ArticleInternational journal of pancreatology : official journal of the International Association of Pancreatology2001
Biliary complications of pancreatic necrosis.
Article in International journal of pancreatology : official journal of the International Association of Pancreatology, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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2 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Combined totally mini-invasive approach in necrotizing pancreatitis: a case report and systematic literature review.World journal of emergency surgery : WJES · 2017Pooled it
- Pancreatic choledochal fistula complicating acute pancreatitis.The American journal of case reports · 2012Article
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3 authors at 1 institution in 1 country.
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Abstract
backgroundInvolvement of the biliary tract in pancreatic necrosis is rare. The authors are presenting six patients with this unusual complication.
methodsRetrospective analysis of a case series.
resultsThe necrotic process involved the bile duct in four patients (bile duct alone in two and bile duct with duodenum in two) and the gall bladder in two patients. It was not possible to make a preoperative diagnosis of biliary tract involvement in any of these patients. The lesions in the biliary tract were caused by the direct erosion by the necrotic tissue in five patients, and in one patient with gangrene of the gall bladder, it was a "remote" complication of the necrotizing process. All patients underwent surgery. Necrosectomy and cholecystectomy were performed in patients with gall bladder lesions, and proximal biliary drainage was the method of choice in patients with erosion of the bile duct. One patient died postoperatively. During follow-up, another patient who had bile-duct involvement developed a stricture in the damaged part of the bile duct and needed hepaticojejunostomy
conclusionsNecrotizing pancreatitis can involve the biliary tract, both by direct extension and by its secondary effects. Although cholecystectomy is the treatment of choice in the presence of gallbladder involvement, proximal biliary diversion may be indicated in patients with erosion of the bile duct.
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