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2009 | 81 | 12 | 641-647

Article title

Endoscopic-Ultrasound Guided Drainage of the Pancreatic Pseudocyst

Content

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Languages of publication

EN

Abstracts

EN
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.

Year

Volume

81

Issue

12

Pages

641-647

Physical description

Dates

published
1 - 12 - 2009
online
25 - 1 - 2010

Contributors

  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow

References

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  • Beckingham Mr IJ, Krige JEJ, Bornman PC, et al.: Endoscopic management of pancreatic pseudocysts Br J Surg 84: 1638-45.
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  • 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.[PubMed]
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  • 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.[PubMed]
  • Bartoli E, Delcenserie R, Yzet T, et al.: Endoscopic treatment of chronic pancreatitis. Gastroenterol Clin Biol 2005; 29: 515-21.[PubMed][Crossref]
  • Lampe P: Chirurgia trzustki. W: Szmidt J (red.) Podstawy chirurgii, tom 2, Wyd 1. MP, Kraków 2004; 951-1024.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-009-0102-1
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