Endoscopic Treatment of Pancreatic Pseudo Cyst
Author Information
Author(s): FUMINORI YAMAGISHI, MISTUYOSI SHIMODA, TAKASHI SAKAMOTO, KASTUNORI TAUCHI, KASTUO SHIMADA, TAKEICHI GOKA, TADASHI BANDOU, MASAO FUJIMAKI, ADEMAR YAMANAKA
Primary Institution: Toyama Medical and Pharmaceutical University School of Medicine
Hypothesis
Endoscopic fenestration is an effective treatment for pancreatic pseudo cysts that can prevent recurrence and infection.
Conclusion
Endoscopic fenestration of the pseudo cyst was successful in providing effective drainage and preventing complications.
Supporting Evidence
- Endoscopic ultrasonography showed the cyst wall was hard and attached to the stomach.
- The cyst was successfully drained without complications like bleeding or infection.
- Previous treatments had failed, leading to recurrent enlargement of the cyst.
Takeaway
Doctors used a special technique to make a hole in a swollen part of the stomach to help drain a fluid-filled sac, and it worked well without causing any problems.
Methodology
The treatment involved endoscopic cyst-gastrostomy to create a fenestration for drainage.
Limitations
The main risk of this treatment is uncontrolled bleeding, and careful imaging is needed to check for nearby vessels.
Participant Demographics
A 54-year-old man with a history of acute pancreatitis.
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