title: [Disconnected panreatic duct syndrome].
abstract: Disconnected pancreatic duct syndrome (DPDS) is characterized by disruption of the main pancreatic duct with a loss of continuity between the pancreatic duct and the gastrointestinal tract caused by ductal necrosis after severe acute necrotizing pancreatitis treated medically, by percutaneous drainage, or necrosectomy. There are no clear epidemiological data on the real incidence of DPDS; approximately 10 to 30% of patients with severe acute pancreatitis could develop DPDS. The existing literature is scarce, the terminology is confusing and therapeutic algorithms are not clearly defined. Both endoscopic and surgical management have been described. We have performed a sytematic review of the literature on DPDS.
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara, España. Electronic address: jose_ramia@hotmail.com.
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Ramia
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Bellvitge, Barcelona, España.
authors.forename: Joan
authors.initials: J
authors.lastname: Fabregat
authors.affiliation: Servicio de Gastroenterología, Hospital Río Hortega, Valladolid, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Pérez-Miranda
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Josep Trueta, Gerona, España.
authors.forename: Joan
authors.initials: J
authors.lastname: Figueras
mesh_terms: D000013:Congenital Abnormalities / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities*; D013577:Syndrome
keywords: Cirugía; Disconnected pancreatic duct syndrome; Pancreas; Pancreatitis; Páncreas; Review; Revisión; Surgery; Síndrome del ducto desconectado