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Grade 4 Pancreas or Pancreatic Duct Stricture or Stenosis, CTCAE

MedGen UID:
286586
•Concept ID:
C1559420
•
Finding
Synonym: CTCAE Grade 4 Pancreas/pancreatic duct stricture/stenosis (including anastomotic)

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVGrade 4 Pancreas or Pancreatic Duct Stricture or Stenosis, CTCAE

Professional guidelines

PubMed

AGA Clinical Practice Update on the Endoscopic Approach to Recurrent Acute and Chronic Pancreatitis: Expert Review.
Strand DS, Law RJ, Yang D, Elmunzer BJ
Gastroenterology 2022 Oct;163(4):1107-1114. Epub 2022 Aug 22 doi: 10.1053/j.gastro.2022.07.079. PMID: 36008176
The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection.
Asbun HJ, Moekotte AL, Vissers FL, Kunzler F, Cipriani F, Alseidi A, D'Angelica MI, Balduzzi A, Bassi C, Björnsson B, Boggi U, Callery MP, Del Chiaro M, Coimbra FJ, Conrad C, Cook A, Coppola A, Dervenis C, Dokmak S, Edil BH, Edwin B, Giulianotti PC, Han HS, Hansen PD, van der Heijde N, van Hilst J, Hester CA, Hogg ME, Jarufe N, Jeyarajah DR, Keck T, Kim SC, Khatkov IE, Kokudo N, Kooby DA, Korrel M, de Leon FJ, Lluis N, Lof S, Machado MA, Demartines N, Martinie JB, Merchant NB, Molenaar IQ, Moravek C, Mou YP, Nakamura M, Nealon WH, Palanivelu C, Pessaux P, Pitt HA, Polanco PM, Primrose JN, Rawashdeh A, Sanford DE, Senthilnathan P, Shrikhande SV, Stauffer JA, Takaori K, Talamonti MS, Tang CN, Vollmer CM, Wakabayashi G, Walsh RM, Wang SE, Zinner MJ, Wolfgang CL, Zureikat AH, Zwart MJ, Conlon KC, Kendrick ML, Zeh HJ, Hilal MA, Besselink MG; International Study Group on Minimally Invasive Pancreas Surgery (I-MIPS)
Ann Surg 2020 Jan;271(1):1-14. doi: 10.1097/SLA.0000000000003590. PMID: 31567509
Diagnosis and Management of Chronic Pancreatitis: A Review.
Singh VK, Yadav D, Garg PK
JAMA 2019 Dec 24;322(24):2422-2434. doi: 10.1001/jama.2019.19411. PMID: 31860051

Recent clinical studies

Etiology

Systematic review and meta-analysis of MRI features for differentiating autoimmune pancreatitis from pancreatic adenocarcinoma.
Yoon SB, Jeon TY, Moon SH, Lee SM, Kim MH
Eur Radiol 2022 Oct;32(10):6691-6701. Epub 2022 Apr 29 doi: 10.1007/s00330-022-08816-1. PMID: 35486167
Current advances in the management of chronic pancreatitis.
Mann R, Boregowda U, Vyas N, Gajendran M, Umapathy CP, Sayana H, Echavarria J, Patel S, Saligram S
Dis Mon 2021 Dec;67(12):101225. Epub 2021 Jun 24 doi: 10.1016/j.disamonth.2021.101225. PMID: 34176572
Management of delayed stenosis of pancreatico-enteric anastomosis following pancreatoduodenectomy.
Vanbrugghe C, Campanile M, Caamaño A, Pol B
J Visc Surg 2019 Feb;156(1):30-36. Epub 2018 Aug 14 doi: 10.1016/j.jviscsurg.2018.07.009. PMID: 30119964
Pancreatic duct stenosis: Differential diagnosis between malignant and benign conditions at secretin-enhanced MRCP.
Boninsegna E, Manfredi R, Negrelli R, Avesani G, Mehrabi S, Pozzi Mucelli R
Clin Imaging 2017 Jan-Feb;41:137-143. Epub 2016 Oct 29 doi: 10.1016/j.clinimag.2016.10.020. PMID: 27840266
New developments in diagnosis and non-surgical treatment of chronic pancreatitis.
Inui K, Yoshino J, Miyoshi H, Yamamoto S, Kobayashi T
J Gastroenterol Hepatol 2013 Dec;28 Suppl 4:108-12. doi: 10.1111/jgh.12250. PMID: 24251715

