naa a22 4500 510813682 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12328-013-0428-4 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0428-4 Ductal branch-oriented pancreatic resection for an intraductal papillary mucinous neoplasm in the uncinate process that caused recurrent acute pancreatitis: a case report of successful treatment [Elektronische Daten] [Toshiyuki Natsume, Takashi Maruyama, Akitoshi Kobayashi, Shinichiro Shimizu, Hajime Tanaka, Hiroshi Matsuzaki, Akinari Miyazaki, Takumi Ohta, Yayoi Sato, Yuji Yamamoto, Mizuho Aikawa, Ryota Otsuka, Akitoshi Yanagihara] Acute pancreatitis reportedly occurs in about 15% of cases of branch duct (BD)-intraductal papillary mucinous neoplasms (IPMNs), with two-thirds of BD-IPMNs being located in the head or uncinate process of the pancreas. However, the surgical indications and optimal treatment methods for BD-IPMNs have not been established. A 59-year-old Japanese male with epigastralgia was admitted to our hospital. A multidetector row computed tomography (MDCT) scan disclosed grade I acute pancreatitis. Magnetic resonance cholangiopancreatography disclosed a 1.5-cm BD-IPMN in the uncinate process. Two months after discharge, the epigastralgia recurred, and MDCT again revealed grade I pancreatitis. Due to the repeated episodes of pancreatitis, we performed ductal branch-oriented pancreatic resection. To detect the inferior branch of the Wirsung duct and avoid the development of a pancreatic fistula, we injected indigo carmine into the tumor which confirmed ligation of the inferior branch. Histopathologically, the tumor proved to be an adenoma. The postoperative course was uneventful in both the short- and long-term follow-up and, to date, there has been no recurrence of pancreatitis, or diabetes mellitus during the 6 years since pancreatectomy. This procedure is one of the methods that can be used for the successful resection of a BD-IPMN in the uncinate process that caused recurrent acute pancreatitis. Springer Japan, 2013 Acute pancreatitis nationallicence IPMN nationallicence Uncinate process nationallicence IPMN : Intraductal papillary mucinous neoplasm nationallicence MDCT : Multidetector row computed tomography nationallicence AP : Acute pancreatitis nationallicence PD : Pancreaticoduodenectomy nationallicence Natsume Toshiyuki Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Maruyama Takashi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Kobayashi Akitoshi Department of Internal Medicine, Funabashi Municipal Medical Center, Funabashi, Japan aut Shimizu Shinichiro Department of Pathology, Funabashi Municipal Medical Center, Funabashi, Japan aut Tanaka Hajime Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Matsuzaki Hiroshi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Miyazaki Akinari Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Ohta Takumi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Sato Yayoi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Yamamoto Yuji Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Aikawa Mizuho Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Otsuka Ryota Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Yanagihara Akitoshi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 476-479 1865-7257 6:6<476 2013 6 12328 https://doi.org/10.1007/s12328-013-0428-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0428-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Natsume Toshiyuki Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Maruyama Takashi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Kobayashi Akitoshi Department of Internal Medicine, Funabashi Municipal Medical Center, Funabashi, Japan aut NATIONALLICENCE 700 1- Shimizu Shinichiro Department of Pathology, Funabashi Municipal Medical Center, Funabashi, Japan aut NATIONALLICENCE 700 1- Tanaka Hajime Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Matsuzaki Hiroshi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Miyazaki Akinari Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Ohta Takumi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Sato Yayoi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Yamamoto Yuji Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Aikawa Mizuho Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Otsuka Ryota Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 700 1- Yanagihara Akitoshi Department of Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, 273-8588, Funabashi, Chiba, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 476-479 1865-7257 6:6<476 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer