Search results

1

Pancreatic-pleural fistula presenting as epigastric pain

100%

Bąk M., Murawa D.

Polish Journal of Surgery

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2020

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vol. 92(4)

54-57

EN

We are reporting a case of a pancreatic-pleural fistula causing epigastric pain. Chest radiograph revealed pleural effusion reaching the seventh rib. Thoracocentesis was performed and 1600 mL of brownish fluid was removed, which showed an elevated amylase level. Ultimately, the diagnosis was confirmed by computed tomography. Due to the failure of medical and endoscopic treatment, the decision was made to perform surgery. It resulted in total pancreatectomy.

2

Large pancreatic pseudocyst penetrating into posterior mediastinum

100%

Markowski A. R., Brodalka E., Guzinska-Ustymowicz K., Zaręba K., Cepowicz D., Kędra B.

Polish Journal of Surgery

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2017

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vol. 89(4)

41-47

EN

We report a rare case of a large mediastinal pancreatic pseudocyst compressing the left atrium and the esophagus and causing dyspnea, palpitations, and emesis. Chest radiograph was non-diagnostic, esophagogastroduodenoscopy showed diffuse extrinsic compression of the distal esophagus and gastric corpus, but a definitive diagnosis was confirmed by computed tomography. We decided to perform surgery due to the recurrence of the pancreatic pseudocyst, a history of unsuccessful radiologically guided external drainage a few years earlier, and a very large diameter of the pseudocyst causing acute cardio-pulmonary distress syndrome.

3

Risk factors of pancreatitis after endoscopic sphincterotomy. Review of literature and practical remarks based on approximately 10,000 ERCPs

100%

Jamry A.

Polish Journal of Surgery

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2017

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vol. 89(5)

29-33

EN

Post-endoscopic pancreatitis (PEP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Depending on the presence of risk factors, PEP can occur in 4,1% to about 43% of patients. According to the European Society of Gastrointestinal Endoscopy (ESGE) guidelines, only three to patient-associated risk factors have been identified: suspected sphincter of Oddi dysfunction (SOD) (OR 4.09), female gender (OR 2.23), and previous pancreatitis (OR 2.46). Another three procedure-associated factors include cannulation attempt duration > 10 minutes (OR 1.76), more than one pancreatic guidewire passage (OR 2.77, CI: 1.79 – 4.30), and pancreatic injection (OR 2.2, CI: 1.60 – 3.01). Importantly, analyses of cumulative risk due to coexistence of several factors emphasize the importance of female sex, difficult cannulation, CBD diameter <5 mm, young age, and many other factors. Unfortunately, studies performed to date have included only small numbers of patients with several co-existing risk factors. Therefore, further analysis of other risk factors and the cumulative risk related to their co-occurrence is necessary. Based on current evidence, special care must be given to patients with several risk factors. Also, care should be given to proper qualification of patients, use of guidewires, early pre-cut incision, protective Wirsung’s duct stenting, and rectal NSAID administration.

4

Recombinant Human Activated Protein C Administered Twice to The Same Patient with Shock Caused by the Acute Pancreatitis and With Septic Shock As Iatrogenic Complication

100%

Rybicki Z., Truszczyński A., Skibiński M.

Polish Journal of Surgery

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2007

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vol. 79

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issue 1

47-51

EN

We present a case of a patient suffering from severe acute pancreatitis who underwent double treatment with recombinant human activated protein C. The first administration occurred while the patient was in shock secondary to severe acute pancreatitis (not complicated by pancreatic necrosis bacterial contamination). The second administration occurred while the patient was in septic shock secondary to an iatrogenic complication, which developed in convalescent period.

5

Normal levels of serum pancreatic enzymes in patients with progressive familial intrahepatic cholestasis type 2

88%

Walkowiak J., Jankowska I., Lisowska A., Biczysko M., Wierzbicka A., Pawłowska J.

