Barthet M, Sahel J, Bodiou-Bertei C, Bernard J P
Gastrointest Endosc. 1995 Sep;42(3):208-13. doi: 10.1016/s0016-5107(95)70093-5.
Endoscopic therapy of pancreatic pseudocysts has been reported mainly in small series.
The results of endoscopic transpapillary cyst drainage (ETCD) were evaluated prospectively in 30 patients with pancreatic pseudocysts.
There were 24 men and 6 women with an average age of 45 years (SD 16). Twenty-eight had chronic pancreatitis (25 with alcoholic pancreatitis). Transpapillary cystopancreatic stents, with the tip into the cyst cavity, were inserted in 12 patients. Pancreatic stents with the tip as close as possible from the cyst cavity were inserted in the remaining 18 patients. Ten patients underwent an additional endoscopic cystenterostomy. The average duration of stenting was 4.4 months (range 15 days to 12 months). Patients were followed up for 15 months (range 2 to 60 months). All pseudocysts communicated with the pancreatic ductal system. The size of the pseudocysts ranged from 15 to 120 mm (average 50 mm). Pseudocysts were mainly located in the head of the pancreas (17 cases). Four minor complications occurred. There were no deaths. Twenty-six patients had pseudocyst resolution by ETCD, but 7 ultimately required surgery, 3 for early recurrence and 4 for failure of initial therapy.
ETCD appears to be a safe and efficient modality for the drainage of pancreatic pseudocysts communicating with the pancreatic ductal system.
胰腺假性囊肿的内镜治疗主要在小样本研究中报道。
对30例胰腺假性囊肿患者进行前瞻性评估内镜下经乳头囊肿引流术（ETCD）的结果。
24例男性和6例女性，平均年龄45岁（标准差16）。28例有慢性胰腺炎（25例为酒精性胰腺炎）。12例患者插入经乳头囊肿胰腺支架，尖端进入囊肿腔。其余18例患者插入尖端尽可能靠近囊肿腔的胰腺支架。10例患者额外接受了内镜下囊肿胃吻合术。支架置入的平均持续时间为4.4个月（范围15天至12个月）。患者随访15个月（范围2至60个月）。所有假性囊肿均与胰管系统相通。假性囊肿大小为15至120毫米（平均50毫米）。假性囊肿主要位于胰头（17例）。发生4例轻微并发症。无死亡病例。26例患者经ETCD后假性囊肿消退，但7例最终需要手术，3例因早期复发，4例因初始治疗失败。
ETCD似乎是一种安全有效的引流与胰管系统相通的胰腺假性囊肿的方法。
