Miniprobe EUS in management of pancreatic pseudocyst

World Journal of Gastrointestinal Endoscopy
Paola De AngelisLuigi Dall'oglio

Abstract

Pancreatic pseudocysts (PP) arise from trauma and pancreatitis; endoscopic gastro-cyst drainage (EGCD) under endoscopic ultrasonography (EUS) in symptomatic PP is the treatment of choice. Miniprobe EUS (MEUS) allows EGCD in children. We report our experience on MEUS-EGCD in PP, reviewing 13 patients (12 children; male:female = 9:3; mean age: 10 years, 4 mo; one 27 years, malnourished male Belardinelli-syndrome; PP: 10 post-pancreatitis, 3 post-traumatic). All patients underwent ultrasonography, computed tomography and magnetic resonance imaging. Conservative treatment was the first option. MEUS EGCD was indicated for retrogastric cysts larger than 5 cm, diameter increase, symptoms or infection. EGCD (stent and/or nasogastrocystic tube) was performed after MEUS (20-MHz-miniprobe) identification of place for diathermy puncture and wire insertion. In 8 cases (61.5%), there was PP disappearance; one, surgical duodenotomy and marsupialization of retro-duodenal PP. In 4 cases (31%), there was successful MEUS-EGCD; stent removal after 3 mo. No complications and no PP relapse in 4 years of mean follow-up. MEUS EGCD represents an option for PP, allowing a safe and effective procedure.

References

Aug 1, 1991·The British Journal of Surgery·A D'Egidio, M Schein
Feb 15, 2001·Journal of Pediatric Surgery·T G Canty, D Weinman
Dec 1, 2001·Pediatric Surgery International·V BreckonG P Hadley
Jun 24, 2004·Journal of Pediatric Surgery·Saud Al-ShanafeySteven Williams
Aug 28, 2004·Gastrointestinal Endoscopy·Shyam VaradarajuluPeter B Cotton
Jul 28, 2005·Gastrointestinal Endoscopy·Shyam VaradarajuluMohamad A Eloubeidi
Feb 28, 2006·Gastrointestinal Endoscopy·Filippo TorroniLuigi Dall'Oglio
May 3, 2006·Gastrointestinal Endoscopy·Mainor R AntillonYang K Chen
Apr 25, 2007·Scandinavian Journal of Gastroenterology·Cesar Vivian LopesMarc Giovannini
May 9, 2007·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·N Volkan Adsay
Jun 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Emmanuel MasJean-Pierre Olives
Jan 30, 2008·Gastrointestinal Endoscopy·Marc BarthetJean-Charles Grimaud
May 22, 2008·Journal of Pediatric Gastroenterology and Nutrition·Shlomi CohenErwin Santo
Sep 10, 2008·Journal of Pediatric Surgery·Shyam Sunder Sharma, Sudhir Maharshi
Mar 14, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Suzanne M YoderTimothy D Kane
Dec 3, 2009·European Journal of Gastroenterology & Hepatology·Andrea Briem-RichterRainer Ganschow
Jan 29, 2010·Journal of Pediatric Surgery·Connie J RossiniAnastasios G Angelides
May 5, 2010·Journal of Pediatric Surgery·Maureen P McEvoyMichael P La Quaglia
Aug 3, 2010·Digestive Diseases and Sciences·Saad F JazrawiJayaprakash Sreenarasimhaiah
Sep 23, 2010·African Journal of Paediatric Surgery : AJPS·Dionysis TheodorosG Petousis
May 28, 2011·Journal of Pediatric Surgery·Erminia RomeoLuigi Dall'oglio
May 28, 2011·Journal of Pediatric Surgery·Erminia RomeoLuigi Dall'Oglio

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Citations

Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Isabelle ScheersPierre H Deprez
Dec 16, 2016·Journal of Pediatric Gastroenterology and Nutrition·Zaheer NabiDuvuur Nageshwar Reddy
Jul 28, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Modesto J Varas LorenzoElena Sánchez-Vizcaíno Mengual

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