Endoscopic Ultrasound-Guided Drainage of Pancreatic Pseudocysts or Pancreatic Abscesses Using a Therapeutic Echo Endoscope

Giovannini, Marc; Pesenti, Christian; Rolland, Anne L.; Moutardier, Vincent; Delpero, Jean‐Robert

doi:10.1055/s-2001-14967

Cited by 268 publications

(168 citation statements)

References 7 publications

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“…Treatment of infected pancreatic pseudocysts using a novel, dedicated covered self-expandable metal stent (CSEMS) with an effective antimigration system Endoscopic ultrasound (EUS)-guided treatment has become the preferred approach for managing pancreatic pseudocysts because it is associated with a lower morbidity rate compared with surgical and percutaneous approaches [1]. The disadvantages of the endoscopic approach are the need for multiple revisions because of obstruction of plastic stents, patient discomfort, and dislodgment of stents after placement of a nasocystic catheter.…”

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confidence: 99%

Treatment of infected pancreatic pseudocysts using a novel, dedicated covered self-expandable metal stent (CSEMS) with an effective antimigration system

et al. 2012

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mentioning

confidence: 99%

Treatment of infected pancreatic pseudocysts using a novel, dedicated covered self-expandable metal stent (CSEMS) with an effective antimigration system

et al. 2012

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“…Les taux de succès global rapportés avoisinent les 70 %, avec une morbidité de 19 % et un taux de récidive de 16 % sur le long terme [16]. Le drainage assisté par écho-endoscopie augmente la faisabilité de drainage des collections sans bombement digestif [17,18]. L'écho-endoscopie permet de réduire le risque de perforation et d'hémorragie en déterminant un site de ponction où la distance entre la lumière digestive et la collection ne dépasse pas les 10 mm tout en vérifiant l'absence d'interposition vasculaire sur le trajet de la ponction [3,4].…”

Section: Discussionunclassified

La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

Hassan¹,

Hnach²,

Bourazza³

2013

Hegel

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RésuméIntroduction : La prise en charge des collections pancréatiques compliquant une pancréatite (pseudokystes) ou survenant après chirurgie pancréatique, a bénéficié ces dernières années de méthodes moins invasives, afin d'améliorer l'efficacité du drainage et éviter ses complications. L'utilisation de l'écho-endoscopie au cours de la kystogastrostomie permet de drainer en un seul temps, les collections liquidiennes même en l'absence de bombement dans la lumière digestive.

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“…Coeliac block is associated with a low morbidity (diarrhoea in 3.5% of cases) [25,26] . Treatment of pancreatic cysts under EUS guidance is dedicated for pseudo cysts which are not bulging in the gut [27][28][29][30][31][32] . In case of complete obstruction of the pancreatic duct, a pancreatico-gastrostomy can be achieved under EUS guidance [33,34] .…”

Section: Endo-ultrasonographymentioning

confidence: 99%

Endoscopic treatment of chronic pancreatitis

Heyries¹,

Sahel²

2007

WJG

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Treatment of chronic pancreatitis has been exclusively surgical for a long time. Recently, endoscopic therapy has become widely used as a primary therapeutic option. Initially performed for drainage of pancreatic cysts and pseudocysts, endoscopic treatments were adapted to biliary and pancreatic ducts stenosis. Pancreatic sphincterotomy which allows access to pancreatic ducts was firstly reported. Secondly, endoscopic methods of stenting, dilatation, and stones extraction of the bile ducts were applied to pancreatic ducts. Nevertheless, n e w i m p r o v e m e n t s w e r e n e c e s s a r y : f a i l u r e s o f pancreatic stone extraction justified the development of extra-corporeal shock wave lithotripsy; dilatation of pancreatic stenosis was improved by forage with a new device; moreover endosonography allowed guidance for celiac block, gastro-cystostomy, duodeno-cystostomy and pancreatico-gastrostomy. Although endoscopic treatments are more and more frequently accepted, indications are still debated. METHODSEndoscopic treatment needs a team (operator, anaesthesiologist) aware with Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Specific material is necessary: good fluoroscopy with the possibility to magnify pictures, and a duodenoscope with a 4.2 channel allowing insertion of high calibre stent (10 Fr). Moreover, a wide variety of endoscopic ancillar y instruments is essential: metallic and hydrophilic guidewire, sphincterotomes, Dormia basket, balloon dilatators and bougie dilatators (5-11.5 Fr), but also very thin guide wire (0.025 inches), fine-tipped sphincterotomes, Soehendra extractors (cf infra) [1] . Impaction of stones in pancreatic ducts needs the use of extracorporeal shock wave lithotripsy before endoscopic stone extraction [2]

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Endoscopic Ultrasound-Guided Drainage of Pancreatic Pseudocysts or Pancreatic Abscesses Using a Therapeutic Echo Endoscope

Abstract: Internal drainage of pancreatic pseudocysts and abscesses exclusively performed with an echo endoscope is a safe and efficient method which should be evaluated further in larger studies.

Cited by 268 publications

References 7 publications

Treatment of infected pancreatic pseudocysts using a novel, dedicated covered self-expandable metal stent (CSEMS) with an effective antimigration system

Treatment of infected pancreatic pseudocysts using a novel, dedicated covered self-expandable metal stent (CSEMS) with an effective antimigration system

La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

Endoscopic treatment of chronic pancreatitis

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