Journal articles: 'Wirsung'

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Haubrich, William S. "Wirsung of the duct of Wirsung." Gastroenterology 128, no. 3 (March 2005): 551. http://dx.doi.org/10.1053/j.gastro.2005.01.044.

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Kawakubo, Kazumichi, Hiroshi Kawakami, and Naoya Sakamoto. "Duplicated Wirsung duct." Pancreatology 13, no. 1 (January 2013): 98. http://dx.doi.org/10.1016/j.pan.2012.11.303.

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Rajnakova, Andrea, Massimiliano Mutignani, and Guido Costamagna. "Wirsung Duct Duplication." Pancreas 39, no. 2 (March 2010): 266–68. http://dx.doi.org/10.1097/mpa.0b013e3181bb9059.

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Manenti, Antonio, Erica Pavesi, Alberto Farinetti, and Emilio Simonini. "The Wirsung Duct in Acute Pancreatitis." Pancreas 45, no. 5 (2016): e17-e18. http://dx.doi.org/10.1097/mpa.0000000000000583.

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Lukic, S., T. Alempijevic, I. Jovanovic, D. Popovic, M. Krstic, and M. Ugljesic. "Occurrence and risk factor for development of pancreatitis and asymptomatic hyperamilasemia following endoscopic retrograde cholangiopancreatography: Our experiences." Acta chirurgica Iugoslavica 55, no. 1 (2008): 17–24. http://dx.doi.org/10.2298/aci0801017l.

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Introduction: Chronic pancreatitis is defined as chronic inflammatory lesion of pancreatic parenchyma leading to destruction and fibrosis of exocrine pancreas. Endoscopic retrograde cholangiopancreatography (ERCP) is the most sensitive and specific method for detection of morphological alterations in chronic pancreatitis. ERCP is inevitably associated to post-ERCP acute pancreatitis, as well as hyperamilasemia. Study aim: This study aims to determine frequency of post - ERPC pancreatitis and asymptomatic hyperamilasemia. Study methods: We have studied l60 patients who underwent ERCP in Institute of Digestive Diseases, Clinical Centre of Serbia in Belgrade. Data regarding cholecystectomy, papillotomy, peripapillary diverticulosis, Oddi?s sphincter hypertension, choledoch canulation and diameter, Wirsung duct canulation, minor duodenal papilla patency, anomalies of BP junction, as well as chronic pancreatitis has been analysed and correlated with eventual development of post-ERCP pancreatitis and asymptomatic hyperamilasemia. Results: Asymptomatic hyperamilasemia was determined in 51 subjects (31.9%), while pancreatitis has been developed in 5 patients (3.1%) subsequent to ERCP. It has been proofed that Wirsung duct canulation plays significant role in development of post-ERCP complications. Conclusion: Although numerous factors may potentially contribute to development of post-ERCP pancreatitis, none of them, with the exception of Wirsung duct canulation, has been determined to play significant role in development of these complications.

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Veligotsky, N. N., S. E. Arutyunov, I. V. Teslenko, and A. S. Chebotarev. "THE CHOICE OF PANCREATOJEJUNO-ANASTOMOS TECHNIQUE FOR PANCREATO-DUODENAL RESECTION." Kharkiv Surgical School, no. 3 (March 20, 2020): 11–15. http://dx.doi.org/10.37699/2308-7005.3.2020.02.

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Summary. Objective. Development of an algorithm for choosing the method of pancreatojejunoanastomosis in pancreatoduodenal resection, taking into account the degree of change in the pancreatic parenchyma. Materials and methods. Pancreatoduodenal resection was performed on 291 patients with obstructive diseases of the pancreatoduodenal zone. Three options were used for pancreatojejunoanastomos: invagination ductopancreatojejunal — in 210 (72.4 %), invagination pancreatojejunal — in 68 (23.4 %), pancreatojejunal with bandage repair of the crescent ligament of the liver — in 13 (4.4 %) patients. Results. The pancreatic parenchyma was assessed by the following factors: puffiness, infiltration, obesity, degree of pancreatic parenchyma fibrosis, location and diameter of the Wirsung duct. High and low risk factors for the development of pancreatic fistula were identified. Diagnosis of pancreatic fistula was carried out according to the classification of ISGPF (2016). A differentiated approach was applied to the choice of pancreatojejunoanastomosis depending on the degree of changes in the pancreatic parenchyma, the diameter and location of the Wirsung duct. Conclusion. Evaluation of the degree of pancreatic parenchyma changes, the diameter and location of the Wirsung duct allows you to choose the optimal technique for pancreatojejunoanastomosis in pancreatoduodenal resection. The use of a differentiated approach to the choice of pancreatojejunoanastomosis technique for pancreatoduodenal resection, taking into account the degree of change in the pancreatic parenchyma, can reduce the incidence of PF (type B, C).

