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[Pancreatic trauma successfully treated by endoscopy]
B López Viedma1, T Sala Felis, V Pertejo Pastor
1Unidad de Endoscopias, Hospital Universitario La Fe, Valencia.
Gastroenterologia Y Hepatologia
|December 9, 1998
Summary
Acute post traumatic pancreatitis, though rare, can lead to pseudocysts. Endoscopic cystogastrostomy offers a successful minimally invasive treatment option for these complex cases, particularly when conservative methods fail.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Endoscopic Procedures
Background:
- Acute post-traumatic pancreatitis is a rare complication, accounting for 0.4% of acute pancreatitis cases.
- Limited data exist on treatment efficacy for post-traumatic pancreatitis, especially concerning small or multiple pseudocysts.
- Traditional treatment often involves internal surgical drainage.
Observation:
- A case of acute post-traumatic pancreatitis initially managed conservatively is presented.
- The patient developed pseudocysts following initial conservative treatment.
- These pseudocysts were successfully managed using endoscopic cystogastrostomy.
Findings:
- Endoscopic cystogastrostomy provided satisfactory drainage of pseudocysts resulting from acute post-traumatic pancreatitis.
- This minimally invasive approach demonstrated effectiveness in a case where conservative management was insufficient.
- The study highlights endoscopic intervention as a viable alternative to surgery.
Implications:
- Endoscopic cystogastrostomy may be a valuable therapeutic option for managing pseudocysts in acute post-traumatic pancreatitis.
- Further research into endoscopic techniques for post-traumatic pancreatitis is warranted.
- This approach could potentially reduce the need for invasive surgical procedures.