[Endoscopic management of postoperative pancreatic collections].
BACKGROUND
Treatment of pancreatic postoperative collections are usually managed with a multidisciplinary team. Different managements are possible: abstention, external drainage, endoscopic treatment or surgery.


METHODS
We report on a case series of five patients with a postoperative pancreatic collection, endoscopically managed. Patients underwent all a CT scan associated or not with endoscopic ultrasonography.


RESULTS
An endoscopic cystenterosotomy was performed in all the cases, with two double pig tail stents sometimes associated with nasocystic drainage for clearing the cyst lumen and with transpapillary drainage in one case. All the procedures were successful and patients healed in all the cases with the disappearance of the radiological image within a 33 days to three months range with one complication due to superinfection of the drained cyst, endoscopically managed with a nasocystic catheter.


CONCLUSIONS
Therapeutic endoscopy, with a multidisciplinary approach, is a promising way to manage postoperative pancreatic collections.
Subtil
C
C
Département de gastroentérologie et hépatologie, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France.
Moutardier
V
V
Vitton
V
V
Gasmi
M
M
Desjeux
A
A
Grimaud
J-C
JC
Brunet
C
C
Berdah
S
S
Barthet
M
M
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D018291:Cystadenoma, Mucinous / Q000601:surgery; D004322:Drainage / Q000379:methods*; D016145:Endoscopy, Digestive System; D019160:Endosonography; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010181:Pancreatic Cyst / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D013156:Splenectomy; D014057:Tomography, X-Ray Computed