Asitin Nadir Bir Nedeni Pankreatik Asit; Endoskopik Transpapiller Stent İle Başarılı Tedavisi

Öz

Pankreatik asit nadir bir asit nedenidir. Genellikle kronik pankreatitin bir komplikasyonu, pankreatik travma veya cerrahi sırasında pankreatik kanallarda hasarlanma sonucu oluşur. Pankreatik asit tedavisi ile ilgili literatürde olgu sunumları mevcuttur ve farklı yaklaşımlar bildirilmiştir. Pankreatik asitin tedavisinde başlıca önerilen yöntemler konservatif tedavi, transpapiller stent yerleştirilmesi ve cerrahidir. Bu bildiride Pankreatik asiti olan ve endoskopik transpapiller stent yerleştirilmesi ile başarılı bir şekilde tedavi edilen bir olgu sunduk.

Anahtar Kelimeler

• Asit
• Endoskopik retrograd kolanjiyopankreatografi
• Pankreatik asit
• Pankreatit

A Rare Cause Of Ascites, Pancreatic Ascites, And Successful Treatment With Endoscopic Transpapillary Stenting

Öz

Pancreatic ascites is one of the rare cause of ascites. It usually occurs due to a complication of chronic pancreatitis, pancreatic trauma, or damage to the ducts during surgical procedures. There are case reports in the literature about the treatment of pancreatic ascites and different approaches have been reported. The main recommended methods of treatment for pancreatic ascites are conservative management, transpapillary stenting, and surgery. In this report, we describe a case with pancreatic ascites that treated successfully with endoscopic transpapillary stenting.

Anahtar Kelimeler

• Ascites
• Endoscopic retrograde cholangiopancreatography
• Pancreatic ascites
• Pancreatitis

Kaynakça

1. REFERENCES 1. Runyon BA. Care of patients with ascites. N Eng J Med. 1994: 330-7. 2. Richard AK. Management of Pancreatic Ascites. Gastroenterol Hepatol. 2007;3: 362-4. 3. Fernández-Cruz L, Margarona E, Llovera J, Saenz H. Pancreatic ascites. Hepatogastroenterology. 1993; 40: 150-4. 4. Gómez-Cerezo J, Barbado Cano A, Suárez I, Soto A, Ríos JJ, Vázquez JJ. Pancreatic ascites: study of therapeutic options by analysis of case reports and case series between the years 1975 and 2000. Am J Gastroenterol. 2003; 98: 568–77. 5. Larsen M, Kozarek R. Management of pancreatic ductal leaks and fistulae. J Gastroenterol Hepatol. 2014;29: 1360-70. doi: 10.1111/jgh.12574. 6. Bracher GA, Manocha AP, DeBanto JR, Gates LK, Slivka A, D, David C et al. Endoscopic pancreatic duct stenting to treat pancreatic ascites. Gastrointest Endosc. 1999;49: 710-5. 7. Shaikh ZF, Kulsundar G, Shrivastava MS et al. Pancreatic ascites in the setting of portal hypertension. BMJ Case Reports. 2011;10.1136/bcr.08.2010.3271 8. Karlapudi S, Hinohara T, Clements J. Therapeutic challenges of pancreatic ascites and the role of endoscopic pancreatic stenting. BMJ Case Rep. 2014:bcr2014204774. 9. Doğancı T, Kansu A, Girgin N, Yücesan S, Çakmak M, Tahan F. Kronik Pankreatit ve Pankreatik Asit. Turkiye Klinikleri J Pediatr. 1998;7(3):138-41.