Kozarek R A, Brayko C M, Harlan J, Sanowski R A, Cintora I, Kovac A
Gastrointest Endosc. 1985 Oct;31(5):322-7. doi: 10.1016/s0016-5107(85)72215-8.
Enlarging pancreatic pseudocysts, as well as those that develop complications such as bleeding, leak, infection, and intestinal or biliary obstruction, require treatment. This treatment is usually surgical and consists of internal or external drainage or, less commonly, excision. Transcutaneous aspiration with or without drain placement has also been reported. We describe four cases of endoscopic cystogastrostomy and cystoduodenostomy undertaken in high risk patients who had either failed previous surgery (two) or were initially refused surgery because of prohibitive operative risk (two). Technique, limitations, and potential use of this procedure are discussed.
不断增大的胰腺假性囊肿，以及那些出现诸如出血、渗漏、感染和肠道或胆道梗阻等并发症的囊肿，都需要进行治疗。这种治疗通常是手术治疗，包括内引流或外引流，较少情况下是切除。也有经皮穿刺抽吸并放置或不放置引流管的报道。我们描述了4例对高危患者进行内镜下囊肿胃造口术和囊肿十二指肠造口术的病例，这些患者要么之前的手术失败（2例），要么因手术风险过高而最初被拒绝手术（2例）。本文讨论了该手术的技术、局限性和潜在用途。
