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Endoscopic management of pancreatic duct injury by endoscopic stent placement: a case report and literature review

Overview of attention for article published in World Journal of Emergency Surgery, July 2012
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Title
Endoscopic management of pancreatic duct injury by endoscopic stent placement: a case report and literature review
Published in
World Journal of Emergency Surgery, July 2012
DOI 10.1186/1749-7922-7-21
Pubmed ID
Authors

Yasuhiro Ito, Takeshi Kenmochi, Tomoyuki Irino, Tomohisa Egawa, Shinobu Hayashi, Atsushi Nagashima, Nao Hiroe, Mitsuhide Kitano, Yuko Kitagawa

Abstract

Recently, the diagnostic evaluation of pancreatic injury has improved dramatically. On the other hand, it is occasionally difficult to diagnose pancreatic injury, because there are no specific signs, symptoms, or laboratory findings. Radiological imaging also often fails to identify pancreatic injury in the acute phase. Delayed diagnosis results in significant morbidity and mortality. Most cases of pancreatic injury with suspicion or pancreatic duct disruption require surgery. Endoscopic retrograde cholangiopancreatography is one of the most accurate modalities for ductal evaluation and therapy and might enable one to avoid unnecessary surgery. We describe endoscopic management of pancreatic duct injury by endoscopic stent placement. A 45-year-old woman was admitted after a traffic accident. A computed tomography scan showed pancreatic parenchyma disruption at the pancreatic head. Endoscopic retrograde cholangiopancreatography demonstrated disruption of the pancreatic duct with extravasation into the peripancreatic fluid collection. A 5-French endoscopic nasopancreatic drainage (ENPD) tube was placed. Her symptoms dramatically improved. ENPD tube was exchanged for a 5-French 5-cm pancreatic stent. Subsequent follow-up CT revealed remarkable improvement. On the 26th day, the patient was discharged from the hospital without symptoms or complications. In this report, a pancreatic stent may lead to rapid clinical improvement and enable surgery to be avoided. On the other hand, the reported complications of long-term follow-up make the role of stenting uncertain. Thus, close attention should be paid to stenting management in the follow-up period. A pancreatic stent is useful for pancreatic ductal injury. If pancreatic ductal injury is managed appropriately, a pancreatic stent may improve the clinical condition, and also prevent unnecessary surgery.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 4%
Unknown 23 96%

Demographic breakdown

Readers by professional status Count As %
Other 5 21%
Student > Postgraduate 3 13%
Researcher 3 13%
Student > Ph. D. Student 3 13%
Student > Master 2 8%
Other 3 13%
Unknown 5 21%
Readers by discipline Count As %
Medicine and Dentistry 12 50%
Agricultural and Biological Sciences 4 17%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Social Sciences 1 4%
Unspecified 1 4%
Other 0 0%
Unknown 5 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2012.
All research outputs
#20,657,128
of 25,374,917 outputs
Outputs from World Journal of Emergency Surgery
#464
of 606 outputs
Outputs of similar age
#139,440
of 177,928 outputs
Outputs of similar age from World Journal of Emergency Surgery
#8
of 15 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 606 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one is in the 10th percentile – i.e., 10% of its peers scored the same or lower than it.
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We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.