The natural history of pancreatic pseudocysts: A unified concept of management

Bradley, Edward L.; Clements, James L.; González, A.

doi:10.1016/0002-9610(79)90024-2

Cited by 451 publications

(195 citation statements)

References 14 publications

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“…3), and fluid leakage. [18][19][20][21] Historically, PFCs needing drainage have been managed either with surgical or percutaneous intervention. Surgical cystogastrostomy can be either open or laparoscopic and involves the anastomosis of the cyst with the gastric lumen or in some instances with the small bowel (cystojejunostomy).…”

Section: Eus-guided Transmural Drainage Of Pfcsmentioning

confidence: 99%

Endoscopic ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions

Madácsy

Kaltsidis²

2017

Int J Gastrointest Interv

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A B S T R A C TEndoscopic ultrasound (EUS)-guided management of abdominal fluid collections adjacent to the gastroduodenal lumen is a relatively new concept attracting a lot of interest in recent years. The ability of EUS to identify and drain these collections in the same session accounts for the surge of interest in these novel techniques. On the other hand, the complexity of these interventions and associated serious complications has moderated the enthusiasm of novice endoscopists to some extent and reiterated that focused research and technical innovations are needed to make EUS-guided drainage simpler and safer. Self-expandable metallic stents (SEMS) have emerged in the last decade in the endoscopic management of malignant luminal gastrointestinal strictures. The use of SEMS in the management of benign conditions (biliary, pancreatic, and colonic strictures) is also rapidly expanding. Recently, fully-covered (FC)-SEMS have been successfully used for drainage of peripancreatic and pericholecystic fluid collections. Here we will review the existing data and future directions in the use of FC-SEMS for such drainage procedures. We will also review the literature on novel "purpose-made" prostheses, such as the lumen-apposing metallic stents, which aim to address technical problems arising in EUS-guided drainage procedures when conventional SEMS are used. Further development of these and other similar devices may transform EUS-guided drainage procedures from an esoteric concept to "mainstream", first-line intervention.

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Section: Eus-guided Transmural Drainage Of Pfcsmentioning

confidence: 99%

Endoscopic ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions

Madácsy

Kaltsidis²

2017

Int J Gastrointest Interv

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“…2,4 Clinical symptoms may differ from patient to patient and may mimic any other medical condition. Symptoms occur due to expansion of cyst, Intra-abdominal bleed, fistula formation, obstruction, pleural effusion and infection.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…[2][3][4] Many of the pseudocysts are asymptomatic but they commonly presents as pain and heaviness in upper abdomen, feeling of indigestion and belching. Sometimes presents with complications like infection leading to abscess, bleeding due to erosion of artery, or compression of intestine or stomach.…”

Section: Introductionmentioning

confidence: 99%

“…5 If the pseudocyst persists for more than 6 weeks or the size is more than 5 cm then they are less likely to resolve spontaneously and there are more chances of complications like infection, bleeding, obstruction, pseudoaneurism and needs decompression to prevent the complications. 4 It is treated either by internal or external drainage by percutaneous, endoscopic, laparoscopic, or by open surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

“…4 Fluid in pseudocyst contains pancreatic enzymes, hemolyzed blood and necrotic debris. 2 It mar resolve spontaneously or become organized with thick wall of granulation tissue and fibrosis over weeks forming pseudocyst.…”

mentioning

confidence: 99%

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