Diagnosis

Endoscopic approach in the diagnosis of high-grade pancreatic intraepithelial neoplasia.
Hanada K, Shimizu A, Kurihara K, Ikeda M, Yamamoto T, Okuda Y, Tazuma S
Dig Endosc 2022 Jul;34(5):927-937. Epub 2022 Feb 14 doi: 10.1111/den.14240. PMID: 35165942
Current advances in the management of chronic pancreatitis.
Mann R, Boregowda U, Vyas N, Gajendran M, Umapathy CP, Sayana H, Echavarria J, Patel S, Saligram S
Dis Mon 2021 Dec;67(12):101225. Epub 2021 Jun 24 doi: 10.1016/j.disamonth.2021.101225. PMID: 34176572
Practical Management of Indeterminate Biliary Strictures.
Novikov A, Kowalski TE, Loren DE
Gastrointest Endosc Clin N Am 2019 Apr;29(2):205-214. Epub 2019 Feb 2 doi: 10.1016/j.giec.2018.12.003. PMID: 30846149
Endoscopic retrograde cholangiopancreatography.
Moon JH, Choi HJ, Lee YN
Endoscopy 2014 Sep;46(9):775-8. Epub 2014 Aug 18 doi: 10.1055/s-0034-1377506. PMID: 25133479
Pancreatic trauma.
Lahiri R, Bhattacharya S
Ann R Coll Surg Engl 2013 May;95(4):241-5. doi: 10.1308/003588413X13629960045913. PMID: 23676806Free PMC Article

Therapy

A Multi-Institutional Phase 2 Trial of Ablative 5-Fraction Stereotactic Magnetic Resonance-Guided On-Table Adaptive Radiation Therapy for Borderline Resectable and Locally Advanced Pancreatic Cancer.
Parikh PJ, Lee P, Low DA, Kim J, Mittauer KE, Bassetti MF, Glide-Hurst CK, Raldow AC, Yang Y, Portelance L, Padgett KR, Zaki B, Zhang R, Kim H, Henke LE, Price AT, Mancias JD, Williams CL, Ng J, Pennell R, Pfeffer MR, Levin D, Mueller AC, Mooney KE, Kelly P, Shah AP, Boldrini L, Placidi L, Fuss M, Chuong MD
Int J Radiat Oncol Biol Phys 2023 Nov 15;117(4):799-808. Epub 2023 May 19 doi: 10.1016/j.ijrobp.2023.05.023. PMID: 37210048
The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis.
Udd M, Kylänpää L, Kokkola A
Scand J Surg 2020 Mar;109(1):69-78. doi: 10.1177/1457496920910009. PMID: 32192421
Endoscopic retrograde cholangiopancreatography.
Moon JH, Choi HJ, Lee YN
Endoscopy 2014 Sep;46(9):775-8. Epub 2014 Aug 18 doi: 10.1055/s-0034-1377506. PMID: 25133479
Pancreatic stents.
Deviere J
Gastrointest Endosc Clin N Am 2011 Jul;21(3):499-510, ix. doi: 10.1016/j.giec.2011.04.011. PMID: 21684467
Benign pancreatic duct strictures: medical and endoscopic therapy.
Geenen JE
Can J Gastroenterol 2000 Feb;14(2):127-9. doi: 10.1155/2000/801379. PMID: 10694285

Prognosis

Distal pancreatectomy.
Vojtko M, Cmarkova K, Pindura M, Palkoci B, Kycina R, Nosakova L, Vojtko M, Banovcin P, Miklusica J
Bratisl Lek Listy 2024;125(4):239-243. doi: 10.4149/BLL_2024_36. PMID: 38526860
Endoscopic approach in the diagnosis of high-grade pancreatic intraepithelial neoplasia.
Hanada K, Shimizu A, Kurihara K, Ikeda M, Yamamoto T, Okuda Y, Tazuma S
Dig Endosc 2022 Jul;34(5):927-937. Epub 2022 Feb 14 doi: 10.1111/den.14240. PMID: 35165942
Incidence and Outcomes of COVID-19 in People With CKD: A Systematic Review and Meta-analysis.
Chung EYM, Palmer SC, Natale P, Krishnan A, Cooper TE, Saglimbene VM, Ruospo M, Au E, Jayanti S, Liang A, Jie Deng DJ, Chui J, Higgins GY, Tong A, Wong G, Teixeira-Pinto A, Hodson EM, Craig JC, Strippoli GFM
Am J Kidney Dis 2021 Dec;78(6):804-815. Epub 2021 Aug 5 doi: 10.1053/j.ajkd.2021.07.003. PMID: 34364906Free PMC Article
Endoscopic management of chronic pancreatitis.
Nabi Z, Lakhtakia S
Dig Endosc 2021 Nov;33(7):1059-1072. Epub 2021 Apr 2 doi: 10.1111/den.13968. PMID: 33687105
Pancreatic trauma.
Lahiri R, Bhattacharya S
Ann R Coll Surg Engl 2013 May;95(4):241-5. doi: 10.1308/003588413X13629960045913. PMID: 23676806Free PMC Article

