Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long-term follow-up after 7 years of experience

Cremer, Michel; Devière, Jacques; Engelholm, L

doi:10.1016/s0016-5107(89)72677-8

Cited by 348 publications

(171 citation statements)

References 26 publications

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“…Le drainage non chirurgical, notamment endoscopique, est actuellement recommandé en première intention [11]. La kystogastrostomie endoscopique consiste à créer une fistule entre la lumière gastrique et la cavité kystique permettant un drainage continu du contenu de la [12][13][14][15]. Les premières kystogastrostomies endoscopiques se faisaient relativement à « l'aveugle » en utilisant un duodénoscope permettant une ponction diathermique au sommet du bombement digestif.…”

Section: Discussionunclassified

“…Les premières kystogastrostomies endoscopiques se faisaient relativement à « l'aveugle » en utilisant un duodénoscope permettant une ponction diathermique au sommet du bombement digestif. L'inconvénient majeur de cette technique est le risque important d'hémorragie et de perforation [12]. Les taux de succès global rapportés avoisinent les 70 %, avec une morbidité de 19 % et un taux de récidive de 16 % sur le long terme [16].…”

Section: Discussionunclassified

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La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

Hassan¹,

Hnach²,

Bourazza³

2013

Hegel

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RésuméIntroduction : La prise en charge des collections pancréatiques compliquant une pancréatite (pseudokystes) ou survenant après chirurgie pancréatique, a bénéficié ces dernières années de méthodes moins invasives, afin d'améliorer l'efficacité du drainage et éviter ses complications. L'utilisation de l'écho-endoscopie au cours de la kystogastrostomie permet de drainer en un seul temps, les collections liquidiennes même en l'absence de bombement dans la lumière digestive.

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Section: Discussionunclassified

La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

Hassan¹,

Hnach²,

Bourazza³

2013

Hegel

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“…Endoscopic transmural drainage is an alternative to surgery in the management of pancreatic pseudocysts (7,8). It was first reported by Sahel et al (7) as an effective method.…”

Section: Discussionmentioning

confidence: 99%

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

Şışman

Hatemı²,

Erzın³

et al. 2012

Turk J Gastroenterol

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“…Haemorrhage depends on the presence of pericystic or peridigestive vessels, segmental portal hypertension and the haemorrhagic content of the cyst. Perforation depends on the distance between the digestive-wall and (Table 3) [48][49][50][51][52][53] . Mean rate of healing, failure and recurrence were respectively 78% (51%-82%), 5.5% (0%-16%) and 6.5% (3%-13%).…”

Section: Treatment Of Pancreatic Cysts and Pseudo Cystsmentioning

confidence: 99%

Endoscopic treatment of chronic pancreatitis

Heyries¹,

Sahel²

2007

WJG

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Treatment of chronic pancreatitis has been exclusively surgical for a long time. Recently, endoscopic therapy has become widely used as a primary therapeutic option. Initially performed for drainage of pancreatic cysts and pseudocysts, endoscopic treatments were adapted to biliary and pancreatic ducts stenosis. Pancreatic sphincterotomy which allows access to pancreatic ducts was firstly reported. Secondly, endoscopic methods of stenting, dilatation, and stones extraction of the bile ducts were applied to pancreatic ducts. Nevertheless, n e w i m p r o v e m e n t s w e r e n e c e s s a r y : f a i l u r e s o f pancreatic stone extraction justified the development of extra-corporeal shock wave lithotripsy; dilatation of pancreatic stenosis was improved by forage with a new device; moreover endosonography allowed guidance for celiac block, gastro-cystostomy, duodeno-cystostomy and pancreatico-gastrostomy. Although endoscopic treatments are more and more frequently accepted, indications are still debated. METHODSEndoscopic treatment needs a team (operator, anaesthesiologist) aware with Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. Specific material is necessary: good fluoroscopy with the possibility to magnify pictures, and a duodenoscope with a 4.2 channel allowing insertion of high calibre stent (10 Fr). Moreover, a wide variety of endoscopic ancillar y instruments is essential: metallic and hydrophilic guidewire, sphincterotomes, Dormia basket, balloon dilatators and bougie dilatators (5-11.5 Fr), but also very thin guide wire (0.025 inches), fine-tipped sphincterotomes, Soehendra extractors (cf infra) [1] . Impaction of stones in pancreatic ducts needs the use of extracorporeal shock wave lithotripsy before endoscopic stone extraction [2]

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Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long-term follow-up after 7 years of experience

Cited by 348 publications

References 26 publications

La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

La kystogastrostomie guidée par échoendoscopie dans le traitement des collections pancréatiques : expérience de l’hôpital militaire de Rabat (Maroc)

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

Endoscopic treatment of chronic pancreatitis

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