Morali G A, Braverman D Z, Shemesh D, Abramovitz Z, Jacobsohn W Z
Department of Gastroenterology, Shaare Zedek Medical Center, Jerusalem, Israel.
Am J Gastroenterol. 1991 Apr;86(4):515-8.
We report a patient with bile duct stone-induced pancreatitis who subsequently developed a large pseudocyst that became infected after endoscopic retrograde cholangiopancreatography (ERCP) was done for extraction of the stones. Percutaneous external drainage allowed control of the infection, but failed to seal the pseudocyst. We then treated the patient with a long-acting somatostatin analogue which shrunk the cyst within a week. Patients with pancreatic pseudocyst resistant to drainage should be offered a course of somatostatin before surgery is contemplated.
我们报告了一例胆管结石诱发胰腺炎的患者，该患者随后形成了一个大的假性囊肿，在为取出结石而行内镜逆行胰胆管造影（ERCP）后，假性囊肿发生了感染。经皮外引流控制了感染，但未能封闭假性囊肿。然后我们用长效生长抑素类似物对该患者进行治疗，一周内囊肿缩小。对于引流无效的胰腺假性囊肿患者，在考虑手术前应给予一个疗程的生长抑素治疗。