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Warshaw, Andrew L., John Berry, and David L. Gang. "Villous adenoma of the duct of wirsung." Digestive Diseases and Sciences 32, no. 11 (November 1987): 1311–13. http://dx.doi.org/10.1007/bf01296382.

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Flati, Giancarlo, and Åke Andrén-Sandberg. "Wirsung and Santorini: The men behind the ducts." Pancreatology 2, no. 1 (January 2002): 4–11. http://dx.doi.org/10.1159/000049441.

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Di Benedetto, Fabrizio, Giuseppe D'Amico, Roberto Ballarin, Giuseppe Tarantino, Nicola Cautero, Anna Pecchi, and Giorgio Enrico Gerunda. "Meso-Pancreatectomy: New Surgical Technique for Wirsung Reconstruction." Journal of the American College of Surgeons 214, no. 2 (February 2012): e1-e4. http://dx.doi.org/10.1016/j.jamcollsurg.2011.10.019.

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Kish, Kathleen, and Ursula Ritzenhoff. "On Translating «huevos asados»: Clues from Christof Wirsung." Celestinesca 5, no. 2 (January 8, 2021): 19. http://dx.doi.org/10.7203/celestinesca.5.19536.

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Fuertes, Montiel Jiménez, and David Costa Navarro. "Managing Pancreatic Trauma: The Importance of Suspicion." Panamerican Journal of Trauma, Critical Care & Emergency Surgery 1, no. 2 (2012): 131–36. http://dx.doi.org/10.5005/jp-journals-10030-1029.

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ABSTRACT Purpose Traumatic injuries to the pancreas are rare and only represent 4% of all abdominal injuries after trauma. These injuries are associated with a significant increase in morbidity and mortality. Their early diagnosis is essential, since lack of treatment results in serious complications that endanger the patient's life. We present three cases of pancreatic trauma with delayed diagnosis, established only after serious complications, and a revision of the current diagnosis and management of pancreatic trauma. Materials and methods Case 1: A 49-year-old woman who, 2 months after a fall, presents with severe pancreatitis and diffuse peritonitis. Patient was diagnosed with complete transection of the Wirsung duct. Case 2: A 29-year-old woman who consults about abdominal pain 6 months after a difficult birth. Patient was diagnosed with complete transection of the Wirsung duct and giant pancreatic pseudocyst with acute hemorrhage. Case 3: A 30-year-old woman who consults about abdominal pain 2 months after falling from her bicycle. Patient was diagnosed with complete transection of the Wirsung duct and pancreatic pseudocyst with acute bleeding Results Distal pancreatectomy with splenectomy was performed in the first and third cases, while in the second case, it was possible to preserve the spleen with satisfactory recovery in all three cases. Conclusion Complications after pancreatic trauma are frequent. Many contributing factors exist, including not only management but also diagnosis of the pancreatic injury. A high index of suspicion is the most important factor in reaching a diagnosis. How to cite this article Fuertes MJ, Navarro DC. Managing Pancreatic Trauma: The Importance of Suspicion. Panam J Trauma Critical Care Emerg Surg 2012;1(2):131-136.

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Aussilhou, B., R. Cherif, S. Dokmak, and A. Sauvanet. "Derivazione chirurgica del dotto di Wirsung nella pancreatite cronica." EMC - Tecniche Chirurgiche Addominale 22, no. 3 (September 2016): 1–14. http://dx.doi.org/10.1016/s1283-0798(16)79393-4.

