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Current status of the diagnosis of chronic pancreatitis by ultrasonographic elastography

Nakaoka K, Hashimoto S, Miyahara R, Kawashima H, Ohno E, Ishikawa T, Kuwahara T, Tanaka H, Hirooka Y

Chronic pancreatitis (CP) is pathologically characterized by the loss of exocrine pancreatic parenchyma, irregular fibrosis, cellular infiltration, and ductal abnormalities. Diagnosing CP objectively is difficult because standard diagnostic criteria are...
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Incidence and Significance of Biliary Stricture in Chronic Pancreatitis Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Obstructing Pancreatic Duct Stones

Hyun JJ, Irani SS, Ross AS, Larsen MC, Gluck M, Kozarek RA

Background/Aims: This study assessed the significance of biliary stricture in symptomatic chronic pancreatitis patients requiring extracorporeal shock wave lithotripsy (ESWL) and endoscopic retrograde cholangiopancreatography (ERCP) to remove obstructing pancreatic calculi. Methods:...
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Usefulness of endoscopic pancreatography without contrast agents and efficacy of transpapillary intervention for pancreatic duct rupture in chronic pancreatitis: Our study of 321 cases in 11 years

Desai PN, Patel CN, Kabrawala MV, Nandwani SK, Mehta RM, Prajapati RM, Patel NB, Parekh KK, Sheth ND

Background: To assess the usefulness of endoscopic pancreatography without contrast agents and efficacy of transpapillary intervention for pancreatic duct (PD) rupture in chronic pancreatitis. Methods: We retrospectively analyzed all cases of...
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Bile duct preserving pancreatic head resection (BDPPHR): Can we conclusively define the extent of head resection in surgery for chronic pancreatitis?

Balaji Nitesh PN, Pottakkat B

The role of surgical management for chronic pancreatitis in providing pain relief and improving quality of life is significant. Surgical techniques involving pancreatic head resection scored more over the drainage...
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Modified Puestow Procedure for Chronic Pancreatitis in a Child Due to Annular Pancreas and Duodenal Duplication: A Case Report

Alatas FS, Masumoto K, Matsuura T, Pudjiadi AH, Taguchi T

An 18-year-old woman with annular pancreas and duodenal duplication presented with recurrent acute pancreatitis and underwent a resection of duodenal duplication. However, the patient experienced recurrent abdominal pain after resection....
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Assessment of functional outcome of patients undergoing surgery for chronic pancreatitis: A prospective study

Nitesh PNB, Reddy VV, Gavini SK, Vaikkakara S, Chandrahasan C, Rao MB, Varun D

Backgrounds/Aims: This study was done with the aim of assessing impact of surgery for chronic pancreatitis on exocrine and endocrine functions, quality of life and pain relief of patients. Methods:...
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The efficacy of 18F-FDG PET/CT in the preoperative evaluation of pancreatic lesions

Akcam AT, Teke Z, Saritas AG, Ulku A, Guney IB, Rencuzogullari A

Purpose: Since the treatment strategy for benign and malignant pancreatic lesions differ, we aimed to evaluate the clinical value of PET/CT in the diagnosis and management of pancreatic lesions. Methods: Ninety...
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Frey’s plus versus Frey’s procedure for chronic pancreatitis: Analysis of postoperative outcomes and quality of life

Gopalakrishnan G, Kalayarasan R, Gnanasekaran S, Pottakkat B

Backgrounds/Aims: Additional surgical procedures are often required in patients with chronic pancreatitis (CP) related complications. The present study aims to analyze the type of additional procedures required in patients who...
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Laparoscopic pancreatic neck transection and double pancreatico-jejunostomy, an alternative surgical approach to chronic pancreatitis

Cruz CJ, Kang I, Lee WJ, Kang CM

Chronic pancreatitis is a benign inflammatory process that results symptoms pertaining to loss of endocrine and exocrine function. Pain poses a great challenge in the management of CP and intractable...
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Management Algorithm of Pancreatic Calculi

Jang DK, Lee JK

Pancreatic calculi associated with chronic pancreatitis lead to severe abdominal pain, which significantly reduces the quality of life of patients. Pancreatic calculi, especially those that obstruct the main pancreatic duct...
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A Case of 47-Years-Old Female with Obstructive Jaundice and Weight Loss

Park PG, Kang H, Chung MJ, Park JY, Bang S, Park SW, Song SY, Lee HS

Serine protease inhibitor Kazal-type 1 (SPINK1) is a gene expressed from pancreatic acinar cell which its mutation is known to be associated with chronic pancreatitis (CP) and pancreatic cancer. We...
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Recurrent Pancreatitis Caused by Afferent Loop Syndrome with Pathologic Features of Type II Autoimmune Pancreatitis

Lee SH, Kim MH, Kim HI, Back JY, Park YE, Hong SM, Kim HJ

Afferent loop syndrome (ALS) is a rare cause of recurrent pancreatitis. Recurrent pancreatitis in association with ALS can develop due to impaired outflow of pancreatic juice or reflux of enteric...
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Docosahexaenoic Acid Inhibits Expression of Fibrotic Mediators in Mice With Chronic Pancreatitis

Lee S, Jeong YK, Lim JW, Kim H

BACKGROUND: Chronic pancreatitis (CP) is an irreversible progressive disease that destroys exocrine parenchyma, which are replaced by fibrous tissue. As pancreatic fibrosis is a key feature of CP, reducing fibrotic...
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Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

Kim HS, Lee JH, Park JS, Yoon DS

PURPOSE: Chronic pancreatitis (CP) is progressive inflammatory disease that leads to irreversible destruction of the pancreatic parenchyma. The main indications for surgical intervention in cases involving CP are intractable pain,...
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Endoscopic Management of Pancreaticopleural Fistula in a Child with Hereditary Pancreatitis

Lee D, Lee EJ, Kim JW, Moon JS, Kim YT, Ko JS

Pancreaticopleural fistula (PPF) a fistulous connection between the pancreas and pleural space due to prolonged chronic pancreatitis (CP). PPF is a very rare complication which presents in 0.4% of chronic...
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Laparoscopic Longitudinal Pancreaticojejunostomy for Chronic Obstructive Pancreatitis

Chong EH, Lee JW, Choi SH

PURPOSE: Longitudinal pancreaticojejunostomy is a treatment option for selected patients with chronic obstructive pancreatitis that is rarely performed laparoscopically. METHODS: A 54-year-old man presented with chronic postprandial abdominal pain. A computed...
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Predictors of Malignancies in Patients with Inconclusive or Negative Results of Endoscopic Ultrasound-guided Fine-needle Aspiration for Solid Pancreatic Masses

Jeong H, Park CS, Kim KB, Han JH, Yoon SM, Chae HB, Youn SJ, Park SM

BACKGROUND/AIMS: This study analyzed the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for pancreatic solid masses in patients with or without chronic pancreatitis as well as the clinical...
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Groove Pancreatitis Masquerading as Pancreatic Carcinoma—Detected on 18F-FDG PET/CT

Parihar AS, Mittal BR, Vadi SK, Sood A, Kumar R, Dutta U

Groove pancreatitis is a rare form of chronic pancreatitis that affects the groove area adjacent to the second part of the duodenum. Clinical and biochemical features often overlap with other...
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Surgery for intractable pain in a patient with chronic pancreatitis complicated with biliary obstruction, portal vein stenosis and mesenteric venous collaterals

Kayaalp C, Dogan MS, Ersan V

Pancreatic head resection for chronic pancreatitis is a challenging procedure, in the presence of venous collaterals, cavernous transformation, extensive fibrosis or porto-mesenteric stenosis or thrombosis. We present a surgically treated...
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Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP

Hsing LC, Kim J, Kim HI, Park JC, Han J, Jun JH, Kim MH

Symptomatic pancreatic ductal stones can be removed nonsurgically by endoscopic retrograde cholangiopancreatography (ERCP), either alone or in combination with extracorporeal shock-wave lithotripsy (ESWL). Here, we report a case of successful...
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