Endoscopic Transhiatal Drainage of a Mediastinal Pancreatic Pseudocyst

Mohl, W; Moser, Chris; Kramann, B; Zeuzem, Stefan; Stallmach, Andreas

doi:10.1055/s-2004-814385

Cited by 18 publications

(16 citation statements)

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“…Mohl et al [21] reported successful resolution of a mediastinal pseudocyst by endoscopic ultrasound (EUS)-guided transhiatal drainage and placement of 7-F double pigtail stent. Topa et al [6] and Komtong et al [34] also reported successful resolution of mediastinal pseudocyst by endoscopic transgastric drainage.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of pancreatic pseudocysts at atypical locations

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Endoscopic management of pancreatic pseudocysts at atypical locations

et al. 2009

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“…The published experience with endoscopic transmural drainage of PP at atypical locations is scanty and is limited to only few published case reports. [15][16][17] In the current study, we have shown that the PP at atypical locations (liver, spleen, kidney, and mediastinum) can be safely and effectively treated by NF-EUS-guided transmural drainage. As anticipated because of wider drainage diameter, the period of resolution in the current study was also shorter than the period of resolution reported by us in our previous study using transpapillary drainage alone (mean of 2.9 weeks vs. 6.5 weeks, respectively).…”

Section: Discussionmentioning

confidence: 58%

“…[6] The transmural drainage has been rarely used to treat PP at atypical locations with only few published case reports. [15][16][17] In this study, we describe our experience of treating 11 cases of PP at various atypical locations with nonflouroscopic EUS (NF-EUS)-guided transmural drainage.…”

Section: Introductionmentioning

confidence: 99%

Nonfluoroscopic endoscopic ultrasound-guided transmural drainage of pancreatic pseudocysts at atypical locations

Rana

Sharma

Chhabra

et al. 2016

Journal of Digestive Endoscopy

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Background: Pancreatic pseudocysts (PP) at atypical locations are a therapeutic challenge and are usually managed surgically. Objective: We evaluated safety and efficacy of nonfluoroscopic endoscopic ultrasound (NF-EUS)-guided transmural drainage in the management of PP at atypical locations. Patients and Methods: Retrospective analysis of 11 patients (all males; age range: 28–46 years) with PP at atypical locations who were treated with NF-EUS-guided transmural drainage during the last 18 months was done. Results: Four patients had intra/peri-splenic, three patients had mediastinal, three patients had intrahepatic, and one patient had renal PP. Nine patients had chronic pancreatitis whereas two patients had acute pancreatitis. Alcohol was the etiology of pancreatitis in ten patients. The size of PP ranged from 4 to 10 cm. All patients had abdominal pain, and two patients had fever whereas one patient with mediastinal PP also had dysphagia. NF-EUS-guided transmural drainage could be done successfully in all patients. 7 Fr transmural stent(s) was/were placed in six patients whereas single-time complete aspiration of PP was done in five patients. On endoscopic retrograde pancreatography, six patients had partial duct disruption whereas five patients had complete disruption. Bridging transpapillary stent (5 Fr) was placed in all patients with partial disruption. All PP healed in 10/11 (91%) patients within 2–4 weeks, and there has been no recurrence in 9 of these patients during a follow-up period of 4–18 months. One patient with splenic PP needed surgery for gastrointestinal bleed. Conclusion: PP at atypical locations can be effectively and safely treated with NF-EUS-guided transmural drainage.

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“…[13] EUS guided transesophageal and transhiatal drainage of mediastinal pseudocyst has a high success rate with low mortality and morbidity. [1415] In the present case, the patient was treated with octreotide 200 µ g subcutaneously for 10 days along with intravenous fluids and a complete resolution of cyst was attained.…”

Section: Discussionmentioning

confidence: 81%

Pancreatic pseudocyst presenting as dysphagia: A case report

Panackel¹,

Korah²,

Krishnadas³

et al. 2008

Saudi J Gastroenterol

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Pancreatic pseudocysts are relatively common complications of acute pancreatitis. However, extension of pseudocysts into the mediastinum rarely occurs. In such situations they commonly present with chest pain or shortness of breath. We herein report the case of a patient with a pseudocyst presenting with dysphagia. The clinical presentation, current modalities of diagnosis and management of mediastinal pancreatic pseudocyst is reviewed in this article.

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Endoscopic Transhiatal Drainage of a Mediastinal Pancreatic Pseudocyst

Cited by 18 publications

References 0 publications

Endoscopic management of pancreatic pseudocysts at atypical locations

Endoscopic management of pancreatic pseudocysts at atypical locations

Nonfluoroscopic endoscopic ultrasound-guided transmural drainage of pancreatic pseudocysts at atypical locations

Pancreatic pseudocyst presenting as dysphagia: A case report

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