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de Gennes, C., O. Bousquet, C. Marie, JL Dumont, and T. Bienvenu. "Lithiases du Wirsung et azoospermie : pensez à la mucoviscidose." La Revue de Médecine Interne 19 (January 1998): 523–24. http://dx.doi.org/10.1016/s0248-8663(98)90315-0.

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14

Urman, J., D. Ruiz-Clavijo, C. Prieto, M. Casi, and J. J. Vila. "EUS-guided wirsung-gastrostomy: Outcomes and long-term management." Pancreatology 15, no. 3 (June 2015): e13. http://dx.doi.org/10.1016/j.pan.2015.05.036.

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15

Manenti, Antonio, Alberto Farinetti, Emilio Simonini, and Serena Calderoni. "The Wirsung Duct in Acute Pancreatitis: Its Morphoclinical Relevance." Journal of the American College of Surgeons 220, no. 2 (February 2015): 254. http://dx.doi.org/10.1016/j.jamcollsurg.2014.10.013.

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Ishenin, Y. M., R. A. Valeev, R. N. Fakhrutdinov, and D. I. Kiselev. "Surgical treatment of chronic calculous pancreatitis." Kazan medical journal 80, no. 3 (April 2, 1999): 222–23. http://dx.doi.org/10.17816/kazmj66729.

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Most often, patients with chronic pancreatitis (CP) are treated conservatively, but in some forms of CP associated with impaired outflow of pancreatic juice, surgical treatment is the method of choice. One of the indications for surgical treatment is virsungolithiasis, in particular, impacted stones of the Wirsung duct. With such a pathology, they resort to internal drainage operations (pancreatojejunostomy according to Duval or Puestau), virsungoplasty or endoscopic removal of stones.

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Barat, Maxime, Rauda Aldhaheri, Anthony Dohan, David Fuks, Alice Kedra, Christine Hoeffel, Ammar Oudjit, et al. "Utility of CT to Differentiate Pancreatic Parenchymal Metastasis from Pancreatic Ductal Adenocarcinoma." Cancers 13, no. 13 (June 22, 2021): 3103. http://dx.doi.org/10.3390/cancers13133103.

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Purpose: To report the computed tomography (CT) features of pancreatic parenchymal metastasis (PPM) and identify CT features that may help discriminate between PPM and pancreatic ductal adenocarcinoma (PDAC). Materials and methods: Thirty-four patients (24 men, 12 women; mean age, 63.3 ± 10.2 [SD] years) with CT and histopathologically proven PPM were analyzed by two independent readers and compared to 34 patients with PDAC. Diagnosis performances of each variable for the diagnosis of PPM against PDAC were calculated. Univariable and multivariable analyses were performed. A nomogram was developed to diagnose PPM against PDAC. Results: PPM mostly presented as single (34/34; 100%), enhancing (34/34; 100%), solid (27/34; 79%) pancreatic lesion without visible associated lymph nodes (24/34; 71%) and no Wirsung duct enlargement (29/34; 85%). At multivariable analysis, well-defined margins (OR, 6.64; 95% CI: 1.47–29.93; p = 0.014), maximal enhancement during arterial phase (OR, 6.15; 95% CI: 1.13–33.51; p = 0.036), no vessel involvement (OR, 7.19; 95% CI: 1.512–34.14) and no Wirsung duct dilatation (OR, 10.63; 95% CI: 2.27–49.91) were independently associated with PPM. The nomogram yielded an AUC of 0.92 (95% CI: 0.85–0.98) for the diagnosis of PPM vs. PDAC. Conclusion: CT findings may help discriminate between PPM and PDAC.

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Sauvanet, A. "Dérivation chirurgicale du canal de Wirsung dans la pancréatite chronique." EMC - Techniques chirurgicales - Appareil digestif 1, no. 1 (January 2006): 1–11. http://dx.doi.org/10.1016/s0246-0424(05)38393-2.

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Sauvanet, A. "Derivación quirúrgica del conducto de Wirsung en la pancreatitis crónica." EMC - Técnicas Quirúrgicas - Aparato Digestivo 21, no. 4 (January 2005): 1–12. http://dx.doi.org/10.1016/s1282-9129(05)44974-0.

