Document Detail


Transpapillary and transmural drainage of pancreatic pseudocysts.
MedLine Citation:
PMID:  7498686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Endoscopic drainage of pseudocysts using the transpapillary and transmural approaches has been reported. We evaluated endoscopic drainage in 53 patients with symptomatic pancreatic pseudocysts in whom conservative management had failed. METHODS: After preliminary endoscopic retrograde pancreatography, transpapillary drainage was attempted in 33 patients with pseudocysts that communicated with the main pancreatic duct. Transmural drainage of pseudocysts in contact with the stomach or duodenal wall was attempted in the remaining 20 patients and in 4 patients selected for combined transpapillary and transmural drainage. The cause of pseudocysts was chronic pancreatitis in 92%. The median pseudocyst size was 7.0 cm (range, 2 to 16). RESULTS: Endoscopic drainage was technically successful in 50 patients (94%), of whom 47 had complete pseudocyst resolution. Complications occurred in 11% and included gallbladder puncture (n = 1) and bleeding (n = 2) after transmural drainage, and pancreatitis (n = 1) after transpapillary drainage; stent clogging resulted in abscess formation in 2 patients. Mean follow-up was 22 months (range, 1 to 70); pseudocysts recurred in 11 patients (23%), of whom 7 were successfully re-treated endoscopically. CONCLUSION: Both transpapillary and transmural pseudocyst drainage are highly effective in patients with pseudocysts demonstrating suitable anatomy for these endoscopic techniques.
Authors:
K F Binmoeller; H Seifert; A Walter; N Soehendra
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  42     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-01-18     Completed Date:  1996-01-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  219-24     Citation Subset:  IM    
Affiliation:
Department of Endoscopic Surgery, University Hospital Eppendorf, Hamburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Drainage / methods*
Duodenostomy / adverse effects
Female
Follow-Up Studies
Gastrostomy / adverse effects
Humans
Male
Middle Aged
Pancreatic Ducts / surgery
Pancreatic Pseudocyst / etiology,  surgery*
Punctures
Recurrence
Sphincterotomy, Endoscopic* / adverse effects
Stents
Treatment Outcome
Comments/Corrections
Comment In:
Gastrointest Endosc. 1995 Sep;42(3):273-5   [PMID:  7498699 ]

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


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