{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:51Z","timestamp":1740126831595,"version":"3.37.3"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"the Key Program of the Natural Science Foundation of Tianjin","award":["21JCZDJC00550"],"award-info":[{"award-number":["21JCZDJC00550"]}]},{"name":"the Tianjin 131 Talents Project","award":["201938"],"award-info":[{"award-number":["201938"]}]},{"name":"Tianjin Nankai Hospital 2022 Annual Key Special Project","award":["NKYY-IIT-2022-009-2"],"award-info":[{"award-number":["NKYY-IIT-2022-009-2"]}]},{"name":"Tianjin Science and Technology Project of Traditional Chinese Medicine","award":["2022005"],"award-info":[{"award-number":["2022005"]}]},{"name":"the Scientifc Research Fund of Tianjin Municipal Administration of Traditional Chinese Medicine","award":["2021006"],"award-info":[{"award-number":["2021006"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute necrotizing pancreatitis (ANP) is often associated with acute necrotic collection (ANC) or walled-off necrosis (WON). Due to the close anatomical connection between the pancreas, the spleen, and the transverse colon, necrotizing pancreatitis is often combined with spleen or colon involvement. Gastrointestinal dysfunction usually caused by pancreatitis leads to paralytic intestinal obstruction. However, pancreatitis combined with mechanical colonic obstruction is extremely rare. It can easily be misdiagnosed as malignant intestinal obstruction, and diagnosing the cause of intestinal obstruction becomes more critical when accompanied by Sinistral portal hypertension (SPH). Surgical resection is the primary method for the previous occurrence of colonic complications. In this case report, upon admission, a 37-year-old patient was diagnosed with acute necrotizing pancreatitis with sinistral portal hypertension. On the 6th day after admission, the patient developed a sudden colonic obstruction. After identifying the cause, the patient underwent a transanal decompression tube and minimally invasive necrosectomy, avoiding colon resection. In acute necrotizing pancreatitis combined with colonic mechanical obstruction, it is essential to clarify the etiology, and focus treatment on clearing the peripancreatic necrotic tissue, non-surgical treatment to deal with colonic obstruction is feasible, and the principle of individualized treatment should be used throughout the disease.<\/jats:p>","DOI":"10.1055\/a-2250-6502","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:30:51Z","timestamp":1709166651000},"page":"1220-1223","source":"Crossref","is-referenced-by-count":0,"title":["Acute Necrotizing Pancreatitis Complicated With Sinistral Portal Hypertension And Mechanical Obstruction Of The Colon: A Case Report"],"prefix":"10.1055","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9453-0001","authenticated-orcid":false,"given":"Guijie","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5279-977X","authenticated-orcid":false,"given":"Shuaiyong","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunfeng","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1007\/s10620-006-9307-x","article-title":"Left-Sided Portal Hypertension","volume":"52","author":"S K\u00f6kl\u00fc","year":"2007","journal-title":"Dig Dis Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1097\/SLA.0000000000004149","article-title":"Colon Involvement in Necrotizing Pancreatitis: Incidence, Risk Factors, and Outcomes","volume":"275","author":"TK Maatman","year":"2022","journal-title":"Annals of Surgery"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"14","DOI":"10.3941\/jrcr.v4i10.512","article-title":"Sinistral Portal Hypertension: Presentation, Radiological Findings, and Treatment Options \u2013 A Case Report","volume":"4","author":"N Kokabi","year":"2010","journal-title":"Radiology Case"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1631\/jzus.B1200247","article-title":"Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review","volume":"14","author":"Z Li","year":"2013","journal-title":"J Zhejiang Univ Sci B"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1738","DOI":"10.1007\/s10350-004-0638-4","article-title":"Colonic Obstruction Caused by Adhesive Splenomegaly: Report of a Case","volume":"47","author":"T Sommer","year":"2004","journal-title":"Diseases of the Colon & Rectum"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1157\/13076349","article-title":"Oclusi\u00f3n intestinal secundaria a pancreatitis que mimetiza una neoplasia estenosante del \u00e1ngulo espl\u00e9nico del colon","volume":"28","author":"M Pascual","year":"2005","journal-title":"Gastroenterolog\u00eda y Hepatolog\u00eda"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1001\/archsurg.1971.01350030067022","article-title":"Stenosing Lesions of the Colon Secondary to Pancreatitis","volume":"102","author":"S Mohiuddin","year":"1971","journal-title":"Arch Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.ijscr.2019.06.065","article-title":"Use of a stent to treat colonic stenosis secondary to acute pancreatitis: A case report","volume":"61","author":"J Kimura","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1007\/s00595-019-01784-y","article-title":"Short-term outcomes of a self-expandable metallic stent as a bridge to surgery vs. a transanal decompression tube for malignant large-bowel obstruction: a meta-analysis","volume":"49","author":"A Matsuda","year":"2019","journal-title":"Surg Today"}],"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2250-6502.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:39:06Z","timestamp":1730810346000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2250-6502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,28]]},"references-count":9,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2024,8,7]]},"published-print":{"date-parts":[[2024,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2250-6502","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"type":"print","value":"0044-2771"},{"type":"electronic","value":"1439-7803"}],"subject":[],"published":{"date-parts":[[2024,2,28]]}}}