Duodenal Loop Obstruction as an Unusual Cause of Acute Pancreatitis: A Case Series.
10.4166/kjg.2016.68.6.326
- Author:
Hyeonmin LEE
1
;
Yonghyeok CHOI
;
Hyewon JEONG
;
Jae Kyu LIM
;
Taeyoung JUNG
;
Joung Ho HAN
;
Seon Mee PARK
Author Information
1. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. smpark@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis, acute;
Duodenal obstruction;
Decompression
- MeSH:
Abdominal Pain;
Decompression;
Dilatation;
Duodenal Obstruction;
Esophageal Neoplasms;
Esophagectomy;
Gastrectomy;
Gastric Bypass;
Gastroenterostomy;
Humans;
Pancreas;
Pancreatic Ducts;
Pancreatitis*;
Recurrence;
Stomach Neoplasms;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2016;68(6):326-330
- CountryRepublic of Korea
- Language:English
-
Abstract:
Duodenal loop obstruction is an unusual cause of acute pancreatitis. Increased intraluminal pressure hinders pancreatic flow, causing dilatation of the pancreatic duct and inducing acute pancreatitis. We experienced three cases of acute pancreatitis that resulted from duodenal loop obstruction after (1) an esophagectomy with gastric pull-up procedure for esophageal cancer, (2) a gastrectomy with Billroth I reconstruction for gastric cancer, and (3) a gastrojejunostomy for abdominal trauma. An abdominal CT scan revealed a distended duodenal loop, dilated pancreatic duct, and inflamed pancreas with fluid collection. Acute pancreatitis with duodenal loop obstruction was diagnosed by abdominal pain, elevated serum amylase/lipase, and abdominal CT findings. Immediate decompression with a nasogastric tube was performed, and all patients showed improvement within one week after admission. Each patient was followed up for more than two years without recurrence. Our findings suggest the usefulness of nasogastric tube decompression as the first line of treatment for acute pancreatitis related to duodenal loop obstruction.
