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Endoscopy 2001; 33(5): 458-461
DOI: 10.1055/s-2001-14267
Clinical Case Conference

© Georg Thieme Verlag Stuttgart · New York

A 39-Year-Old Woman with an Isolated Pancreatic Duct Stricture

J. H. Siegel2 , J. Baillie1
  • 1 Mount Sinai Hospital, New York, USA
  • 2 Dept. of Medicine, Duke University Medical Center, Durham, North Carolina, USA
In this series we ask one or more experts to review a case. They are provided with information on which further management is to be based, and asked to explain their rationale, using the available evidence in the literature. What was actually done in the case is then revealed.
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Publication History

Publication Date:
31 December 2001 (online)

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Moderator’s Introduction

I am very pleased to welcome an old friend, Dr. Jerry Siegel of New York, as this month’s Guest Discussant. Dr. Siegel has been involved in gastrointestinal endoscopy in general, and endoscopic retrograde cholangiopancreatography (ERCP) in particular, since the early days; he is certainly one of the pioneers of modern gastrointestinal endoscopy. Welcome, Dr. Siegel!

I have asked him to review and offer his comments regarding a case we managed some years ago at Duke University Medical Center (DUMC). To protect the identity of the patient, some of the details of her case have been altered, but the overall management issues are unchanged.

References

  • 1 Layer P, Yamamoto H, Kalthoff L, et al. The different courses of early and late onset idiopathic and alcoholic pancreatitis.  Gastroenterology. 1994;  107 1481-1487
    CrossrefPubMedGoogle Scholar
  • 2 Gebhardt G F. Visceral pain mechanisms. In: Chapman CR, Foley KM (eds). Current and emerging issues in cancer pain. New York; Raven Press, 1993: 99-111
    Google Scholar
  • 3 Ros E, Navarro C B, Garcia-Puges A, et al. Occult microlithiasis in idiopathic acute pancreatitis: prevention of relapses by cholecystectomy or ursodeoxycholic acid therapy.  Gastroenterology. 1991;  101 1701-1709
    CrossrefPubMedGoogle Scholar
  • 4 Lee S, Nicholls J, Park H Z. Biliary sludge as a cause of acute pancreatitis.  N Engl J Med. 1992;  326 589-593
    CrossrefPubMedGoogle Scholar
  • 5 Luman W. Influence of cholecystectomy on sphincter motility.  Gut. 1997;  41 371-374
    PubMedGoogle Scholar
  • 6 Desaultis S G. Post-cholecystectomy pain syndrome: pathophysiology of abdominal pain in sphincter of Oddi Type III.  Gastroenterology. 1999;  116 900-905
    PubMedGoogle Scholar
  • 7 Bhutani M S, Hawes R H, Baron P L, et al. Endoscopic ultrasound guided, fine needle aspiration of malignant pancreatic lesions.  Endoscopy. 1997;  29 854-858
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Chang K J. Endoscopic ultrasound-guided fine needle aspiration in the diagnosis and staging of pancreatic tumors.  Gastrointest Endosc Clin N Am. 1995;  5 723-734
    PubMedGoogle Scholar
  • 9 Siegel J H. Endoscopic retrograde cholangiopancreatography: technique, diagnosis, therapy.  New York; Raven Press, 1991
    Google Scholar
  • 10 Siegel J H, Veerapan A. Endoscopic management of pancreatic disorders: potential risks of pancreatic prostheses.  Endoscopy. 1991;  23 177-180
    Article in Thieme ConnectPubMedGoogle Scholar

J. Baillie,M.B., Ch.B., F.R.C.P. 

Department of Medicine
Division of Gastroenterology
Duke University Medical Center

Box 3189, DUMC, Durham
North Carolina 27710, USA


Fax: Fax:+ 1-919-684-4695

Email: E-mail:baill001@mc.duke.edu

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