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2010

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vol. 57

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issue 4

573-575

EN

Introduction. High prevalence of elevated serum pancreatic enzymes in children with cholestasis with normal fecal elastase-1 concentrations has been documented. However, this state is related predominantly to biliary atresia. Therefore, we aimed to assess pancreatic damage by measuring serum pancreatic enzymes in patients with progressive familial intrahepatic cholestasis type 2 (PFIC type 2). Materials and methods. Twenty PFIC type 2 patients with normal serum bilirubin and bile acid concentrations were included in the study. Thirty pancreatic insufficient cystic fibrosis (PI-CF) patients, thirty patients with acute pancreatitis (AP) and thirty healthy subjects (HS) served for the purpose of comparison. In all subjects, serum lipase and elastase-1 levels were measured. Results. In all but one PFIC type 2 patients and all HS normal lipase activities were found. Serum elastase-1 concentrations were normal in all PFIC type 2 patients and HS. The enzyme levels were very similar in both groups studied. Lipase activities in PFIC type 2 patients were significantly higher than in PI-CF patients (p < 0.00001) and lower than in patients with AP (p < 0.00001). Serum elastase-1 levels in PFIC type 2 patients were significantly lower than in patients with AP (p < 0.00001) and not different from those in PI-CF patients. In conclusion. serum pancreatic enzymes in patients with PFIC type 2 are normal. No pancreatic damage in these patients could be detected.

6

Serum omentin-1 and chemerin concentrations in pancreatic cancer and chronic pancreatitis

75%

Kiczmer P., Szydło B., Prawdzic Seńkowska A., Jopek J., Wiewióra M., Piecuch J., Ostrowska Z., Świętochowska E.

Folia Medica Cracoviensia

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2018

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vol. 58

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issue 2

7

Chronic and acute pancreatitis elastography – current knowledge

75%

Sepioł A. M., Cebula M. M.

Annales Academiae Medicae Silesiensis

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2023

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issue 77

82-86

EN

This paper is a review of available studies concerning the topic of ultrasound elastography as a modality for diagnosing chronic or acute pancreatitis. Twenty-eight articles published between 2004 and 2022 containing keywords related to elastography and acute and chronic pancreatitis were reviewed using databases and search engines such as PubMed, Scopus, Google Scholar and Web of Science. Acute and chronic pancreatitis increase the stiffness of the pancreatic parenchyma, which can be measured using strain or shear wave elastography. Numerous studies have shown promising results, and it seems that it is possible to use elastography as a routine technique in the diagnosis of chronic or acute pancreatitis. Nevertheless, certain limitations such as age or body weight, should be considered when performing elastography.

PL

Niniejsza praca stanowi przegląd dostępnych badań dotyczących elastografii ultrasonograficznej jako metody diagnostyki przewlekłego lub ostrego zapalenia trzustki. Dokonano przeglądu dwudziestu ośmiu artykułów opublikowanych w latach 2004–2022, zawierających słowa kluczowe związane z elastografią oraz ostrym i przewlekłym zapaleniem trzustki, z wykorzystaniem baz i wyszukiwarek takich jak PubMed, Scopus, Google Scholar i Web of Science. Ostre i przewlekłe zapalenie trzustki powoduje zwiększenie sztywności miąższu trzustki, co można zmierzyć za pomocą elastografii odkształceniowej lub fali poprzecznej. Liczne badania przyniosły obiecujące wyniki i wydaje się, że możliwe jest zastosowanie elastografii jako rutynowej techniki w diagnostyce przewlekłego lub ostrego zapalenia trzustki. Niemniej jednak podczas wykonywania elastografii należy wziąć pod uwagę pewne ograniczenia, takie jak wiek czy masa ciała.

8

Ostre zapalenie trzustki u 15‑letniej dziewczynki

63%

Szałowska D., Bąk-Romaniszyn L.

