Endoscopic cystogastrostomy: preliminary experience.

OBJECTIVE

To study the usefulness of endoscopic drainage in the management of pancreatic pseudocyst.

METHODS

Five patients with pancreatic pseudocyst were subjected to endoscopic cystogastrostomy. In addition 7 french stent was placed between the cyst and stomach in three patients.

RESULTS

The three patients with a cystogastrostomy and stent had complete resolution of the pseudocyst in 2-6 weeks without any complications after a mean follow up of 3.5 months. One patient with rapidly enlarging post-traumatic pancreatic pseudocyst, who was treated with only cystogastrostomy had a significant decrease in cyst size. Another patient with post-traumatic pseudocyst had bleeding during cyst puncture; the procedure was abandoned and surgical drainage was done.

CONCLUSIONS

Endoscopic cystogastrostomy is an effective method of treatment for suitably situated pancreatic pseudocysts and obviates the need for radiological help.