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Alcoholic severe acute pancreatitis with positive culture of pancreatic juice treated by nasopancreatic drainage
- Source :
- Pancreatology. 14:151-153
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Background Severe acute pancreatitis (SAP) is a serious disease associated with alcoholism and has a high mortality rate. Effective treatments have not been established. Methods A 58-year-old man was admitted due to alcoholic SAP. Endoscopic retrograde cholangiopancreatography revealed pancreatic calculi at the pancreas head and a stricture in the pancreatic duct from the pancreas head to the body. Endoscopically, nasopancreatic drainage (NPD) was placed through the minor papilla to the pancreas tail beyond the stricture. Results Pancreatic juice culture was positive for Streptococcus and Enterobacter. The day after NPD, upper abdominal pain was relieved. After changing NPD to a pancreatic stent, the patient was discharged on day 21 post-NPD. Conclusion Alcoholic SAP may reflect aggravation of chronic pancreatitis. The possibility of acute bacterial inflammation should be considered in all cases of chronic alcoholic pancreatitis who present with severe features of inflammation, even in the early stages of an attack. Treatment of this subset of cases by drainage could be of great importance and NPD may be the preferred method.
- Subjects :
- Male
medicine.medical_specialty
Pancreatitis, Alcoholic
Endocrinology, Diabetes and Metabolism
Inflammation
Gastroenterology
Pancreatic Juice
Streptococcal Infections
Internal medicine
Enterobacter cloacae
medicine
Humans
Cholangiopancreatography, Endoscopic Retrograde
Pancreatic duct
Endoscopic retrograde cholangiopancreatography
Hepatology
medicine.diagnostic_test
business.industry
Mortality rate
Enterobacteriaceae Infections
Middle Aged
medicine.disease
Major duodenal papilla
medicine.anatomical_structure
Acute Disease
Pancreatic juice
Drainage
Acute pancreatitis
Pancreatitis
Stents
medicine.symptom
business
Subjects
Details
- ISSN :
- 14243903
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Pancreatology
- Accession number :
- edsair.doi.dedup.....261cd5629b6154cfc53d667dc1d2496f