[Endoscopic treatment of pseudocysts and abscess in acute pancreatitis].
We report on 4 cases of necrotic pseudocysts complicating acute pancreatitis, treated by endoscopic cystostomy (3 cystogastrostomies, 1 cystoduodenostomy). Acute pancreatitis was secondary to biliary stones in 2 cases, post-surgical in one case and post-ERCP in the last case. Endoscopic treatment was performed because of recurrence of pseudocysts after percutaneous drainage guided by ultrasonography or CT scan. In 3 cases, pseudocysts were infected (pancreatic abscesses) and in 2 patients, surgery was contraindicated (severe respiratory and multiple organ failure). The outcome was uneventful in all the 4 cases and pseudocysts disappeared in a few days or weeks in 3 patients. The fourth patient underwent a complementary surgical cystogastrostomy. Endoscopic cystostomy appears to be a safe and efficient technique when performed in pseudocysts located close to the digestive wall and responsible for bulging visible during upper GI endoscopy.
Sahel
J
J
Clinique des Maladies de l'Appareil Digestif et de la Nutrition, Hôpital Sainte-Marguerite, Marseille.
Bastid
C
C
Sarles
H
H
D000038:Abscess / Q000150:complications / Q000601:surgery*; D000208:Acute Disease; D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D005767:Gastrointestinal Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications*
Dérivation endoscopique des pseudokystes et abcès au cours des pancréatites aiguës.