PL EN


Preferences help
enabled [disable] Abstract
Number of results
2007 | 79 | 1 | 19-23
Article title

Drainage of Pancreatic Abscesses and Cysts Under Ultrasound Control

Content
Title variants
Languages of publication
EN
Abstracts
EN
The aim of the study was to determine the effectiveness and efficiency of drainage of pancreatic pseudocysts and cysts under ultrasound control during acute pancreatitis.Material and methods. During the period between 1985 and 2004, 103 patients were hospitalized at The Department of General and Vascular Surgery, Regional Specialistic Hospital in Tychy, due to pancreatic pseudocysts or abscesses. Pancreatic abscesses were observed in 36 patients, while the remaining 67 patients were diagnosed with pseudocysts. Percutaneous drainage was indicated to treat pancreatic liquid cisterns when the cistern exceeded 4-6 cm in diameter, and had no tendency towards idiopathic absorption. Drainage procedures were performed in the operating room with the use of a 3,5MHz linear probe and "Cavafix" CH 18, "Nephrofix" 10-15 or "Cystofix" 10-15 kits.Results. Recovery following percutaneous drainage was obtained in 33 of 36 (91,7%) patients with pancreatic pseudocysts, and in 60 of 67 (89,5%) patients with pancreatic abscesses. The average duration of the drainage amounted to 19.25 days in case of peudocysts and 30.2 days in case of abscesses. Six patients with pseudocysts and three with abscesses required surgical intervention due to inefficient inefficiency drainage. Pseudocyst infections were the most common complications observed following drainage and were seen in 12 (17.9%) patients.Conclusions. In selected cases, drainage of pancreatic pseudocysts and cysts under ultrasound control may be an alternative to surgery. This method is highly recommended as it is less invasive, improves the patient's life comfort and reduces treatment costs.
Publisher

Year
Volume
79
Issue
1
Pages
19-23
Physical description
Dates
published
1 - 1 - 2007
online
24 - 9 - 2007
Contributors
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
author
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
author
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
author
  • Division and Clinical Department of General and Vascular Surgery, Silesian Medical University, Regional Specialistic Hospital no.1, Tychy
References
  • Malecka-Panas E, Juszczyński A, Chrzastek J et al.: Pancreatic fluid collections: diagnostic and therapeutic implications of percutaneous drainage guided by ultrasound. Hepatogastroenterology. 1998; 45(21): 873-78.
  • Lee MJ, Wittich GR, Mueller PR Percutaneous intervention in acute pancreatitis. Radiographics. 1998; 18(3): 711-24; discussion 728. Review. Erratum in: Radiographics 1998; 18(5): 1336.[Crossref]
  • Davila-Cervantes A, Gomez F, Chan C et al.: Laparoscopic drainage of pancreatic pseudocysts. Surg Endosc 2004; 18(10): 1420-26.[WoS][Crossref]
  • Ai-Bin Zhang, Shu-Sen Zheng: Treatment of pancreatic pseudocysts in line with D'Egidio's classification. World J Gastroenterol 2005; 11(5): 729-32.
  • Bhattacharya D, Ammori BJ: Minimally invasive approaches to the management of pancreatic pseudocysts: review of the literature. Surg Laparosc Endosc Percutan Tech 2003; 13(3): 141-48. Review.[Crossref]
  • Brugge WR: Approaches to the drainage of pancreatic pseudocysts. Curr Opin Gastroenterol 2004; 20(5): 488-92.[PubMed][Crossref]
  • Naoum E, Zavos A, Goudis K et al.: Pancreatic pseudocysts: 10 years of experience. J Hepatobiliary Pancreat Surg 2003; 10(5): 373-76.[Crossref]
  • Mergener K, Kozarek RA: Therapeutic pancreatic endoscopy. Endoscopy 2003; 35(1): 48-54. Review.[Crossref]
  • Vosoghi M, Sial S, Garrett B et al.: EUS-guided pancreatic pseudocyst drainage: review and experience at Harbor-UCLA Medical Center. MedGen-Med 2002; 4(3): 2.
  • VanSonnenberg E, Wittich GR, Casola G et al.: Percutaneous drainage of infected and noninfected pancreatic pseudocysts: experience in 101 cases. Radiology 1989; 170(3 Pt 1): 757-61.
  • Łukasiewicz S, Noras K: Perkutane externe Pancreasdrainage unter sonographischer Kontrole als therapeutische Methode bei Behanlung von Pencreascysten und- abszessen. M. Trede, D. Saeger. Aktuelle Pancreaschirurgie. Springer-Verlag Berlin, Haidelberg 1990; 223-26.
  • Łukasiewicz S, Noras K, Zaik A: Przezskórny drenaż torbieli trzustki pod kontrolą utrasonografii. Pol Przegl Chir 1988; 60: 500.
  • Freeny PC: Percutaneous management of pancreatic fluid collections. Baillieres Clin Gastroenterol 1992; 6(2): 259-72. Review.[Crossref]
  • Criado E, De Stefano AA, Weiner TM et al.: Long term results of percutaneous catheter drainage of pancreatic pseudocysts. Surg Gynecol Obstet 1992; 175(4): 293-98.[PubMed]
  • Torres WE, Evert MB, Baumgartner BR et al.: Percutaneous aspiration and drainage of pancreatic pseudocysts. AJR Am J Roentgenol 1986; 147(5): 1007-09.[Crossref][PubMed]
  • Gouzi JL, Bloom E, Julio C et al.: Percutaneous drainage of infected pancreatic necrosis: an alternative to surgery. Chirurgie 1999; 124(1): 31-37. French.[Crossref][PubMed]
  • Seewald S, Groth S, Omar S et al.: Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: A new safe and effective treatment algorithm. Gastrointest Endosc 2005; 62(1): 92-100.[Crossref]
  • Horvath KD, Kao LS, Wherry KL et al.: A technique for laparoscopic-assisted percutaneous drainage of infected pancreatic necrosis and pan-creatic abscess. Surg Endosc 2001; 15(10): 1221-25.[Crossref]
  • Venu RP, Brown RD, Marrero JA et al.: Endoscopic transpapillary drainage of pancreatic abscess: technique and results. Gastrointest Endosc 2000; 51(4 Pt 1): 391-95.[Crossref][PubMed]
  • Men S, Akhan O, Koroglu M: Percutaneous drainage of abdominal abcess. Eur J Radiol 2002; 43(3): 204-18. Review.[Crossref]
  • Cantasdemir M, Kara B, Kantarci F et al.: Percutaneous drainage for treatment of infected pancreatic pseudocysts. South Med J 2003; 96(2): 136-40.[Crossref][PubMed]
  • Andersson R, Cwikiel W: Percutaneous cystogastrostomy in patients with pancreatic pseudocysts. Eur J Surg 2002; 168(6): 345-48.[PubMed]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-007-0004-z
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.