title: Endoscopic ultrasound guided transgastric stenting for the treatment of traumatic pancreatic pseudocyst.
abstract: OBJECTIVE
  Endoscopic treatment for pancreatic pseudocysts (PPs) is a relatively new alternative to surgery. This study is to prospectively assess the value of endoscopic ultrasound (EUS) guided transgastric stenting in treatment of traumatic PPs.
  
  
  METHODS
  Between January 2005 and January 2010, 14 patients admitted to our centre for traumatic PPs underwent EUS guided transgastric stenting. The clinical data about the therapies and recovery of the patients was recorded and analyzed.
  
  
  RESULTS
  All patients underwent EUS and a total of 21 EUS guided transgastric stentings were performed with a success rate of 90.5% (19/21); 2 patients required surgery because therapeutic endoscopy was unsuccessful or impossible. The mean operative time was 46min and mean postoperative hospital duration was 3.8 days. There was no procedure-related mortality. The complication rate was 19.0%with 2 infections of PPs and 2 stent obstructions. The median follow-up period was 29 months (range, 10-58 months). No recurrence or other complications were found.
  
  
  CONCLUSIONS
  Endoscopic ultrasound guided transgastric stenting can be selected as a safe, effective and minimally invasive therapeutic method for traumatic PPs. More than 6 months of stent retention for traumatic PP may be reasonable, but larger comparative studies are still needed.
authors.affiliation: Department of Surgery, Tianjin Nankai Hospital, Tianjin, China. zhengmw95@gmail.com
authors.forename: Mingwei
authors.initials: M
authors.lastname: Zheng
authors.forename: Mingfang
authors.initials: M
authors.lastname: Qin
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D004322:Drainage; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries*; D010192:Pancreatic Pseudocyst / Q000628:therapy*; D011446:Prospective Studies; D015607:Stents