Treatment of severe acute pancreatitis via endoscopic pancreatic stenting and nasopancreatic drainage: Case reports

Wang,Zuozheng; Wang,Qi; Song,Jianjun; Yao,Weijie; Lei,Peng; Tang,Chaofeng; Yuan,Peng; Leng,Junzhi

doi:10.3892/etm.2018.6958

Treatment of severe acute pancreatitis via endoscopic pancreatic stenting and nasopancreatic drainage: Case reports

Authors:
- Zuozheng Wang
- Qi Wang
- Jianjun Song
- Weijie Yao
- Peng Lei
- Chaofeng Tang
- Peng Yuan
- Junzhi Leng
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Affiliations: Department of Hepatobiliary Surgery, The General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, P.R. China
Published online on: November 12, 2018 https://doi.org/10.3892/etm.2018.6958
Pages: 432-436

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Abstract

Severe acute pancreatitis (SAP) is associated with high mortality. SAP is generally treated by conservative management at the early phase, and removal of the pancreatic and peripancreatic necrotic tissue at the late phase. However, studies have suggested that the surgical treatment of SAP should focus on pressure reduction and drainage. In this case report, 3 SAP patients of 44, 30 and 60 years of age were treated at the General Hospital of Ningxia Medical University. They underwent emergency endoscopic pancreatic stenting at the early phase and nasopancreatic drainage at the late phase when peripancreatic encapsulated effusion was observed. All patients were successfully treated and discharged from the hospital. The disease duration of the patients was 71, 58, and 88 days, respectively. Our cases suggested that the surgical strategy of endoscopic pancreatic stenting at the early phase and nasopancreatic drainage at the late phase is promising for the treatment of SAP.

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