| Pancreatic pseudocystgastrostomy with a peroral, flexible stapler: human natural orifice transluminal endoscopic surgery anastomoses in 2 patients (with videos). | |
| | |
MedLine Citation:
|
PMID: 18984105 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Complex, symptomatic pancreatic pseudocysts often must be surgically drained. Natural orifice surgery is an emerging field in which surgical procedures are performed by using an endoluminal approach through an existing body orifice. PATIENTS AND SETTING: Two patients at our institution, an academic, tertiary care center. DESIGN: Two patients who underwent a standard, stapled, surgical cystgastrostomy for drainage of a complex, infected pseudocyst by using a flexible stapling device are described. These procedures were performed under endoscopic observation and guidance, all transorally, without the need for laparotomy or laparoscopy. RESULTS: Both patients had a technically successful outcome, and both did well after surgery, with only mild chest pain and throat discomfort in one, and no adverse sequelae at all in the other patient. Both patients had complete resolution of their complex, debris-filled pseudocysts at 6 weeks when examined by endoscopy and at 3 months when examined by CT. CONCLUSIONS: An entirely endoscopic, peroral, stapled pseudocystgastrostomy is feasible and can lead to an excellent outcome. For properly selected patients, this may be an alternative to more traditional types of surgical cystgastrostomy. |
| | |
Authors:
|
John R Romanelli; David J Desilets; David B Earle |
Related Documents
:
|
4019085 - Management of pancreatic pseudocysts in chronic alcoholic pancreatitis with duct dilata... 2711975 - Tuberculous pericarditis: long-term outcome in patients who received medical therapy al... 17386915 - Is any surgical procedure ideal for chronic pancreatitis? 11871765 - Autoimmune pancreatitis starting as a localized form. 10632515 - Transdiaphragmatic abscess: late thoracic complication of laparoscopic cholecystectomy. 10418295 - Active prophylactic management of respiratory obstruction after standard thyroidectomy ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Gastrointestinal endoscopy Volume: 68 ISSN: 1097-6779 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2008 Nov |
Date Detail:
|
Created Date: 2008-11-05 Completed Date: 2009-04-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
|
Languages: eng Pagination: 981-7 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Anastomosis, Surgical / methods Drainage / methods* Female Gastroscopy* Gastrostomy / methods* Humans Male Middle Aged Mouth Pancreatic Pseudocyst / surgery* Surgical Staplers* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Infrared endoscopic system for bleeding-point detection after flushing with indocyanine green soluti...
Next Document: Treatment of a completely obstructed colonic anastomotic stricture by using a prototype forward-arra...