Endoscopic Pancreatic Pseudocyst Drainage

Roeder, Brent E.; Pfau, Patrick R.

doi:10.1016/j.tgie.2005.10.003

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…Some authors reported that large sized pseudocysts (even more than 10 cm) did not show serious complications on long-term follow up. [17][18][19] Therefore, the main established two indications for surgery are the symptomatic and complicated pseudocysts.…”

Section: Surgical Drainage Of Pancreatic Pseudocystmentioning

confidence: 99%

“…Endoscopic drainage is another less invasive interventional method for management of pseudocysts that comprises the use of endoscope for drainage of the cystic fluid either via the biliary duct or through the duodenum. 18 Despite the high long-term success rates of this approach (80-90%), it has many limitations. For instance, the pseudocyst may be missed, the drainage catheter may be suboptimally placed, or the adjacent vessels may be injured.…”

mentioning

confidence: 99%

“…Complications occur in 10-20% of patients, and recurrence may take place in 6-18%. 18 Surgical drainage of pancreatic pseudocysts is usually indicated when there is contraindication to or failure of percutaneous external and endoscopic drainage. It can be carried out either laparoscopically or via open surgery.…”

mentioning

confidence: 99%

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Conservative management versus surgical drainage in pancreatic pseudocyst

Almaihan¹,

Matar²,

Murshid³

et al. 2018

Int Surg J

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Pancreatic pseudocyst is not an uncommon complication of acute or chronic pancreatitis. It often presents with persistent abdominal pain and tenderness after the resolution of pancreatitis. Two lines of management are available for treatment of pancreatic pseudocyst: conservative management and surgical drainage. Conservative management is preferred in small-sized, asymptomatic, and short-lasting pseudocysts, whilst surgical management is often indicated when the cysts are larger in size, symptomatic, long-lasting, or when complications occur. Overall, 50% of cysts resolve spontaneously and only require conservative management, whilst surgical management is indicated for prevention of potential complications. This article will review and discuss in detail and compare between conservative management and surgical drainage of pseudocyst as regards indications, advantages, disadvantages, outcomes, and complications.

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Section: Surgical Drainage Of Pancreatic Pseudocystmentioning

confidence: 99%

mentioning

confidence: 99%

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Conservative management versus surgical drainage in pancreatic pseudocyst

Almaihan¹,

Matar²,

Murshid³

et al. 2018

Int Surg J

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“…Using a hydrophilic guidewire, the leak should be traversed so that patency of the main pancreatic duct is achieved. Stent sizes are dependent on the pancreatic duct diameter but are usually 7Fr, and continuity of the main pancreatic duct should be accomplished when placing the stent across the ductal leak [19,20] . The use of both transpapillary and transmural drainage should be considered in very large pseudocysts (> 6 cm) or cases in which there is a pancreatic ductal abnormality.…”

Section: Bodymentioning

confidence: 99%

Endoscopic approach to pancreatic pseudocysts: An American perspective

Babich

Friedel²

2010

WJGE

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Pancreatic pseudocysts, abscesses, and walled-off pancreatic necrosis are types of pancreatic fluid colle ctions that arise as a consequence of pancreatic injury. Pain, early satiety, biliary obstruction, and infection are all indications for drainage. Percutaneous-radiologic drainage, surgical drainage, and endoscopic drainage are the three traditional approaches to the drainage of pancreatic pseudocysts. The endoscopic approach to pancreatic pseudocysts has evolved over the past thirty years and endoscopists are often capable of draining these collections. In experienced centers endoscopic ultrasound-guided endoscopic drainage avoids complications related to percutaneous drainage and is less invasive than surgery.

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“…This case demonstrates that the cutoff time of 6 weeks should be reevaluated. In our opinion, the size of PPC[ 5 8 9 ] and the thickness of the cyst wall should take precedence over the 6-week observation period. This clinical observation has some limitations.…”

mentioning

confidence: 99%