pancreatitis with mutation at the transition c.206C>T in exon 4 of the SPINK1 gene who underwent pancreatic sphincterotomy via major papilla with pancreatic stone extraction 6 months prior. The patient presented with a new episode of epigastric pain and elevation …
Tag: pancreatitis
Visceral artery pseudoaneurysms in necrotizing pancreatitis: risk of early bleeding with lumen-apposing metal stents
Post written by Guru Trikudanathan, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. Visceral artery pseudoaneurysm (PSA) after necrotizing pancreatitis (NP) arises from enzymatic degradation of the arterial wall by the pancreatic enzymes or infection, direct erosion by necrosis, or traumatic injury to small arteries during interventions resulting …
EUS pancreatic function testing and dynamic pancreatic duct evaluation for the diagnosis of exocrine pancreatic insufficiency and chronic pancreatitis
Post written by John M. DeWitt, MD, from the Department of Gastroenterology and Hepatology, Indiana University Health Medical Center, Indianapolis, Indiana, USA. Chronic pancreatitis is easy to diagnose in the late stages due to characteristic imaging findings. Minimal change chronic pancreatitis (MCCP) is early disease with characteristic symptoms but little to no typical imaging features …
Fully covered SEMSs to dilate persistent pancreatic strictures in chronic pancreatitis
Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Catholic University, and CERTT, Centre for Endoscopic Research, Therapeutics and Training - Catholic University, Rome, Italy. Pancreatic duct drainage by ERCP and insertion of plastic stents is effective in the treatment of pain related to chronic …
Recurrent acute pancreatitis in a toddler: a “wormy surprise”
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. The video case describes a 3-year-old child presenting with recurrent episodes of acute pancreatitis. Etiological evaluation revealed multiple calculi in the gallbladder on transabdominal ultrasonography. Expecting a calculus in the bile duct, we performed an endosonography to confirm. Surprisingly, endosonography …
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Post-ERCP pancreatitis in chronic pancreatitis
Post written by Zhuan Liao, MD, from the Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China. The purpose of this study is to determine the incidence of post-ERCP pancreatitis (PEP) and risk factors at different clinical stages of chronic pancreatitis (CP) based on the M-ANNHEIM classification system. Therapeutic ERCP procedures are commonly used …
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EUS-guided pancreatic drainage for recurrent pancreatitis
Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA presents this video case "EUS-guided pancreatic drainage for recurrent pancreatitis." This case describes a 71-year-old female with recurrent pancreatitis and a tight pancreatic duct (PD) stricture that was unable to be crossed during …
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Managing acute hemorrhagic pancreatitis
Ji Young Bang, MD, MPH, from the Division of Gastroenterology and Hepatology, Indiana University, in Indianapolis, Indiana, USA presents this video case "Management of acute hemorrhagic pancreatitis after EUS-guided FNA of a pancreatic cyst." Our VideoGIE video describes a case of a patient presenting with acute pancreatitis and a hemorrhagic pancreatic fluid collection (PFC) following EUS-FNA …
EUS-guided pancreatic duct access and wire placement
Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …
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Post-ERCP pancreatitis
Yousuke Nakai, MD, PhD from the Department of Gastroenterology, Graduate School of Medicine at The University of Tokyo in Tokyo, Japan discusses his Original Article, "Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP." This study was an analysis of risk factors for post-ERCP pancreatitis (PEP) in wire-guided cannulation (WGC) for therapeutic …
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