Endosonography-assisted transmural endoscopic drainage of pancreatic pseudocysts: A single center experience


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Sisman G. , Hatemi I., Erzin Y., Coskun M., Tuncer M., ŞENTÜRK H.

TURKISH JOURNAL OF GASTROENTEROLOGY, cilt.23, ss.741-746, 2012 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 23 Konu: 6
  • Basım Tarihi: 2012
  • Doi Numarası: 10.4318/tjg.2012.0479
  • Dergi Adı: TURKISH JOURNAL OF GASTROENTEROLOGY
  • Sayfa Sayısı: ss.741-746

Özet

Background/aims: Management of pancreatic pseudocysts can be challenging. Endosonography-guided drainage of the pseudocysts is an important treatment modality. In this study, we evaluated the results of endosonography-guided transmural endoscopic drainage of these lesions. Materials and Methods: We performed drainage of the pancreatic pseudocysts through the stomach or duodenum using a linear endosonography device. The procedure steps were as follows: Determination of the best location for needle insertion, puncture of the cyst, guide insertion, creation of a window between the cyst and stomach lumen using a cystotome, and finally insertion of a double pigtail catheter. Results: The procedure was applied to 12 patients (8 males, 4 females, mean age: 51 +/- 15.6 years), with success achieved in 10 patients (83%), defined as complete disappearance of the cyst. The mean cyst diameter was 9 cm (range: 6-12 cm). There was only one complication (8%), as an intraabdominal abscess with an uncomplicated course after surgical drainage. Conclusions: Endosonography-guided drainage is an effective and safe method for the management of pancreatic pseudocysts.