Three Cases of Pancreatic Pseudocyst Treated with Transpapillary Endoscopic Management of Pancreatic Duct Disruption after Percutaneous Drainage as a First-line Treatment.
- Author:
Jee Heon KANG
1
;
Do Hyun PARK
;
Sang Heum PARK
;
Hyung Geun YOON
;
Suck Ho LEE
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sun Joo KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea. dhpark@schch.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Pseudocyst;
Percutaneous drainage;
Endoscopic drainage
- MeSH:
Aged;
*Cholangiopancreatography, Endoscopic Retrograde;
*Drainage/instrumentation;
Female;
Hemostasis, Surgical;
Humans;
Male;
Middle Aged;
Pancreatic Ducts/radiography;
Pancreatic Pseudocyst/*radiography/*therapy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2007;49(2):100-105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 endosopic 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.
