Document Detail


Experience of combined endoscopic percutaneous stenting with ultrasound guidance for drainage of pancreatic pseudocycts.
MedLine Citation:
PMID:  10700759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The therapeutic options for treatment of pancreatic pseudocysts are numerous. We report our experience of combined endoscopic and ultrasound guided percutaneous stenting for pancreatic pseudocysts. Data were prospectively collected for 20 consecutive patients. All patients had undergone a standard technique of combined endoscopic and ultrasound guided percutaneous placement of double J stents, between a pancreatic pseudocyst and the stomach. Patients age ranged between 25 and 84 years. Thirteen of the pseudocysts were due to acute pancreatitis and 7 were due to chronic pancreatitis. The duration of the combined procedure was mean 50 min (range 30-95 min). The length of hospital stay was mean 5 days (range 2-77 days. Only two patients suffered postoperative complications; one was re-admitted 2 weeks following stenting with acute cholecystitis, the other suffering a perforated duodenal ulcer 3 weeks after stenting. There were two failures early in the series, both due to stent migration, these stents were of a small size, (4.7 French). Following this the stent size was increased to at least 7 French, no further failures occurred. There was no operative mortality for the series. Follow-up ranged between 6 months and 5 years. We conclude that a combined percutaneous and endoscopic cyst-gastrostomy stent is a safe and effective treatment for patients with suitably placed pseudocysts.
Authors:
S A White; C D Sutton; D P Berry; D Chillistone; Y Rees; A R Dennison
Related Documents :
8566639 - Long-term results of pancreatic stents in chronic pancreatitis.
24112749 - Mid-term results of self-testing of the international normalized ratio in adults with a...
24249539 - Long-term results of comprehensive clubfoot release versus the ponseti method: which is...
24157199 - Nocturnal noninvasive positive pressure ventilation in stable copd: a systematic review...
12548489 - Ultrasonographic follow-up of infantile hypertrophic pyloric stenosis after pyloromyoto...
19190609 - Management of painful chronic pancreatitis with single-dose radiotherapy.
24886579 - Visual outcome of mega-dose intravenous corticosteroid treatment in non-arteritic anter...
2523759 - Percutaneous transluminal angioplasty of abdominal aortic stenoses.
20671639 - Safety and efficacy of directional atherectomy for the treatment of in-stent restenosis...
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  82     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-03-09     Completed Date:  2000-03-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  11-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Leicester General Hospital, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Aged, 80 and over
Chronic Disease
Drainage / methods
Endoscopy, Digestive System / methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pancreatic Pseudocyst / etiology,  surgery*,  ultrasonography*
Pancreatitis / complications
Prospective Studies
Stents*
Tomography, X-Ray Computed
Ultrasonography, Interventional*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Laparoscopic repair of perforated peptic ulcers. The role of laparoscopy in generalised peritonitis.
Next Document:  John Hunter, Frederick Treves and intussusception.