Clinical prediction guides

Pancreaticoduodenectomy After Liver Transplantation: A Single-Center Experience.
Blake C, Almerey T, Hyman D, Nguyen J, Stauffer JA
World J Surg 2023 Apr;47(4):1018-1022. Epub 2023 Jan 13 doi: 10.1007/s00268-022-06887-1. PMID: 36637476
Hepatobiliary and Pancreatic Adverse Events.
Zhang HC, Wang LS, Miller E
Adv Exp Med Biol 2021;1342:339-355. doi: 10.1007/978-3-030-79308-1_13. PMID: 34972973
AGA Clinical Practice Update on Endoscopic Management of Perforations in Gastrointestinal Tract: Expert Review.
Lee JH, Kedia P, Stavropoulos SN, Carr-Locke D
Clin Gastroenterol Hepatol 2021 Nov;19(11):2252-2261.e2. Epub 2021 Jul 2 doi: 10.1016/j.cgh.2021.06.045. PMID: 34224876
Endoscopic management of chronic pancreatitis.
Nabi Z, Lakhtakia S
Dig Endosc 2021 Nov;33(7):1059-1072. Epub 2021 Apr 2 doi: 10.1111/den.13968. PMID: 33687105
Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018.
Dumonceau JM, Delhaye M, Tringali A, Arvanitakis M, Sanchez-Yague A, Vaysse T, Aithal GP, Anderloni A, Bruno M, Cantú P, Devière J, Domínguez-Muñoz JE, Lekkerkerker S, Poley JW, Ramchandani M, Reddy N, van Hooft JE
Endoscopy 2019 Feb;51(2):179-193. Epub 2019 Jan 17 doi: 10.1055/a-0822-0832. PMID: 30654394

Recent systematic reviews

Systematic review and meta-analysis of MRI features for differentiating autoimmune pancreatitis from pancreatic adenocarcinoma.
Yoon SB, Jeon TY, Moon SH, Lee SM, Kim MH
Eur Radiol 2022 Oct;32(10):6691-6701. Epub 2022 Apr 29 doi: 10.1007/s00330-022-08816-1. PMID: 35486167
Robotic central pancreatectomy: a systematic review and meta-analysis.
Rompianesi G, Montalti R, Giglio MC, Caruso E, Ceresa CD, Troisi RI
HPB (Oxford) 2022 Feb;24(2):143-151. Epub 2021 Sep 24 doi: 10.1016/j.hpb.2021.09.014. PMID: 34625342
Incidence and Outcomes of COVID-19 in People With CKD: A Systematic Review and Meta-analysis.
Chung EYM, Palmer SC, Natale P, Krishnan A, Cooper TE, Saglimbene VM, Ruospo M, Au E, Jayanti S, Liang A, Jie Deng DJ, Chui J, Higgins GY, Tong A, Wong G, Teixeira-Pinto A, Hodson EM, Craig JC, Strippoli GFM
Am J Kidney Dis 2021 Dec;78(6):804-815. Epub 2021 Aug 5 doi: 10.1053/j.ajkd.2021.07.003. PMID: 34364906Free PMC Article
Exercise for cancer cachexia in adults.
Grande AJ, Silva V, Sawaris Neto L, Teixeira Basmage JP, Peccin MS, Maddocks M
Cochrane Database Syst Rev 2021 Mar 18;3(3):CD010804. doi: 10.1002/14651858.CD010804.pub3. PMID: 33735441Free PMC Article
GLP-1 receptor agonists for Parkinson's disease.
Mulvaney CA, Duarte GS, Handley J, Evans DJ, Menon S, Wyse R, Emsley HC
Cochrane Database Syst Rev 2020 Jul 23;7(7):CD012990. doi: 10.1002/14651858.CD012990.pub2. PMID: 32700772Free PMC Article

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