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Imaging Findings of an Intraluminal Duodenal Diverticulum Associated with Adult Duodeno-Duodenal Intussusception and Recurrent Pancreatitis: A Case Report

Yi GY, Yi GY, Lee JK, Lee JK, Lee H, Lee H, Yi SY, Yi SY, Park S, Park S

Intraluminal duodenal diverticulum (IDD) is a rare congenital abnormality, consisting of a sac-like mucosal lesion in the duodenum. Cases of IDD can present with gastrointestinal bleeding, duodenal obstruction, or pancreatitis....
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Gastroduodenal intussusception of a gastrointestinal stromal tumor: a rare cause of acute pancreatitis

Numpraphrut P, Niltwat S, Parakonthun T, Pausawasdi N

Patients with symptomatic gastrointestinal stromal tumor (GIST) typically present with gastrointestinal bleeding and abdominal pain. This report presents an unusual case of fundic GIST complicated by gastroduodenal intussusception, manifesting as...
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Hypertriglyceridemia with acute pancreatitis in a 14-year-old girl with diabetic ketoacidosis

Park H, Kim MS, Kim J, Lee SM, Cho SY, Yoo EG, Jin DK

Diabetic ketoacidosis (DKA) is a medically fatal condition in poorly controlled hyperglycemia or newly diagnosed diabetes mellitus. Severe hypertriglyceridemia (HTG) is an uncommon complication of DKA and can be associated...
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Pancreatic Panniculitis: A Case Report

Choi YJ, Lee MY, Choi YW, Choi HY, Byun JY

Pancreatic panniculitis is a rare skin complication in which subcutaneous fat necrosis occurs in association with pancreatic disorders, most commonly acute or chronic pancreatitis. Erythematous subcutaneous nodules develop on the...
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Long-term Outcomes of Direct Endoscopic Necrosectomy for Complicated or Symptomatic Walled-Off Necrosis: A Korean Multicenter Study

Kim YS, Cho JH, Cho DH, Park SW, Moon SH, Park JS, Lee YN, Lee SS

Background/Aims: The endoscopic step-up approach is accepted as the preferred treatment for complicated or symptomatic walled-off necrosis (WON). Direct endoscopic necrosectomy (DEN) is an effective therapeutic option, but few reports...
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Concurrent Diabetic Ketoacidosis and Acute Pancreatitis in Mild Hypertriglyceridemia: An Enigmatic Triangle

Cho E, Park CH

Hypertriglyceridemia (HTG) is a well-established cause of acute pancreatitis (AP). Diabetic ketoacidosis (DKA) leads to lipolysis and HTG, and can result in AP. Triad of AP, DKA, and HTG is...
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Prediction of Necrotizing Pancreatitis on Early CT Based on the Revised Atlanta Classification

Song YS, Park HS, Yu MH, Kim YJ, Jung SI

Purpose: To investigate the clinical and CT features at admission to predict the progression to necrotizing pancreatitis (NP) in patients initially diagnosed with interstitial edematous pancreatitis (IEP). Materials and Methods: Patients...
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Obesity and Pancreatobiliary Disease

Lee H, Koh DH

Obesity has become a major medical and public health problem worldwide. Recent studies have shown that obesity is a chronic disease that is associated with many diseases, such as gallstone...
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Practice Patterns and Use of Endoscopic Retrograde Cholangiopancreatography in the Management of Recurrent Acute Pancreatitis

Reichstein JB, Patel V, Mekaroonkamol P, Dacha S, Keilin SA, Cai Q, Willingham FF

Background/Aims: There are conflicting opinions regarding the management of recurrent acute pancreatitis (RAP). While some physicians recommend endoscopic retrograde cholangiopancreatography (ERCP) in this setting, others consider it to be contraindicated...
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Stage 1A Pancreatic Cancer Initially Manifesting as Clinical Acute Pancreatitis

Yoo DR, Kim J, Baek SH, Lee J, Nam SH, Lee SH, Kim MH

Pancreatic cancer has a poor prognosis due to the difficulty of early diagnosis. Observation is recommended for early diagnosis of pancreatic cancer in elderly patients with risk factors such as...
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Acute respiratory distress-syndrome in the general complications of severe acute pancreatitis

Ibadov RA, Arifjanov , Ibragimov , Abdullajanov BR

BACKGROUNDS/AIMS: Improvement of efficiency of treatment of patients with severe acute pancreatitis (SAP), complicated by acute respiratory distress-syndrome (ARDS). METHODS: The retrospective research of 67 SAP patients treated at the ICU...
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Screening of Sera from Patients with Pancreatitis by an Apoptosis Assay of Skin-derived Cells

Seok AE, Son BK, Lee J, Chung KH, Lee YR, Kim D, Cha BH, Kang HG

BACKGROUND/AIMS: An excessive inflammatory response is typical in acute pancreatitis and a significant cause of early mortality in severe acute pancreatitis. This is believed to be caused by inflammatory molecules...
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Refeeding Syndrome as a Possible Cause of Very Early Mortality in Acute Pancreatitis

Jeon TJ, Lee KJ, Woo HS, Kim EJ, Kim YS, Park JY, Cho JH

BACKGROUND/AIMS: Refeeding syndrome (RFS) is a fatal clinical complication that can occur as a result of fluid and electrolyte shifts during early nutritional rehabilitation for malnourished patients. This study was...
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Type 2 Autoimmune Pancreatitis (Idiopathic Duct-Centric Pancreatitis) Highlighting Patients Presenting as Clinical Acute Pancreatitis: A Single-Center Experience

Oh D, Song TJ, Moon SH, Kim JH, Lee JN, Hong SM, Lee JS, Jo SJ, Cho DH, Park DH, Lee SS, Seo DW, Lee SK, Kim MH

BACKGROUND/AIMS: Type 2 autoimmune pancreatitis (AIP) has been considered extremely rare in East Asia. This study aimed to clarify the prevalence, clinical characteristics and radiological findings of type 2 AIP...
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Medical Management of Acute Pancreatitis: Intravenous Fluid, Nutrition and Antimicrobial Therapy

Park CH

Acute pancreatitis is one of the most common diseases of the pancreas. Although the incidence of acute pancreatitis is increasing, the mortality is decreasing. In general, most of fatal cases...
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Evaluation of Recurrent or Idiopathic Pancreatitis

Han J

Recurrent acute pancreatitis (RAP) is defined as two or more true episodes of acute pancreatitis and about 20% of patients with acute pancreatitis experience at least one episode of recurrence....
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An Update on Hypertriglyceridemia-Induced Acute Pancreatitis

Kim HJ

Hypertriglyceridemia a major cause of acute pancreatitis, accounting for up to 10% of all cases. The pathophysiological mechanism of hypertriglyceridemia-induced acute pancreatitis (HTGP) is presumed to involve the hydrolysis of...
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Clinical Practice Guidelines for Acute Pancreatitis

Koh DH

Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines...
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Acute Pancreatitis with Purtscher's-like Retinopathy

Han JS, Nam SE, Jang DK, Lee JK

A 28-year-old man with a history of alcohol abuse was diagnosed with acute pancreatitis based on clinical symptoms, laboratory findings and computed tomography findings. On the second day of hospitalization,...
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Are traditional scoring systems for severity stratification of acute pancreatitis sufficient?

Kiat TT, Gunasekaran SK, Junnarkar , Low JK, Woon W, Shelat VG

BACKGROUNDS/AIMS: Ranson's score (RS) and Glasgow score (GS) have been utilized to stratify the severity of acute pancreatitis (AP). The aim of this study was to validate RS and GS...
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