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Aussilhou, B., R. Cherif, S. Dokmak, and A. Sauvanet. "Derivación quirúrgica del conducto de Wirsung en la pancreatitis crónica." EMC - Técnicas Quirúrgicas - Aparato Digestivo 32, no. 3 (August 2016): 1–15. http://dx.doi.org/10.1016/s1282-9129(16)79453-0.

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Lévy, Philippe. "Wirsung : un nom propre avant d’être un nom presque commun !" Gastroentérologie Clinique et Biologique 29, no. 2 (March 2005): 214–16. http://dx.doi.org/10.1016/s0399-8320(05)80747-x.

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Sauvanet, A. "Dérivation chirurgicale du canal de Wirsung dans la pancréatite chronique." EMC - Chirurgie 2, no. 4 (August 2005): 410–24. http://dx.doi.org/10.1016/j.emcchi.2005.07.003.

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23

PONTES, LETÍCIA, MARIA COSTA, FERNANDO PRESA, JULIANNA AROUCA, ANA URUGUAY, ANA NOVAES, IZADORA SOUZA, et al. "CISTOADENOMA SEROSO DE PÂNCREAS COM COMPRESSÃO DE DUCTO DE WIRSUNG." Arquivos Brasileiros de Cirurgia Digestiva Express 28, Supl.5 (November 11, 2017): 448. http://dx.doi.org/10.28952/s2359-2737.2017.02.0448.

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Jiménez Romero, Carlos, Laura Alonso Murillo, Paula Rioja Conde, Alberto Marcacuzco Quinto, Óscar Caso Maestro, Anisa Nutu, Isabel Pérez Moreiras, and Iago Justo Alonso. "Pancreaticoduodenectomy and external Wirsung stenting: Our outcomes in 80 cases." Cirugía Española (English Edition) 99, no. 6 (June 2021): 440–49. http://dx.doi.org/10.1016/j.cireng.2021.05.011.

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Gioviale, M. C., G. Damiano, G. Montalto, G. Buscemi, M. Romano, and A. I. Lo Monte. "Isolation and Culture of β-Like Cells From Porcine Wirsung Duct." Transplantation Proceedings 41, no. 4 (May 2009): 1363–66. http://dx.doi.org/10.1016/j.transproceed.2009.02.062.

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Łaski, Dariusz, Stanisław Hać, Iwona Marek, Jarosław Kobiela, Justyna Kostro, Krystian Adrych, and Zbigniew Śledziński. "Cost-effectiveness of benign Wirsung duct strictures treatment in chronic pancreatitis." Videosurgery and Other Miniinvasive Techniques 13, no. 1 (2018): 17–26. http://dx.doi.org/10.5114/wiitm.2018.72578.

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Laski, Dariusz, Iwona Marek, Stanislaw Hac, Justyna Kostro, Krystian Adrych, and Zbigniew Sledzinski. "Balance in treatment strategy for chronic pancreatitis with isolated Wirsung stricture." Pancreatology 15, no. 3 (June 2015): S105. http://dx.doi.org/10.1016/j.pan.2015.05.379.

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Amenábar, Jesús M. "Editorial acerca de “Fístula pancreática posduodenopancreatectomía. Pancreatogastrostomía vs. pancreatoyeyunostomía”." Revista Argentina de Cirugía 111, no. 2 (June 1, 2019): 57–60. http://dx.doi.org/10.25132/raac.v111.n2.edame.esin.

