<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452022000500054</article-id>
<article-id pub-id-type="doi">10.1159/000518447</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Endoscopic Treatment of an Idiopathic Pancreaticopleural Fistula]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tratamento endoscópico de uma fístula pancreatopleural idiopática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Francisco]]></surname>
<given-names><![CDATA[Elsa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Proença]]></surname>
<given-names><![CDATA[Luísa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de Vila Nova de Gaia/Espinho EPE Gastroenterology and Hepatology Department ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar de Vila Nova de Gaia/Espinho EPE General Surgery Department ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>5</numero>
<fpage>54</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452022000500054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452022000500054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452022000500054&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 61-year-old man was diagnosed with an exudative pleural effusion with raised amylase and bilirubin levels. The patient had no previous history of acute pancreatitis or trauma and no clinical or radiological signs of chronic pancreatitis. On thoracoabdominal computed tomography, a pancreatic pseudocyst with a pancreaticopleural fistula was identified. Endoscopic retrograde cholangiopancreatography identified a ductal disruption site in the body of the pancreas. Pancreatic sphincterotomy and stent placement in the duct of Wirsung, combined with medical management, allowed fistula closure, pseudocyst reabsorption, and no relapse of the pleural effusion. The relevance of this case lies not only in its rarity but also as it highlights the importance of a multidisci-plinary approach in such uncommon conditions. Optimal management of this condition is debatable due to the absence of prospective studies comparing medical, endoscopic, and surgical approaches.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Um homem de 61 anos foi diagnosticado com um derrame pleural exsudativo com níveis elevados de amilase e bilirrubina. O doente não apresentava história prévia de pancreatite aguda, trauma ou sinais e sintomas de pancreatite crónica. Na tomografia computadorizada toracoabdominal, foi identificado um pseudoquisto pancreático com uma fístula pancreatopleural. A colangiopancreatografia retrógrada endoscópica identificou um ponto de disrupção ductal no corpo do pâncreas, pelo que se optou pela realização de esfincterotomia pancreática e colocação de uma prótese plástica no ducto de Wirsung. Esta abordagem, combinada com o tratamento médico, permitiu o encerramento da fístula e resolução do derrame pleural, bem como reabsorção do pseudo-quisto pancreático. A relevância deste caso reside não só na sua raridade, mas também porque destaca a importân-cia de uma abordagem multidisciplinar para otimizar o tratamento. Dada a infrequência desta condição clínica, não existem estudos prospectivos que comparem as abordagens médica, endoscópica e cirúrgica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pancreas]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic retrograde cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[Pseudocyst]]></kwd>
<kwd lng="en"><![CDATA[Pleural effusion]]></kwd>
<kwd lng="pt"><![CDATA[Pâncreas]]></kwd>
<kwd lng="pt"><![CDATA[Colangiopancreatografia retrógrada endoscópica]]></kwd>
<kwd lng="pt"><![CDATA[Pseudoquisto]]></kwd>
<kwd lng="pt"><![CDATA[Derrame pleural]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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