[Three cases of pancreatic pseudocyst treated with transpapillary endoscopic management of pancreatic duct disruption after percutaneous drainage as a first-line treatment].
Previously reported series suggested that the morbidity rate of internal surgical drainage procedure alone was about 15% and the mortality rate was less than 5% in patients with pancreatic pseudocysts. Recently, ultrasonography or CT-guided percutaneous drainage and endoscopic drainage techniques have created a new dimension of invasive, non-surgical treatment options for these patients. In the absence of prospective, randomized, controlled studies comparing outcomes of different pseudocysts drainage techniques, the decision as to which method should be employed often lies with local expertise and enthusiasm. In our experience, radiologic percutaneous drainage with subsequent transpapillary endoscopic drainage had a high success rate and was relatively less difficult which resulted in rapid clinical improvement. We report three cases of pancreatic pseudocysts treated with percutaneous drainage as a first-line treatment followed by endoscopic treatment.
Kang
Jee Heon
JH
Department of Internal Medicine, Soonchunhyang University College of Medicine, Bongmyeong-Dong, Cheonan, Korea.
Park
Do Hyun
DH
Park
Sang Heum
SH
Yoon
Hyung Geun
HG
Lee
Suck Ho
SH
Chung
Il Kwun
IK
Kim
Hong Soo
HS
Kim
Sun Joo
SJ
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage / Q000295:instrumentation; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging* / Q000628:therapy*; D014057:Tomography, X-Ray Computed