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Pancreatic fistula is the most dreaded complication after pancreaticoduodenectomy due to its morbidity and mortality. Multiple procedures to reduce the incidence of this complication have been described: a- Systematic inhibition of pancreatic enzyme secretion using octapeptide in the postoperative period; bUse of biological fibrin-based adhesive to cover and reinforce the anastomosis; c- Use of omentum flap to wrap the pancreatic anastomosis with the jejunum; dAnastomosis with Wirsung duct stenting; e- Telescopic anastomosis; f- Duct-to-mucosa anastomosis (the most commonly used technique today); g- Use of magnification, etc

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Bizzoca, Cinzia, Salvatore Fedele, Anna Stella Lippolis, Fabrizio Aquilino, Marco Castellana, Maria Raffaella Basile, Giuseppe Lucarelli, and Leonardo Vincenti. "Modified Technique for Wirsung-Pancreatogastric Anastomosis after Pancreatoduodenectomy: A Single Center Experience and Systematic Review of the Literature." Journal of Clinical Medicine 10, no. 14 (July 11, 2021): 3064. http://dx.doi.org/10.3390/jcm10143064.

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Background: The mortality rate following pancreaticoduodenectomy (PD) has been decreasing over the past few years; nonetheless, the morbidity rate remains elevated. The most common complications after PD are post-operative pancreatic fistula (POPF) and delayed gastric emptying (DGE) syndrome. The issue as to which is the best reconstruction method for the treatment of the pancreatic remnant after PD is still a matter of debate. The aim of this study was to retrospectively analyze the morbidity rate in 100 consecutive PD reconstructed with Wirsung-Pancreato-Gastro-Anastomosis (WPGA), performed by a single surgeon applying a personal modification of the pancreatic reconstruction technique. Methods: During an 8-year period (May 2012 to March 2020), 100 consecutive patients underwent PD reconstructed with WPGA. The series included 57 males and 43 females (M/F 1.32), with a mean age of 68 (range 41–86) years. The 90-day morbidity and mortality were retrospectively analyzed. Additionally, a systematic review was conducted, comparing our technique with the existing literature on the topic. Results: We observed eight cases of clinically relevant POPF (8%), three cases of “primary” DGE (3%) and four patients suffering “secondary” DGE. The surgical morbidity and mortality rate were 26% and 6%, respectively. The median hospital stay was 13.6 days. The systematic review of the literature confirmed the originality of our modified technique for Wirsung-Pancreato-Gastro-Anastomosis. Conclusions: Our modified double-layer WPGA is associated with a very low incidence of POPF and DGE. Also, the technique avoids the risk of acute hemorrhage of the pancreatic parenchyma.

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Bassi, Claudio, and Giuseppe Malleo. "The unsolved mystery of Johann Georg Wirsung and of (his?) pancreatic duct." Surgery 149, no. 1 (January 2011): 153–55. http://dx.doi.org/10.1016/j.surg.2010.07.049.

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Abu-Hamda, Emad M., and Todd H. Baron. "Cystic dilatation of the intraduodenal portion of the duct of Wirsung (Wirsungocele)." Gastrointestinal Endoscopy 59, no. 6 (May 2004): 745–47. http://dx.doi.org/10.1016/s0016-5107(04)00292-5.

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Kelemen, Dezső. "Surgery or invasive endoscopy for the treatment of chronic pancreatitis?" Orvosi Hetilap 150, no. 7 (February 1, 2009): 313–16. http://dx.doi.org/10.1556/oh.2009.28485.

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A krónikus pancreatitis elsődlegesen belgyógyászati betegség. Az esetek egy részében azonban a konzervatív kezelés nem szünteti meg a panaszokat, és valamilyen intervencióra van szükség. Ennek lehetőségeit vizsgálja a közlemény. Műtéti indikáció az erős fájdalom, a pseudocysta, a környező képletek kompressziója miatti tünetek és a tumorgyanú. Az invazív endoszkópia is teret nyert a krónikus pancreatitis terápiájában, elsőként választandó eljárásként jön szóba bizonyos esetekben, mint például pseudocysta esetében, továbbá rossz általános állapotú betegeknél az epe- és a pancreasvezeték szűkületének megoldására, valamint részleges Wirsung-vezeték-rupturánál. A nyitott kérdések megválaszolásához azonban további tanulmányok szükségesek. Összefoglalva megállapítható, hogy mind a műtéti, mind az endoszkópos kezelésnek létjogosultsága van a krónikus pancreatitis terápiájában, a megfelelő kritériumok alapján.

