Wen Jing, Liang Hao, Cai Feng-chun, Linghu En-qiang, Yang Yun-sheng
Department of Gastroenterology,Chinese PLA General Hospital,Beijing 100853,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2014 Apr;36(2):194-7. doi: 10.3881/j.issn.1000-503X.2014.02.015.
To explore the effectiveness and safety of endoscopic transgastric or transpapillary drainage in treating pancreatic pseudocysts.
The clinical data of 15 patients with pancreatic pseudocyst who underwent endoscopic ultrasound-guided transgastric or transpapillary drainage in the Chinese PLA General Hospital between June 2004 and February 2013 were retrospectively analyzed. Also, we reviewed the relevant Chinese literature in the China Academic Journal Network Publishing Database (from 1994 to 2012) and VIP China Science and Technology Journal Database (from 1989 to 2012) using the key words "pancreatic pseudocyst and drainage". Five literatures including 103 cases were enrolled.
The data of 118 cases undergoing endoscopic drainage, included 94 cases with transgastric approach and 24 with transpapillary approach, entered the final analysis. The success rate was 94.9%, and cysts completely disappeared in 83.9% of the patients. The overall incidence of complications (bleeding, infection, and stent clogging or migration) was 19.5%. One patient lost to follow-up and only one case of recurrence was noted.
Endoscopic transgastric or transpapillary drainage is safe and effective in treating the pancreatic pseudocysts and therefore can be a preferred therapeutic approach.
探讨内镜经胃或经乳头引流术治疗胰腺假性囊肿的有效性和安全性。
回顾性分析2004年6月至2013年2月在中国人民解放军总医院接受内镜超声引导下经胃或经乳头引流术的15例胰腺假性囊肿患者的临床资料。此外，我们在中国学术期刊网络出版总库（1994年至2012年）和维普中国科技期刊数据库（1989年至2012年）中使用关键词“胰腺假性囊肿和引流”检索相关中文文献。纳入5篇文献共103例。
118例行内镜引流术的患者数据纳入最终分析，其中经胃途径94例，经乳头途径24例。成功率为94.9%，83.9%的患者囊肿完全消失。并发症（出血、感染、支架堵塞或移位）总发生率为19.5%。1例患者失访，仅1例复发。
内镜经胃或经乳头引流术治疗胰腺假性囊肿安全有效，可作为首选治疗方法。
