Clinical value of transgastric endoscopic surgery for the treatment of pancreatic abscess or pancreatic cyst and infection
10.3760/cma.j.issn.1673-9752.2012.03.021
- VernacularTitle:经胃内镜手术治疗胰腺脓肿或囊肿合并感染的临床价值
- Author:
Lei WANG
;
Wei REN
;
Chaoqiang FAN
;
Jing YU
;
Xia ZHANG
;
Guoce ZHAO
;
Xiaoyan ZHAO
;
Yihui LI
- Publication Type:Journal Article
- Keywords:
Pancreatic abscess;
Pancreatic cyst;
Infection;
Endoscope
- From:
Chinese Journal of Digestive Surgery
2012;11(3):271-274
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical value of transgastrie endoscopic surgery for the treatment of pancreatic abscess or pancreatic cyst and infection.MethodsThe clinical data of 22 patients with pancreatic abscess or pancreatic cyst and infection who underwent transgastric puncture and drainage or transgastric debridement under the guidance of endoscopic ultrasonography (EUS) at the Xinqiao Hospital of Third Military Medical University from July 2008 to August 2011 were retrospectively analyzed.All patients were comfirmed with bacteria infection after liquid aspiration culture. Patients with pancreatic abscess underwent endoscopic transgastric debridement,and for patients with pancreatic cyst and infection,10 F double pigtail stent and 8.5 F nasal bile duct were placed for drainage.ResultsThe results of liquid aspiration culture confirmed that 2 patients were infected by staphylococcus aureus,3 by proteus mirabilis,4 by pseudomonas aeruginosa,4 by klebsiella and 9 by escherichia coli bacilli.The double pigtail stent and nasal bile duct were installed under EUS (16 patients) or duodenoscope (6 patients).The lesions of 9 patients with pancreatic abscess were healed after endoscopic transgastric debridement with an average period of (6.5 + 1.8 )weeks,and the lesions of 13 patients with pancreatic cyst and infection were healed after transgastric puncture and drainage under the guidance of EUS with an average period of ( 8.3 ± 2.1 ) weeks.All patients were followed up for 2 years,and no recurrence of pancreatic abscess or pancreatic cyst was observed.ConclusionThe effect of transgastric endoscopic surgery for the treatment of pancreatic abscess or pancreatic cyst and infection is satisfactory.
