Pancreatic Disorders & Therapy
Open Access

Norman Oneil Machado

Publications

• Review Article
  Disconnected Duct Syndrome: A Bridge to Nowhere
  Author(s): Norman Oneil Machado Norman Oneil Machado
  
  Disconnected duct syndrome (DDS) is defined by a complete discontinuity of the pancreatic duct, such that the secretions of pancreas distal to the discontinuity fails to drain into the duodenum. It usually follows acute necrostising pancreatitis. This duct disruption occurs predominately in the pancreatic neck region, which represents a watershed area that is vulnerable to perfusion abnormalities. Failure of the disconnected duct to drain its secretions leads to serious complications including fistula, peripancreatic collections, sepsis, pancreatic ascites and chronic disability inlcuding diabetes mellitus, malabsorption and portal hypertension. How do we manage DDS and mend this bridge to nowhere. This article reviews the etiology, presentation, investigation, management options and complications of this syndrome. .. View More»
  DOI: 10.4172/2165-7092.1000153

  Abstract PDF

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