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Use of a double pigtail ureteral stent for surgical management of obstructive pancreatolithiasis in a feline patient.
JFMS Open Rep
December 2024
Veterinary Surgical Centers, Vienna, VA, USA.
Case Summary: A 7-year-old castrated male domestic shorthair cat was presented for surgical intervention for obstructive pancreatolithiasis. The patient had a history of chronic weight loss, vomiting and lethargy. Elevation of feline pancreas-specific lipase and a marked decrease in cobalamin were documented on blood biochemistry.
View Article and Find Full Text PDFBouveret syndrome managed conservatively with the insertion of a double pigtail stent between the stomach and the gallbladder.
BMJ Case Rep
December 2024
General Surgery, UHB, Birmingham, UK.
A woman in her early 90s presented to the acute surgical take with a 3-day history of worsening reflux, vomiting, epigastric pain and constipation. Subsequent imaging demonstrated two large, impacted gallstones in the pylorus and proximal jejunum secondary to a cholecystoduodenal fistula. A diagnosis of Bouveret syndrome was made, and endoscopic attempts to break down and remove the stones were unsuccessful.
View Article and Find Full Text PDFWhat We Know So Far About ECG for Pancreatic Pseudocysts.
Life (Basel)
November 2024
Department of Digestive Tract Surgery, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medyków 14 St., 40-752 Katowice, Poland.
Article Synopsis
- Endoscopic cysto-gastrostomy (ECG) is the preferred treatment for pancreatic pseudocysts (PPCs), involving a connection between the cyst and the gastrointestinal tract using stents.
- A study analyzed data from 39 patients to compare the effectiveness of double pigtail plastic stents (DPPSs) and lumen-apposing fully covered metal stents (LAMSs) in treating PPCs.
- Results showed that LAMSs were used for larger cysts, had a lower recurrence rate, and while both stent types showed high success and low complication rates, LAMSs had a slightly better outcome overall.
Clinical course for pancreatic necrosis and pancreatic pseudocysts due to severe acute or chronic pancreatitis.
Therap Adv Gastroenterol
November 2024
Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, Department of Internal Medicine I, University Hospital of Tübingen, Tübingen, Germany.
Background: The acute and chronic pancreatitis (CP) can lead to severe complications like walled-off necrosis, large symptomatic pseudocyst or multiorgan failure. The treatment of these complications is multivariate and can differ from conservative, symptomatic treatment or minimal-invasive, endoscopic transgastral stenting to transgastral necrosectomy.
Objectives: This study aims to analyse the clinical course for patients that develop local complications of severe pancreatitis.
Outcomes and Post-removal Course of Lumen-Apposing Metal Stent Placement for Peripancreatic Fluid Collections: A Comparative Study of Pancreatic Pseudocysts and Walled-Off Necrosis.
Cureus
October 2024
Gastroenterology, Chiba University, Chiba, JPN.
Aim: Pancreatic fluid collections (PFCs) are common local complications of pancreatitis that may require interventional therapy. Endoscopic ultrasound (EUS)-guided transluminal drainage from the digestive tract, particularly with lumen-apposing metal stents (LAMS), is the first-line therapy due to its safety and efficacy. However, adverse events and post-removal courses remain uncertain.
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