Percutaneous drainage of pancreatic pseudocysts: a prospective study.
We classify pancreatic pseudocysts in 3 types: post-necrotic type I, related to acute pancreatitis; post-necrotic type II, related to an acute attack superimposed on chronic pancreatitis; and retention type III, due to chronic pancreatitis with ductal stricture. A prospective study on percutaneous catheter drainage of post-necrotic pseudocysts (type I and II) was undertaken from 1987 to 1990. Twenty-three pseudocysts in 21 patients were drained. Overall recurrence rate was 4%; 2 patients had fistulization of the catheter into bowel; no deaths occurred. The procedure was successful in all type I cysts; in type II cysts it was associated with prolonged drainage and increased risk of complications when cyst-duct communication was present. Percutaneous drainage has no role to play in type III retention cysts. Guidelines regarding indications for treatment and the techniques employed are described.
D'Egidio
A
A
Department of Surgery, University of Witwatersrand, Johannesburg, South Africa.
Schein
M
M
D000328:Adult; D002404:Catheterization; D002760:Cholangiopancreatography, Endoscopic Retrograde; D000075202:Contraindications; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography