内镜诊治胰肠吻合术后复发性急性胰腺炎1例  

Endoscopic diagnosis and treatment of recurrent acute pancreatitis after pancreaticojejunostomy:A case report

作　　者：陈佳琦 陆磊 章宵晨 张筱凤 Jia-Qi Chen;Lei Lu;Xiao-Chen Zhang;Xiao-Feng Zhang(Fourth Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang Province,China;Department of Gastroenterology,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province,Hangzhou Institute of Digestive Diseases,Zhejiang Provincial Key Laboratory of Clinical Oncology Toxicology and Pharmacology,Hangzhou 310006,Zhejiang Province,China)

机构地区：[1]浙江中医药大学第四临床医学院,浙江省杭州市310053 [2]西湖大学医学院附属杭州市第一人民医院,浙江省中西医结合胆胰疾病重点实验室,杭州市消化疾病研究所,浙江省临床肿瘤毒理药理重点实验室,浙江省杭州市310006

出　　处：《世界华人消化杂志》2024年第10期782-786,共5页World Chinese Journal of Digestology

基　　金：浙江省“尖兵”“领雁”研发攻关计划项目,No.2023C03054.

摘　　要：背景胰管支架内引流是预防胰肠吻合术后胰瘘的重要环节,几乎没有案例报道胰肠吻合术后出现反复发作的急性胰腺炎,同时目前对于支架更换或拔除的时间并没有相关研究支持.病例简介我们报告1例胰肠吻合术中置入的胰管支架未能按预期脱落,导致患者反复发作急性胰腺炎的病例.该病例经内窥镜逆行胰胆管造影拔除堵塞的胰管支架,随访1年中未见腹痛及急性胰腺炎发作.结论提供了对胰肠吻合术后患者的支架复查和治疗方面的经验,以期为临床实践提供参考.BACKGROUND Drainage through pancreatic duct stenting is a crucial step in preventing postoperative pancreatic fistula after pancreaticoduodenectomy.There are virtually no reported cases of recurrent acute pancreatitis following pancreaticoduodenectomy,and there is currently no supporting research on the timing for stent replacement or removal.CASE SUMMARY We report a patient in whom a pancreatic duct stent placed during pancreaticoduodenectomy failed to detach as expected,resulting in recurrent episodes of acute pancreatitis.The patient underwent endoscopic retrograde cholangiopancreatography to remove the obstructing pancreatic duct stent,and no abdominal pain or acute pancreatitis episodes were observed during the one-year follow-up.CONCLUSION This case highlights the importance of regular follow-up and appropriate management of pancreatic duct stents in patients undergoing pancreaticoduodenectomy.Our findings provide valuable insights for the clinical management of such cases.

关 键 词：胰十二指肠切除术 胰管支架 胰管扩张 内镜下胆胰管逆行造影 

分 类 号：R576[医药卫生—消化系统]