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Saguar García, Amaranta. "Las ilustraciones de las traducciones alemanas de Celestina: Hans Weiditz y la Tragicomedia de Calisto y Melibea." Celestinesca 41 (January 16, 2021): 139. http://dx.doi.org/10.7203/celestinesca.41.20209.

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Estudio sobre los posibles modelos del artista Hans Weiditz a la hora de grabar los tacos xilográficos para la impresión de la primera traducción de Celestina al alemán, publicada en Augsburgo en diciembre de 1520 por Sigismund Grimm y Max Wirsung. Tras una detallada comparación de las xilografías de la edición alemana con las de las ediciones españolas e italianas ilustradas aparecidas antes de dicha fecha, se concluye que el grabador necesariamente tuvo que conocer las estampas de la edición de la Comedia de Burgos y, al menos, también las de las ediciones de la Tragicomedia herederas de la primera ilustrada de Jacobo Cromberger.

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Prete, Francesco Paolo, Giovanna Di Meo, Patrizia Liguori, Angela Gurrado, Giuseppe Massimiliano De Luca, Vincenzo De Leo, Mario Testini, and Fernando Prete. "Modified “Blumgart-Type” Suture for Wirsung-Pancreaticogastrostomy: Technique and Results of a Pilot Study." European Surgical Research 62, no. 2 (2021): 105–14. http://dx.doi.org/10.1159/000515987.

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Introduction: Postoperative pancreatic fistula (POPF) represents the principal determinant of morbidity and mortality after pancreaticoduodenectomy. Since 1994 we have been performing pancreaticogastrostomy with duct-to-mucosa anastomosis (Wirsung-pancreaticogastric anastomosis [WPGA]), but postoperative morbidity, although limited, was still a concern. An original pancreas-transfixing suture technique, named “Blumgart’s anastomosis” (BA), has shown efficacy at reducing fistula rates from pancreaticojejunostomy. Few cohort studies have shown that WPGA with pancreas-transfixing stitches may help reduce the rate of POPF. We designed a novel “Blumgart-type” modification of WPGA (B-WPGA) aiming at harnessing the full potential of the Blumgart design. Methods: A prospective development study was designed around the application of B-WPGA after pancreaticoduodenectomy for primary periampullary tumors. It focused on describing the early iterations of this technique and on assessing the rate of POPF and delayed post-pancreatectomy hemorrhage (DPH) (primary outcomes), along with other perioperative outcomes. Technically, after mobilizing the pancreatic remnant for a few centimeters, the Wirsung duct is cannulated. A lozenge of seromuscular layer is excised from the posterior gastric wall, matching the shape and size of the pancreas’s cut surface. Two to four transparenchymal pancreatic-to-gastric submucosa U stitches with 4/0 Gore-Tex are positioned cranially and caudally to the Wirsung duct, respectively, mounted on soft clamps, and tied onto the gastric serosa only after duct-to-mucosa anastomosis. Postoperative follow-up was standardized by protocol and included a pancreatic enzyme check on the drain output. Results: From February 2018 to June 2019, in 15 continuous cases, B-WPGA was performed after pancreaticoduodenectomy. Indications for pancreaticoduodenectomy were mainly ampulla of Vater and pancreatic head adenocarcinomas. There was no operative mortality and no pancreatic anastomosis-related morbidity. Two events (13%) of transiently elevated amylase in the drain fluid, not matching the definition of POPF, were identified in patients with a soft pancreas on postoperative day 2. No DPHs were recorded after a minimum follow-up of 18.6 months. Discussion/Conclusion: The principles of BA may be safely applied to the WPGA model. B-WPGA allows (1) gentle compression and closure of the small secondary ducts in the pancreatic remnant; (2) partial invagination of the pancreatic body in the gastric wall, with the pancreatic cut surface protected by the gastric submucosa; and (3) prevention of parenchymal fractures, as the pancreaticogastric stitches are tied onto the gastric serosa. Despite the limited number of cases in this study, the absence of mortality and anastomosis-related complications supports further reproduction of this technical variant. Larger studies are necessary to determine its efficacy.

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La Guardia, Giuseppe, Antonio Frena, and Gian Pietro Marzoli. "Pancreatic Head Resection with Wirsung Duct Occlusion: Complications of the Residual Pancreatic Stump." Digestive Surgery 14, no. 3 (1997): 187–91. http://dx.doi.org/10.1159/000172539.

