Öz
Kronik
pankreatitte ağrı palyasyonu amacı ile pankreatik kanala stent yerleştirilmesi
uygulanan bir yöntemdir. Özellikle dilate pankreatik kanalı ve taşı bulunan
hastalarda yeterli drenajı sağlamak amacı ile takılmak istenen stentlerde
migrasyon veya kırılma nadirde olsa rastlanılabilen durumlardır. Bu gibi
durumlarda endoskopik tedavi yöntemleri ilk planda kullanılmakla beraber başarısızlık
durumlarında ciddi sorunlar ile karşılaşılabilinmektedir. Biz burada ağrı palyasyonu amacı ile
pankreatik kanala taktığımız ve lümen içerisinde kırılmış olan stentin balon
kateter ile çıkartıldığı bir vakayı sunduk
Anahtar Kelimeler
Kaynakça
- 1- Layer P, Yamamoto H, Kalthoff L, et al. The different courses of early- and late-onset idiopathic and alcoholic chronic pancreatitis. Gastroenterology 1994; 107: 1481.
- 2- Clark E. Pancreatitis in acute and chronic alcoholism. Am J Dig Dis 1942; 9: 428.
- 3- Rösch T, Daniel S, Scholz M, et al. Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with long-term follow-up. Endoscopy 2002; 34: 765.
- 4- Ahmed Ali U, Pahlplatz JM, Nealon WH, et al. Endoscopic or surgical intervention for painful obstructive chronic pancreatitis. Cochrane Database Syst Rev 2012; 1.
- 5- Cahen DL, Gouma DJ, Nio Y, et al. Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med 2007; 356: 676-84.
- 6- Díte P, Ruzicka M, Zboril V, et al. A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancreatitis. Endoscopy 2003; 35: 553-58.
- 7- Tringali A, Boskoski I, Costamagna G. The role of endoscopy in the therapy of chronic pancreatitis. Best Pract Res Clin Gastroenterol 2008; 22: 145-65.
- 8- Conwell DL: Motion-pancreatic endoscopy is useful for the pain of chronic pancreatitis: Arguments against the motion. Can J Gastroenterol 2003; 17: 61–63.
- 9- Chahal P, Baron TH, Petersen BT, et al. Pancreatic stent prophylaxis of post endoscopic retrograde cholangiopancreatography pancreatitis: spontaneous migration rates and clinical outcomes. Minerva Gastroenterol Dietol 2007; 53: 225-30.
- 10- Gong B, Sun B, Hao LX, et al. Usefulness of an algorithm for endoscopic retrieval of proximally migrated 5Fr and 7Fr pancreatic stents. Hepatobiliary Pancreat Dis Int 2011; 10: 196-200.
Öz
Pancreatic
duct stent placement is a procedure which is performed in chronic pancreatitis
in order to palliation of pain. In patients with dilate pancreatic ducts and
stones, migrations or fractures of the stents may rarely ocur. In such cases
endoscopic methods can be used as first plan treatment. However, in case of
failure serious problems can be confront.
Here,
we presented a case in which stent was inserted into pancreatic canal. The
stent was broken in the lumen and then removed with a balloon catheter.
Anahtar Kelimeler
Kaynakça
- 1- Layer P, Yamamoto H, Kalthoff L, et al. The different courses of early- and late-onset idiopathic and alcoholic chronic pancreatitis. Gastroenterology 1994; 107: 1481.
- 2- Clark E. Pancreatitis in acute and chronic alcoholism. Am J Dig Dis 1942; 9: 428.
- 3- Rösch T, Daniel S, Scholz M, et al. Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with long-term follow-up. Endoscopy 2002; 34: 765.
- 4- Ahmed Ali U, Pahlplatz JM, Nealon WH, et al. Endoscopic or surgical intervention for painful obstructive chronic pancreatitis. Cochrane Database Syst Rev 2012; 1.
- 5- Cahen DL, Gouma DJ, Nio Y, et al. Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med 2007; 356: 676-84.
- 6- Díte P, Ruzicka M, Zboril V, et al. A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancreatitis. Endoscopy 2003; 35: 553-58.
- 7- Tringali A, Boskoski I, Costamagna G. The role of endoscopy in the therapy of chronic pancreatitis. Best Pract Res Clin Gastroenterol 2008; 22: 145-65.
- 8- Conwell DL: Motion-pancreatic endoscopy is useful for the pain of chronic pancreatitis: Arguments against the motion. Can J Gastroenterol 2003; 17: 61–63.
- 9- Chahal P, Baron TH, Petersen BT, et al. Pancreatic stent prophylaxis of post endoscopic retrograde cholangiopancreatography pancreatitis: spontaneous migration rates and clinical outcomes. Minerva Gastroenterol Dietol 2007; 53: 225-30.
- 10- Gong B, Sun B, Hao LX, et al. Usefulness of an algorithm for endoscopic retrieval of proximally migrated 5Fr and 7Fr pancreatic stents. Hepatobiliary Pancreat Dis Int 2011; 10: 196-200.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Vaka sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mart 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 11 Sayı: 1 |
e-ISSN: 2548-0251
The content of this site is intended for health care professionals. All the published articles are distributed under the terms of
Creative Commons Attribution Licence,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.