Transgastric percutaneous drainage of pancreatic pseudocysts

Sacks, David; Robinson, M.

doi:10.2214/ajr.151.2.303

Cited by 39 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The access route for drainage depends on the size, location, extent, and the disposition of surrounding viscera, and has used transperitoneal, retroperitoneal, transhepatic, transgastric, transduodenal, and transsplenic (inadvertent) approaches (29). The transgastric route is the most commonly used, has been shown to be safe (30)(31)(32)(33), and facilitates the percutaneous deployment of stents to create a pseudocyst gastrostomy. The use of threedimensional ultrasound and color Doppler may minimize the risk of major vascular puncture and increases the safety of the procedure (34).…”

Section: Radiologic (Percutaneous) Drainagementioning

confidence: 99%

Minimally Invasive Approaches to the Management of Pancreatic Pseudocysts

Bhattacharya

Ammori

2003

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

View full text Add to dashboard Cite

Although one third or more of pancreatic pseudocysts might resolve spontaneously, interventional therapy is required for most. Several minimally invasive management approaches are now available, including percutaneous drainage under radiologic control, endoscopic transpapillary or transmural drainage, and laparoscopic internal drainage. This paper reviews the methodology, applications, advantages, shortcomings, and results of these management approaches. A computerized search was made of the MEDLINE, PREMEDLINE, and EMBASE databases using the search words pancreatic and pseudocysts and all relevant articles in English Language or with English abstracts were retrieved. In addition, cross-references from the identified articles were reviewed. Percutaneous drainage is best applied to pseudocysts complicated with secondary infection and in critically ill patients or those unfit for surgery. Radiologic drainage, however, risks the introduction of secondary infection and the formation of an external pancreatic fistula, and is associated with high recurrence rates. Endoscopic transpapillary drainage is beneficial for pseudocysts that communicate with the pancreatic duct and when a dependent drainage could be established. Endoscopic transmural (transgastric or transduodenal) drainage offers good results in the management of suitably located pseudocysts that complicate chronic pancreatitis, but is associated with high rates of failure to drain, secondary infection, and recurrence when pseudocysts that complicate acute necrotizing pancreatitis are approached. Laparoscopic pseudocyst gastrostomy or pseudocyst jejunostomy achieves adequate internal drainage, facilitates concomitant debridement of necrotic tissue within acute pseudocysts, and achieves good results with minimal morbidity. A randomized controlled trial that compares laparoscopic and endoscopic drainage techniques of retrogastric pseudocysts of chronic pancreatitis is required.

show abstract

Section: Radiologic (Percutaneous) Drainagementioning

confidence: 99%

Minimally Invasive Approaches to the Management of Pancreatic Pseudocysts

Bhattacharya

Ammori

2003

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…5,6,22 Catheter drainage is preferred, as needle drainage has a very high rate of recurrence. 23,24 A cutaneous fistula usually occurs after external drainage but closes spontaneously in most cases. 23 Transcutaneous drainage, in general, has a recurrence rate of less than 20% and a complication rate of about 15%.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal Pancreatic Pseudocyst With Acute Airway Obstruction

Bardia

Stoikes

Wilkinson

2006

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

“…1), ultrasonographic or fluoroscopic guidance or with endoscopic assistance (7)(8)(9)(10). The size, location and extent, as well as the disposing of the surrounding viscera, are the main elements to be considered when choosing the approach Amongst all possible approaches, the transgastric route is most commonly chosen, having the lowest rate of complications (11)(12)(13)(14). Other possible paths of access are transperitoneal, retroperitoneal, transduodenal, transhepatic and transsplenic (15).…”

Section: Introductionmentioning

confidence: 99%

“…Having a low rate of mortality, the percutaneous drainage also offers the advantage of not violating the operative field in case surgery will become necessary (11). However, complications may occur, including bleeding (1-2%) (19), lesions of the pleura or other viscera (1-2%) (19), secondary infection (9%) (19).…”

Section: Introductionmentioning

confidence: 99%

Therapeutical Aspects Regarding Pancreatic Pseudocysts

David¹,

Grigorean²

2018

chr

View full text Add to dashboard Cite

Chirurgia, 113 (3), 2018 www.revistachirurgia.ro 353 RezumatFrecvent apărute că şi complicaţii ale pancreatitei, pseudochistele pancreatice sunt entităţi rare, pentru tratamentul cărora s-au dezvoltat de-a lungul timpului multiple tehnici terapeutice, variind de la metode minim invazive la tehnici complexe de chirurgie clasică. Pseudochistele simptomatice, cele de mari dimensiuni precum şi cele ce suferă complicaţii evolutive de timpul hemoragiei, suprainfectiei şi rupturii au indicaţie de drenaj. Alegerea metodei optime de drenaj este deseori o provocare, multiplii factori trebuind să fie luaţi în considerare, incluzând locaţia pseudochistului, dimensiunea precum şi starea generală a pacientului şi comorbidităţile acestuia. Astfel, elaborarea unui algoritm terapeutic ar fi de o utilitate incontestabilă, conferind posibilitatea alegerii unei tehnici fezabile leziunii însă adaptată pacientului.Cuvinte cheie: pancreas, pseudochist, tratament, drenaj AbstractFrequently appearing as a complication of pancreatitis, pancreatic pseudocysts are rare appearances in current medical practice. Multiple therapeutical options are available, from minimum invasive methods to complex open surgical techniques. The indications of drainage include symptomatic pseudocysts, large pseudocysts along with the development of complications such as hemorrhage, secondary infection, and rupture. Choosing the best drainage technique is often a challenge. Multiple factors need to be considered in managing a pseudoocyst, including its location, dimension and the patient's

show abstract

Transgastric percutaneous drainage of pancreatic pseudocysts

Cited by 39 publications

References 0 publications

Minimally Invasive Approaches to the Management of Pancreatic Pseudocysts

Minimally Invasive Approaches to the Management of Pancreatic Pseudocysts

Mediastinal Pancreatic Pseudocyst With Acute Airway Obstruction

Therapeutical Aspects Regarding Pancreatic Pseudocysts

Contact Info

Product

Resources

About