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Mutignani, Massimiliano, Edoardo Forti, Francesco Pugliese, Alberto Tringali, Marcello Cintolo, Giulia Bonato, and Lorenzo Dioscoridi. "Triple stenting to treat a complete Wirsung-to-jejunum anastomotic leak after pancreaticoduodenectomy." Endoscopy 50, no. 02 (December 5, 2017): E50—E51. http://dx.doi.org/10.1055/s-0043-122595.

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Mutignani, M., S. K. Shah, A. G. Morganti, V. Perri, G. Macchia, and G. Costamagna. "Treatment of Unresectable Pancreatic Carcinoma by Intraluminal Brachytherapy in the Duct of Wirsung." Endoscopy 34, no. 7 (July 2002): 555–59. http://dx.doi.org/10.1055/s-2002-33214.

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Bresler, L., G. Gay, P. Boissel, and J. Grosdidier. "Villous adenomatosis of duct of wirsung revealed by wirsungorragie: Evolution and surgical management." Digestive Diseases and Sciences 37, no. 3 (March 1992): 470–73. http://dx.doi.org/10.1007/bf01307745.

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Igaz, Péter, and Zsolt Tulassay. "Autoimmune pancreatitis." Orvosi Hetilap 149, no. 19 (May 1, 2008): 873–76. http://dx.doi.org/10.1556/oh.2008.28319.

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Az autoimmun pancreatitis a krónikus pancreatitis ritka oka. Klinikai jelentősége mégsem lebecsülendő, mivel részben a rosszindulatú hasnyálmirigyráktól történő elkülönítése nehézséget okozhat, részben pedig az idült pancreatitisek többségétől eltérően jól kezelhető, szteroidkezelésre teljes regressziója is előfordulhat. Klinikai képe nem jellegzetes, az elzáródásos sárgaság, hasi fájdalom, fogyás gyakori. A képalkotó vizsgálatok jellemzően a pancreas diffúz megnagyobbodását és a Wirsung-vezeték egyenetlen szűkületét mutatják. Autoimmun pancreatitisben szenvedőkben az IgG4-immunglobulin növekedett szérumkoncentrációját, autoantitesteket és IgG4-pozitív immunsejtek jelenlétét mutatták ki más szövettani jellegzetességek mellett. A hasnyálmirigy érintettsége mellett egyéb szervek is megbetegedhetnek, így pl. sclerotisáló cholangitisszel, sialoadenitisszel, retroperitonealis fibrosissal, Riedel-strumával és gyulladásos bélbetegségekkel való társulását is leírták. Mindezek alapján az autoimmun pancreatitis rendszerbetegségnek tartható, szisztémás IgG4-asszociált sclerotisáló kórkép egyik megjelenési formájaként.

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40

Cecka, Filip, Bohumil Jon, and Milan Kaška. "Was the Wirsung duct discovery facilitated by intemperate alcohol consumption in 17th century Italy?" Pancreatology 13, no. 3 (May 2013): S42. http://dx.doi.org/10.1016/j.pan.2013.04.141.

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Aurello, Paolo, Massimo Milione, Mario Dente, Francesco D'Angelo, Giuseppe Nigri, Massimo Del Gaudio, Stefano Valabrega, and Giovanni Ramacciato. "Synchronous Carcinosarcoma of the Intrapancreatic Bile Duct and Carcinoma in Situ of Wirsung Duct." Pancreas 36, no. 1 (January 2008): 95–97. http://dx.doi.org/10.1097/mpa.0b013e31813e64b5.

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Masoero, G., A. Bianco, A. Rossanino, S. Colaferro, M. Marchetto, and R. Cavaliere. "Ultrasonic Monitoring of Wirsung Duct Following Secretin in Controls and in Chronic Pancreatitis Patients." Pancreas 2, no. 3 (May 1987): 344–49. http://dx.doi.org/10.1097/00006676-198705000-00015.

