Summary
Seventeen patients with pancreatic pseudocysts were treated by endoscopic drainage. In nine cases we performed endoscopic retrograde pancreatic drainage (ERPD) by inserting 7-Fr pigtail catheters via the papilla into the cyst or into the main pancreatic duct. In two cases transduodenal cystotomy (ECD) and in eight cases transgastral cystotomy (ECG) are performed by using coagulator and papillotome. In five cases of ECG an endoprosthesis was inserted into the cyst. In two cases combination therapy of ERPD and ECG was performed. All patients reported reduction of continuous pain and postprandial epigastralgia after placement of endoprosthesis. After disappearance of symptoms and abnormal endoscopic findings within a period of 2–12 months the drainage tubes were removed. In one case postoperative dislocation of the prosthesis was observed; no serious complication was not encountered. The period of observation varied from 5 to 40 months. Two patients are presently under treatment with endoprostheses. Endoscopic drainage yielded good results in the treatment of pancreatic pseudocysts.
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References
Bodker A, Kjaergrad J Schmidt A, Tilma A (1981) Pancreatic pseudocysts: A follow-up study. Ann Surg 194: 80–86
Bradly EL (1984) Cystoduodenostomy-new perspectives. Ann Surg 200: 698–702
Cremer M, Deviere J Engelholm L (1989) Endoscopic management of cysts and pseudocysts in chronic pancreatitis: Longterm follow-up after 7 years of experience. Gastrointest Endosc 35 (1): 1–9
Dohmoto M (1990) Management of chronic pancreatitis with pancreas cyst by endoscopic pancreatic prosthesis. Surg Endosc 4: 83–87
Frey CF (1978) Pancreatic pseudocyst—operative strategy. Ann Surg 188: 652–657
Grosso M, Gandini G, Cassinis MC, Regge D, Righi D, Rossi P (1989) Percutaneous treatment (including pseudocystogastrostomy) of 74 rancreatic pseudocysts. Radiology 173: 493–497
Hancke S, Henriksen FW (1985) Percutaneous pancreatic cystogastrostomy guided by ultrasound scanning and gastroscopy. Br J Surg 72: 916–917
Heyder N, Flügel H, Domscheke W (1988) Catheter drainage of pancreatic pseudocysts into the stomach. Endoscopy 20: 75–77
Hollender LF, Marrie A (1981) Pseudocysten des Pankreas. Chirurgische Gastroenterologie, 2. Ausg. Springer, Berlin Heidelberg New York
McConnell DB, Gregory JR, Sasaki TM, Vetto RM (1982) Pancreatic pseudocyst. Am J Surg 143: 599–602
Cadotte RN, Rankin RN (1988) Percutaneuos drainage and aspiration of fluid collections: emphasis on pancreatic collection and transplant patients. J Can Assoc Radiol 39: 121–125
Sankaran S, Walt AS (1975) The natural and unnatural history of pancreatic pseudocysts. Br J Surg 62: 370–376
Scatney CH, Lillehei RL (1979) Surgical treatment of pancreatic pseudocysts. Ann Surg 189: 386–390
Scharplatz P, White T (1972) Review of 64 patients with pancreatic cysts. Ann Surg 176: 638–642
Soehendra N, Grimm H, Schreiber HW (1986) Endoskopische transpapilläre Drainage des Ductus Wirsungianus bei der chronischen Pankreatitis. Dtsch Med Wschr 111: 727–731
Spinelli P, Meroni E, Prada A (1988) Endoscopic treatment of a pancreatic pseudocyst by naso-cystic tube. Endoscopy 20: 27–29
Stanley SC, Frey CF, Miller TA (1976) Major arterial hemorrhage: A complication of pancreatic pseudocysts and chronic pancreatitis. Arch Surg 111: 435–439
Van Heerden SA, Remme WH (1975) Pseudocysts of pancreas. Arch Surg 110: 500–504
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Dohmoto, M., Rupp, K.D. Endoscopic drainage of pancreatic pseudocysts. Surg Endosc 6, 118–124 (1992). https://doi.org/10.1007/BF02309082
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DOI: https://doi.org/10.1007/BF02309082