Endoscopic cystogastrostomy: preliminary experience.
OBJECTIVE
To study the usefulness of endoscopic drainage in the management of pancreatic pseudocyst.


METHODS
Five patients with pancreatic pseudocyst were subjected to endoscopic cystogastrostomy. In addition 7 french stent was placed between the cyst and stomach in three patients.


RESULTS
The three patients with a cystogastrostomy and stent had complete resolution of the pseudocyst in 2-6 weeks without any complications after a mean follow up of 3.5 months. One patient with rapidly enlarging post-traumatic pancreatic pseudocyst, who was treated with only cystogastrostomy had a significant decrease in cyst size. Another patient with post-traumatic pseudocyst had bleeding during cyst puncture; the procedure was abandoned and surgical drainage was done.


CONCLUSIONS
Endoscopic cystogastrostomy is an effective method of treatment for suitably situated pancreatic pseudocysts and obviates the need for radiological help.
Department of Internal Medicine, SMS Medical College Hospital, Jaipur.
S S
SS
Sharma
D000007:Abdominal Injuries / Q000150:complications; D000293:Adolescent; D000328:Adult; D004322:Drainage / Q000295:instrumentation* / Q000379:methods; D004384:Duodenoscopy; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome