Endoscopic-Ultrasound Guided Drainage of the Pancreatic Pseudocyst

Open access

Endoscopic-Ultrasound Guided Drainage of the Pancreatic Pseudocyst

The aim the study was the evaluation of the treatment results of the internal ultrasound and gastroscopy-guided pancreatic pseudocysts.

Material and methods. From 1994-2008 at the 2nd Department of General Surgery UJ CM there were 126 patients (incl. 45 female and 81 male) treated for pancreatic pseudocyst. Mean age of the women was 41.05 years (25-81) while men 48 years (19-79). Ultrasound and gastroscopy-guided drainage by the means of insertion of double pig tail drain was attempted in 46 patients (17 female and 29 male). Mean diameter of the cyst was 11.02 cm (from 2.5-20 cm).

Results. Out of 46 patients assigned to the internal ultrasound, gastroscopy guided drainage, the procedure was technically feasible in 39. Internal marsupialization was successful in 24 patients (52.17%). We did not observe serious complications mentioned in the literature incl. iatrogenic injuries of the intraabdominal organs or fistulas. Drain was removed after 5 month (1-9 month).

Conclusions. Endoscopic drainage consists an interesting minimally invasive approach in the management of pancreatic pseudocyst. More precise inclusion criteria could increase its efficacy.

Andrén-Sandberg A, Dervenis Ch: Pancreatic Pseudocysts in the 21st Century. Part I: Classification, Pathophysiology, Anatomic Considerations and Treatment JOP. J Pancreas (Online) 2004; 5: 8-24.

Bielecki K: Torbiele i torbiele rzekome trzustki. W: Dzieniszewski J, Gabryelewicz A (red.) Choroby trzustki. Wyd. 1. PZWL, Warszawa 1991; 245-59.

Melman L, Azar R, Beddow K, et al.: Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts. Surg Endosc 2009; 23: 267-71.

Schnelldorfer T, Kitvarametha YY, Adams DB: Carl Gussenbauer: pioneer in pancreatic surgery. World J Surg 2003; 27: 753-57.

Krüger M, Schneider AS, Manns MP, et al.: Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure for initial access. Gastrointest Endosc 2006; 63: 409-16.

Howard JM, Hess W: Pancreatic Cysts, Pseudocysts and Cystics Tumors W: Howard JM, Hess W: History of the Pancreas: Mysteries of a Hidden Organ Wyd. 1, Spinger 2002, s. 317-61.

Beckingham Mr IJ, Krige JEJ, Bornman PC, et al.: Endoscopic management of pancreatic pseudocysts Br J Surg 84: 1638-45.

Cremer M, Deviere J, Engelholm L: Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long-term follow-up after 7 years of experience. Gastrointest Endosc 1989; 35: 1-9.

Dohmoto M, Akiyama K, Lioka Y: Endoscopic and endosonographic management of pancreatic pseudocyst: a long-term follow-up. Rev Gastroenterol Peru 2003; 23: 269-75.

Henriksen FW, Hancke S: Percutaneous cystogastrostomy for chronic panceatic pseudocyst. Br J Surg 1994; 81: 1525-28.

Nealon WH, Walser E: Surgical management of complications associated with percutaneous and/or endoscopic management of pseudocyst of the pancreas. Ann Surg 2005; 241: 948-57.

Cheruvu CV, Clarke MG, Prentice M, et al.: Conservative treatment as an option in the management of pancreatic pseudocyst. Ann R Coll Surg Engl 2003; 85: 313-16.

Testoni PA: Endoscopic stenting in bening pancreatic diseases. JOP 2007; 8: 141-50.

Nealon WH, Walser E: Duct drainage alone is sufficient in the operative management of pancreatic pseudocyst in patients with chronic pancreatitis. Ann Surg 2003; 237: 614-20.

Sharma SS, Bhargawa N, Govil A: Endoscopic management of pancreatic pseudocyst: a long-term follow-up. Endoscopy 2002; 34: 203-07.

Bartoli E, Delcenserie R, Yzet T, et al.: Endoscopic treatment of chronic pancreatitis. Gastroenterol Clin Biol 2005; 29: 515-21.

Lampe P: Chirurgia trzustki. W: Szmidt J (red.) Podstawy chirurgii, tom 2, Wyd 1. MP, Kraków 2004; 951-1024.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information


CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 180 142 15
PDF Downloads 67 63 10