Percutaneous cystogastrostomy in patients with pancreatic pseudocysts.
OBJECTIVE
To evaluate the results of percutaneous cystogastrostomy for pancreatic pseudocysts secondary to acute or chronic pancreatitis.


METHODS
Retrospective study with prospective follow-up.


METHODS
University hospital, Sweden.


METHODS
16 patients with symptomatic pseudocysts (10 men and 6 women, mean age 56 (36-78) years) treated during the period 1993-1999.


METHODS
Pseudocystogastrostomy was created under local anaesthesia and fluoroscopic control by percutaneous insertion of a double pigtail catheter.


RESULTS
The underlying diagnosis was acute pancreatitis in 10 and chronic pancreatitis in 6 patients. 13 patients had one pseudocyst and 4 had 2 or more with a median diameter of 11 (5-20) cm. The procedure was successful in all but 2 patients, who were operated on. 2 patients experienced pain after the intervention that did not require specific treatment, otherwise no complications were noted. Median hospital stay was 2 days (range 1-60). The median follow-up was 45 (1-94) months. All but 2 patients had successful drainage during follow-up with resolution or regression of the pseudocyst and relief of symptoms (pain and abdominal discomfort).


CONCLUSIONS
Pancreatic pseudocysts were treated by percutaneous cystogastrostomy with good results. Percutaneous cystogastrostomy is a safe, minimally invasive procedure that gives good results at long-term follow-up as well as in the short-term.
Andersson
Roland
R
Department of Surgery, Lund University Hospital, Sweden. roland.andersson@kir.lu.se
Cwikiel
Wojciech
W
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010192:Pancreatic Pseudocyst / Q000209:etiology / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications; D011446:Prospective Studies; D012189:Retrospective Studies