Cremer M, Deviere J, Engelholm L
Medicosurgical Department of Gastroenterology, Erasme Hospital, Free University of Brussels, Belgium.
Gastrointest Endosc. 1989 Jan-Feb;35(1):1-9. doi: 10.1016/s0016-5107(89)72677-8.
Endoscopic cystoenterostomy was performed in 33 patients with chronic pancreatitis. Endoscopic cystoduodenostomy (ECD) was done in 22 cases of symptomatic paraduodenal cysts and endoscopic cystogastrostomy (ECG) in 11 cases of retrogastric pseudocysts. The success rates were 96% for ECD and 100% for ECG. The relapse rate was 9% after ECD and 19% after ECG. No significant complications were observed after successful ECD and clinical relief of pain was achieved in 20 patients. ECD was an effective and definitive treatment for 19 of the 22 cases. Two complications of ECG were gastric hemorrhage and iatrogenic pseudocyst infection. In two ECG patients, percutaneous drainage was required. ECG alone was a definitive treatment for 8 of the 11 cases. When restricted to the precise morphological indication (paraintestinal cyst bulging into the duodenal or gastric lumen), ECD is the first choice for treatment of paraduodenal cysts, whereas ECG is an alternative procedure for the drainage of retrogastric pseudocysts, offering at least results as good as percutaneous drainage.
对33例慢性胰腺炎患者实施了内镜下囊肿肠吻合术。对22例有症状的十二指肠旁囊肿患者进行了内镜下囊肿十二指肠吻合术（ECD），对11例胃后假性囊肿患者进行了内镜下囊肿胃吻合术（ECG）。ECD的成功率为96%，ECG的成功率为100%。ECD后的复发率为9%，ECG后的复发率为19%。ECD成功后未观察到明显并发症，20例患者疼痛得到临床缓解。ECD对22例中的19例是一种有效且确定性的治疗方法。ECG的两个并发症是胃出血和医源性假性囊肿感染。在2例ECG患者中，需要进行经皮引流。ECG单独对11例中的8例是一种确定性治疗方法。当限于精确的形态学指征（肠旁囊肿突入十二指肠或胃腔）时，ECD是十二指肠旁囊肿治疗的首选，而ECG是胃后假性囊肿引流的替代方法，其效果至少与经皮引流一样好。