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Rabbani, K., Y. Narjis, H. Fouad, Z. Semlani, A. Diffaa, T. Abouelhassan, M. A. Samkaoui, et al. "Pancréatite aiguë secondaire à une compression extrinsèque du wirsung par un kyste hydatique rétropéritonéale." Journal Africain d'Hépato-Gastroentérologie 4, no. 4 (September 7, 2010): 257–59. http://dx.doi.org/10.1007/s12157-010-0198-2.

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Barykov, V. N., A. G. Istomin, R. R. Abdrashitov, and A. S. Ryzhikh. "Short-and long-term results of distal pancreatectomy." Perm Medical Journal 36, no. 2 (June 23, 2019): 6–13. http://dx.doi.org/10.17816/pmj3626-13.

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Aim. To assess the results of distal pancreatectomy for malignant and benign tumors and chronic pancreatitis complications. Materials and methods. Forty-seven patients, who underwent distal pancreatectomy, were under observation during the period from 01.01.2008 to 28.02.2019. Results. The long-term results of surgical treatment demonstrated the following complications: pancreatic fistulas – 15 % of observations, pancreatogenic diabetes mellitus – 12.7 %, subphrenic abscesses – 10 %. In the long-term period after the surgery – from 10 years and not less than one year – 30 patients were followed up, constituting 63.8 % of the total number. Conclusions. To prevent complications in the form of pancreatic fistula with pathological Wirsung duct dilatation more than 4–5 mm in diameter, it is necessary to form anastomosis between the pancreatic stump and the small bowel.

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SIEBENMANN, GUSTAV. ""Die Celestina-Uebersetzungen von Christof Wirsung", ed. Kathleen V. Kish y Ursula Ritzenhoff (Book Review)." Bulletin of Hispanic Studies 64, no. 2 (April 1987): 148. http://dx.doi.org/10.3828/bhs.64.2.148c.

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Hellmann, Andrzej Rafal, Salvatore Paiella, Justyna Kostro, Iwona Marek, Krystian Adrych, Zbigniew Śledziński, Stanisław Hać, and Claudio Bassi. "Surgical decompression of Wirsung duct reduces serum concentration of SPINK1 in patients with chronic pancreatitis." Pancreatology 18, no. 3 (April 2018): 275–79. http://dx.doi.org/10.1016/j.pan.2018.03.001.

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Montemaggi, P., O. Smaniotto, A. G. Morganti, G. Costamagna, V. Valentine, M. Mutignani, S. Luzi, P. Ziccarelli, M. A. Gambacorta, and N. Cellini. "112Treatment of unresectable pancreatic carcinoma by intraluminal brachytherapy in the Wirsung duct: A feasibility study." Radiotherapy and Oncology 47 (May 1998): S28. http://dx.doi.org/10.1016/s0167-8140(98)80117-5.

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Sugiyama, Masanori, Yumi Izumisato, Nobutsugu Abe, Tadahiko Masaki, Toshiyuki Mori, and Yutaka Atomi. "Pancreatic carcinoma that completely obstructs the Wirsung duct without dilatation of the main pancreatic duct." Journal of Gastroenterology and Hepatology 21, no. 7 (February 6, 2006): 1154–56. http://dx.doi.org/10.1111/j.1440-1746.2006.04315_21_7.x.

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Justo, I., O. Caso, A. Marcacuzco, L. Alonso, A. Manrique, A. Nutu, M. Garcia-Conde, A. Garcia-Sesma, F. Cambra, and C. Jimenez-Romero. "External Wirsung-drainage plus redo pancreatico-jejunostomy as treatment for pancreatico-jejunostomy stenosis after pancreaticoduodenectomy." HPB 20 (September 2018): S649. http://dx.doi.org/10.1016/j.hpb.2018.06.2263.

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Desurmont, P., B. Carnaille, P. Bulois, S. Boury, and V. Maunoury. "Drainage endoscopique préopératoire du Wirsung pour la prévention d’une fistule pancréatique après énucléation d’un insulinome." Acta Endoscopica 41, no. 1 (December 9, 2010): 15–16. http://dx.doi.org/10.1007/s10190-010-0121-4.

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Journal articles on the topic 'Wirsung'

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