LONG-TERM FOLLOW-UP OF ENDOSCOPICALLY TREATED THREE PATIENTS WITH PANCREATIC DISEASES

Abstract

We report three cases which have been followed up for three years after endoscopic therapy for pancreatic diseases. Case 1: A 48-year-old man with the history of operation for acute hemorrhagic pancreatitis was referred to our hospital for abdominal pain. Computerized tomography showed a pseudocyst in the pancreatic body. Endoscopic cystogastrostomy and endoprosthesis placement was performed. Case 2 : A 63-year-old woman was referred to our hospital for abdominal pain caused by obstructive pancreatitis accompanying pancreatolithiasis. Endoscopic pancreatic sphincterotomy and removal of pancreatic stone were performed. Case 3 : A 28-year-old woman was referred to our hospital for recurrent attacks of pancreatitis associated with pancreas divisum. Endoscopic stent placement through the minor papilla and papillotomy of the accessory papilla were performed. For up to three-years, case 1 and 2 showed improvement of their clinical symptoms and abnormal laboratory findings on pancreatic diseases. Symptoms were free for about 2 months during stent placement in case 3, but the dorsal pancreatogram showed irregularity and dilatation after stent placement and she experienced recurrent attacks of pancreatitis again.