Endoscopic ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts

Arquivos De Gastroenterologia
César Vivian LopesM Giovannini

Abstract

Surgery is the traditional treatment for symptomatic pancreatic pseudocysts, but the morbidity is still too high. Minimally invasive endoscopic approaches have been encouraged. To evaluate the efficacy of endoscopic ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts. From January, 2003 to August, 2006, 31 consecutive symptomatic patients submitted to 37 procedures at the same endoscopic unit were retrospectively analysed. Chronic and acute pancreatitis were found in, respectively, 17 (54.8%) and 10 (32.3%) cases. Bulging was present in 14 (37.8%) cases. Cystogastrostomy or cystoduodenostomy were created with an interventional linear echoendoscope under endosonographic and fluoroscopic control. By protocol, only a single plastic stent, without nasocystic drain, was used. Straight or double pigtail stents were used in, respectively, 22 (59.5%) and 15 (40.5%) procedures. Endoscopic ultrasound-guided transmural drainage was successful in 29 (93.5%) patients. Two cases needed surgery, both due to procedure-related complications. There was no mortality related to the procedure. Twenty-four patients were followed-up longer than 4 weeks. During a mean follow-up of 12.6 months, there were six (25%) symptomatic re...Continue Reading

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Apr 25, 2007·Scandinavian Journal of Gastroenterology·Cesar Vivian LopesMarc Giovannini

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Citations

Apr 29, 2010·Current Gastroenterology Reports·Michael J Levy
Aug 26, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Stefan SeewaldNib Soehendra
Oct 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Shyam VaradarajuluDeepak K Bhasin
Feb 21, 2009·Gastrointestinal Endoscopy·Stefan SeewaldUNKNOWN EUS 2008 Working Group
Aug 8, 2009·Journal of Digestive Diseases·Tiing Leong AngKwong Ming Fock
May 2, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alaa A RedwanMohammed A Omar
Mar 17, 2012·Therapeutic Advances in Gastroenterology·Jose Luis Ulla-RochaRaquel Sardina-Ferreiro
Sep 4, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Xin ZhaoWu Ji
Jun 15, 2018·Current Opinion in Gastroenterology·Christopher J DiMaio
Jul 14, 2011·Journal of Clinical Gastroenterology·Alexander BrunC S Pitchumoni
Nov 12, 2015·World Journal of Gastroenterology : WJG·Andreas S VilmannPeter Vilmann
Mar 13, 2021·Khirurgiia·Yu S TeterinV V Kiselev

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