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What We Know So Far About ECG for Pancreatic Pseudocysts
Paulina Kluszczyk1, Beata Jabłońska2, Michał Serafin1
1Student Scientific Society, Department of Digestive Tract Surgery, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medyków 14 St., 40-752 Katowice, Poland.
Life (Basel, Switzerland)
|November 27, 2024
Summary
Double pigtail plastic stents (DPPSs) and lumen-apposing fully covered metal stents (LAMSs) show high success in endoscopic cysto-gastrostomy for pancreatic pseudocysts. LAMSs may offer better outcomes regarding cyst recurrence.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Pancreatic Diseases
Background:
- Endoscopic cysto-gastrostomy (ECG) is a primary treatment for pancreatic pseudocysts (PPCs).
- ECG involves creating an anastomosis between the pseudocyst and gastrointestinal tract lumen.
- Stent selection is crucial for successful endoscopic drainage of PPCs.
Purpose of the Study:
- To compare the use of double pigtail plastic stents (DPPSs) and lumen-apposing fully covered metal stents (LAMSs) in ECG.
- To evaluate indications, quantity, and outcomes of DPPSs versus LAMSs for PPC treatment.
Main Methods:
- Retrospective analysis of 39 patients treated for PPCs between October 2018 and February 2023.
- Collected data included patient demographics, PPC etiology, cyst size, stent type, and complications.
- Compared outcomes between DPPS and LAMS groups.
Main Results:
- DPPSs were used in smaller cysts (108 mm) than LAMSs (140 mm) and remained longer (106 vs. 34 days).
- LAMS group showed significantly lower cyst recurrence (0% vs. 19.05%) and a trend towards higher therapeutic success (100% vs. 85.71%).
Conclusions:
- Both DPPSs and LAMSs demonstrate high therapeutic success and low complication rates in ECG for PPCs.
- LAMS may be associated with reduced cyst recurrence compared to DPPS.
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