Endoscopic management of pancreatic pseudocysts

Beckingham, I. J.; Krige, J. E. J.; Bornman, Philippus C.; Terblanche, J.

doi:10.1046/j.1365-2168.1997.00561.x

Cited by 55 publications

(28 citation statements)

References 49 publications

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“…However, the former is accompanied with a significant risk of infection [18], while the latter is associated with a high rate of technical failure [3] and bleeding from the cyst wall [5, 12]. Moreover, both these techniques are associated with high recurrence rates [3, 19].…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous aspiration and endoscopic catheter drainage of pseudocyst fluid were developed as minimally invasive procedures [3,4,5,6,7]. However, the former is accompanied with a significant risk of infection [18], while the latter is associated with a high rate of technical failure [3] and bleeding from the cyst wall [5, 12].…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, cystogastrostomy, cystoduodenostomy, and Roux-en-Y cystojejunostomy have been performed through open surgery for the internal drainage of cyst contents. However, percutaneous catheter drainage [1, 2], and endoscopic [3,4,5,6,7] and laparoscopic [8,9,10,11,12,13] drainage procedures have evolved. A pancreatic pseudocyst located adjacent to the posterior gastric wall is considered to be best drained by cystogastrostomy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-Term Outcome of Laparoscopic Cystogastrostomy Performed Using a Posterior Approach with a Stapling Device

Oida

Mimatsu²,

Kawasaki³

et al. 2009

Dig Surg

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Background: Internal drainage of an acute pancreatic pseudocyst is indicated 6 weeks after its first detection. Laparoscopic treatment of pancreatic pseudocysts enables definitive drainage with faster recovery. Pseudocysts located adjacent to the posterior gastric wall are best drained by pseudocyst gastrostomy. Although the anterior approach for drainage has frequently been reported, reports on the posterior approach are rare. Methods: Seven patients underwent laparoscopic cystogastrostomy for pancreatic pseudocysts. The posterior approach that enables the direct visualization of the posterior gastric wall and pseudocyst was used, and the cyst was drained with a needle. After creating a sufficient drainage orifice, the cyst was thoroughly debrided. Cystogastrostomy was performed using the posterior approach with a stapling device. The insertion site of the stapling device closed using a hernia stapler. Results: Cystogastrostomy was performed using the posterior approach with a stapling device in all patients, without requiring conversion to the anterior approach or open surgery. There were neither operative complications nor late recurrences during the follow-up period (median 65 months). Conclusion: Laparoscopic cystogastrostomy using the posterior approach, which facilitates adequate internal drainage, is a safe and feasible procedure for pancreatic pseudocyst, and it is not accompanied with a risk of recurrence in the long term.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Outcome of Laparoscopic Cystogastrostomy Performed Using a Posterior Approach with a Stapling Device

Oida

Mimatsu²,

Kawasaki³

et al. 2009

Dig Surg

View full text Add to dashboard Cite

show abstract

“…These complications occur in up to 30% of patients and may require emergency surgery; thus an experienced pancreatic surgical team and expert interventional radiologist should always be available at short notice when these techniques are being undertaken. The published mortality rate is now less than 1% but appears to be biased in favour of experienced endoscopic teams and highly selected cases [56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83]. …”

Section: Endoscopic Management Of Pancreatic Pseudocystsmentioning

confidence: 99%

“…Transmural drainage through the stomach or the duodenum requires the following conditions [58, 59, 60, 61, 62, 63, 64, 65]: (1) the stomach or duodenal wall must share a common wall with the pseudocyst; (2) the distance between the pseudocyst and the gastric wall must be <1 cm on preoperative investigations; (3) there must be a clear impression of the wall of the stomach or duodenum at the endoscopy; (4) the absence of varices; (5) it is imperative that the cyst structure is not a neoplasm or a pseudoaneurysm by aspiration of the cystic content.…”

Section: Endoscopic Management Of Pancreatic Pseudocystsmentioning

confidence: 99%