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Management of pancreatic pseudocysts by endoscopic cystogastrostomy
Insights
Endoscopic transmural drainage is an effective, minimally invasive alternative for treating pancreatic pseudocysts. This approach successfully managed two patients with symptomatic pseudocysts, avoiding recurrence.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Open surgical drainage is the standard treatment for pancreatic pseudocysts.
- Endoscopic transmural drainage offers a less invasive alternative.
Observation:
- Two patients with symptomatic pancreatic pseudocysts were treated with endoscopic cystogastrostomy.
- Case 1: A 15-year-old boy with traumatic pancreatitis and a 10cm x 6cm pseudocyst.
- Case 2: A 44-year-old man with alcoholic pancreatitis and an 18cm x 9cm pseudocyst.
Findings:
- Both patients achieved successful endoscopic cyst drainage.
- No recurrence of pancreatic pseudocysts was observed in either patient.
Implications:
- Endoscopic transmural drainage is a viable and effective minimally invasive option for pancreatic pseudocyst management.
- This technique may reduce patient morbidity compared to open surgery.
Abstract:
Open surgical drainage is currently the treatment of choice for pancreatic pseudocysts, but endoscopic transmural drainage is another minimally invasive surgical alternative. In this report, we describe two patients with symptomatic pancreatic pseudocysts treated with endoscopic cystogastrostomy. The first patient, a 15-year-old boy, had an episode of traumatic pancreatitis after abdominal injury from a car accident, and complained of postprandial vomiting and abdominal distention 4 weeks later. A large pancreatic pseudocyst, about 10 cm x 6 cm, was noted. The second patient, a 44-year-old man, had a 1-year history of recurrent alcoholic pancreatitis prior to this admission. He suffered from abdominal distention for several weeks. Sonography revealed a large pancreatic pseudocyst, about 18 cm x 9 cm in size. Both patients underwent successful endoscopic cyst-drainage without recurrence. These cases illustrate that endoscopic transmural drainage provides a minimally invasive and effective approach to the management of pancreatic pseudocysts.