Pediatria i Medycyna Rodzinna

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2012

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vol. 8

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issue 3

258-262

EN

The acute pancreatitis occurs in children much less often than in adults. Though, it usually has a sudden onset and, at the beginning, it proceeds with intensified pain in the area of the abdomen, thanks to the proper diagnostics and treatment, it seldom leads to permanent damage of the pancreas. The most common causes of pancreatitis, apart from calculosis of the gallbladder and other pathological conditions of bile ducts, are the injuries of the abdomen as well as various infectious factors. Acute biliary pancreatitis in children occurs rather seldom, since calculosis of the biliary ducts is not often observed at this age group. Cholesterolic calculosis of the biliary ducts in children most often concerns obese, adolescent girls. Gall stones, usually, consist of a mixture of cholesterol, bile pigments, calcium as well as inorganic substances. A case of a 15.5‑year‑old girl who was hospitalised in our Clinic is presented below. The girl suffered from the pain in the abdomen. On admission, she was initially diagnosed the acute pancreatitis. The results of the laboratory tests (higher activity of amylase in serum and urine, higher activity of lipase, and increased concentration of transaminase) and the ultrasonography of the abdomen let the doctors definitively diagnose the acute biliary pancreatitis. A strict diet, intravenous irrigation, proton‑pomp inhibitors, administration of painkillers and antibiotics led to the improvement of the general state of the patient and normalization of the laboratory tests results. In the tenth day of hospitalization the planned endoscopic regressive cholangiopancreatography (ERCP) with papillotomy was performed. No deposits in bile ducts were revealed. The girl was recommended the procedure of cholecystectomy, which was carried out in due course without any complications.

PL

Ostre zapalenie trzustki występuje u dzieci znacznie rzadziej niż u dorosłych i choć ma zwykle nagły początek i przebiega początkowo z nasilonymi dolegliwościami bólowymi ze strony jamy brzusznej, to dzięki właściwej diagnostyce i leczeniu rzadko prowadzi do trwałego uszkodzenia trzustki. Do najczęstszych przyczyn ostrego zapalenia trzustki u dzieci, oprócz kamicy pęcherzyka żółciowego i innych patologii dróg żółciowych, należą urazy brzucha (zwłaszcza tzw. rowerowy) i czynniki infekcyjne. Ostre żółciopochodne zapalenie trzustki występuje u dzieci sporadycznie, ponieważ nieczęsto zdarza się w tej grupie wiekowej kamica dróg żółciowych. Cholesterolowa kamica żółciowa u dzieci zazwyczaj dotyczy otyłych, dorastających dziewcząt. Na ogół kamienie żółciowe składają się z mieszaniny cholesterolu, barwników żółciowych, związków wapnia oraz substancji nieorganicznych. Prezentujemy przypadek 15,5‑letniej dziewczynki hospitalizowanej w naszej Klinice z powodu bólów brzucha, u której rozpoznaliśmy ostre zapalenie trzustki. Wyniki badań dodatkowych (podwyższona aktywność amylazy i lipazy w surowicy, amylazy w moczu, transaminaz) i wynik badania ultrasonograficznego jamy brzusznej nasunęły podejrzenie żółciopochodnego ostrego zapalenia trzustki. Stosując dietę ścisłą, nawadnianie pozajelitowe, inhibitory pompy protonowej, leki przeciwbólowe, antybiotykoterapię, uzyskano poprawę stanu ogólnego dziecka i normalizację wyników badań dodatkowych. W dziesiątej dobie hospitalizacji wykonano planowo zabieg endoskopowej cholangiopankreatografii wstecznej (ECPW) z papilotomią, nie wykazano obecności złogów w drogach żółciowych. Dziewczynkę zakwalifikowano do zabiegu cholecystektomii, który odbył się w trybie planowym, bez powikłań.

Refine search results

Pancreatic-pleural fistula presenting as epigastric pain

Large pancreatic pseudocyst penetrating into posterior mediastinum

Risk factors of pancreatitis after endoscopic sphincterotomy. Review of literature and practical remarks based on approximately 10,000 ERCPs

Recombinant Human Activated Protein C Administered Twice to The Same Patient with Shock Caused by the Acute Pancreatitis and With Septic Shock As Iatrogenic Complication

Normal levels of serum pancreatic enzymes in patients with progressive familial intrahepatic cholestasis type 2

Serum omentin-1 and chemerin concentrations in pancreatic cancer and chronic pancreatitis

Chronic and acute pancreatitis elastography – current knowledge

Ostre zapalenie trzustki u 15‑letniej dziewczynki