Intracystic wire exchange facilitating insertion of multiple stents during endoscopic drainage of pancreatic pseudocysts.
BACKGROUND
Endoscopic drainage of pancreatic pseudocysts and abscesses has been shown to be an effective treatment modality. A major determinant for successful cyst resolution is the insertion of multiple endoprostheses and/or placement of a nasocystic drain, which require repeated entries of a catheter into the pseudocyst to reintroduce the guidewire.


OBJECTIVE
We describe a novel and easy technique to prevent the need for repeated access into the pseudocyst, thereby facilitating the placement of multiple endoprostheses by using a commercially available guiding system for stent introduction.


METHODS
Case series.


METHODS
Academic Medical Center, The Netherlands.


METHODS
Eight consecutive patients with symptomatic pancreatic pseudocysts after acute pancreatitis.


METHODS
Intracystic wire exchange for the insertion of multiple stents in endoscopic treatment of pancreatic pseudocysts by using an echoendoscope.


METHODS
Feasibility of intracystic wire exchange and complications.


RESULTS
No guidewire access to the pseudocyst was lost. The procedure was well tolerated by the patients. Complete pseudocyst resolution was established in all patients.


CONCLUSIONS
The endoscopic appliance of multiple stents becomes easier when using intracystic wire exchange for transgastric pancreatic pseudocyst drainage.
Jansen
Jeroen M
JM
Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Hanrath
Agaath
A
Rauws
Eric A
EA
Bruno
Marco J
MJ
Fockens
Paul
P
D000328:Adult; D004322:Drainage; D016145:Endoscopy, Digestive System / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000473:pathology / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents