Sharma S S
Department of Internal Medicine, SMS Medical College Hospital, Jaipur.
Indian J Gastroenterol. 1995 Jan;14(1):11-2.
To study the usefulness of endoscopic drainage in the management of pancreatic pseudocyst.
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.
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.
Endoscopic cystogastrostomy is an effective method of treatment for suitably situated pancreatic pseudocysts and obviates the need for radiological help.
研究内镜引流在胰腺假性囊肿治疗中的作用。
对5例胰腺假性囊肿患者实施内镜下囊肿胃吻合术。另外，3例患者在囊肿与胃之间放置了7F支架。
3例行囊肿胃吻合术并放置支架的患者，假性囊肿在2至6周内完全消退，平均随访3.5个月后无任何并发症。1例创伤后胰腺假性囊肿迅速增大的患者，仅接受了囊肿胃吻合术，囊肿大小显著减小。另1例创伤后假性囊肿患者在囊肿穿刺时发生出血；手术中止，改行外科引流。
内镜下囊肿胃吻合术是治疗位置合适的胰腺假性囊肿的有效方法，无需放射学辅助。
