The Usefulness of Endoscopic Treatment of Pancreatic Pseudocysts.

概要

論文の詳細を見る
[Purpose] The aim of this study was to evaluate the usefulness and limitations of endoscopic treatment of pancreatic pseudocysts. [Methods] Endoscopic transpapillary or transmural drainage was performed in 8 patients with pancreatic pseudocysts. Transpapillary drainage was attempted in patients with pseudocysts that communicated to the main pancreatic duct and transmural drainage was attempted in patients with noncommunicating cysts. External drainage was performed in patients with concurrent cystic infection and bleeding. Outcome and complications were assessed for each treatment method. [Results] Transpapillary drainage was successful in 5 of 6 patients and transgastric drainage was successful in 3 of 3 patients. External drainage was performed in 5 patients (63%). Improvement of symptoms, normalization of serum amylase levels, and disappearance of the cysts or reduction of cyst size were achieved in all cases. [Conclusion] Endoscopic treatment of pancreatic pseudocysts can be accomplished through both internal and external drainage techniques and is a useful treatment that can be considered before attempting surgical treatment.
社団法人日本消化器内視鏡学会の論文