Chung Il Hyung, Kim Hee Wook, Lee Dong Ki
Division of Gastroenterology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
J Interv Gastroenterol. 2011 Jul;1(3):142-144. doi: 10.4161/jig.1.3.18515. Epub 2011 Jul 1.
A common complication of pancreatitis is pseudocyst formation. Endoscopic drainage is a widely used treatment for pancreatic pseudocysts, and offers a definitive solution in approximately 75% of cases. Drainage-related complications may be related directly to the procedure or may occur later as stents and drains migrate or erode into adjacent structures. Procedure-related complications included bleeding, pancreatitis, and infection while stent-related complications may involve dislocation or clogging with subsequent infection. This report is the first description of the successful endoscopic removal of a migrated cystogastrostomy double pigtail stent through a pancreatico-duodenal fistula tract that developed more than six years after the stent was originally misplaced into a pseudocyst.
胰腺炎的一种常见并发症是假性囊肿形成。内镜引流是治疗胰腺假性囊肿广泛应用的方法,约75%的病例可得到确切解决。与引流相关的并发症可能直接与操作有关,也可能在后期因支架和引流管移位或侵蚀相邻结构而发生。与操作相关的并发症包括出血、胰腺炎和感染,而与支架相关的并发症可能涉及移位或堵塞并继发感染。本报告首次描述了通过胰十二指肠瘘道成功内镜取出移位的囊肿胃造口双猪尾支架,该瘘道在支架最初误置入假性囊肿六年多后形成。