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Erschienen in: Digestive Diseases and Sciences 1/2020

16.11.2019 | DDS–SIRC COOPERATIVE CONFERENCES

Two’s a Charm: Endoscopic Therapy of Multiple Pancreatic Pseudocysts

verfasst von: M. Minghetti, A. Lauro, N. Pagano, S. Vaccari, V. D’Andrea, I. R. Marino, M. Cervellera, V. Tonini

Erschienen in: Digestive Diseases and Sciences | Ausgabe 1/2020

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Abstract

Pancreatic pseudocysts commonly complicate acute pancreatitis. They can evolve either asymptomatically or with important symptoms. Treatment can be surgical, endoscopic, or percutaneous. The authors present a case report of a 78-year-old man who developed symptoms of an acute abdomen during hospitalization. A CT scan showed two pancreatic pseudocysts (diameters 10 cm and 7.5 cm) that were successfully drained endoscopically. Multiple pancreatic pseudocysts can be treated successfully via an endoscopic approach.
Literatur
1.
Zurück zum Zitat Shahid H. Endoscopic management of pancreatic fluid collections. Transl Gastroenterol Hepatol. 2019;4:15.CrossRef Shahid H. Endoscopic management of pancreatic fluid collections. Transl Gastroenterol Hepatol. 2019;4:15.CrossRef
2.
Zurück zum Zitat Balogun OS, Osinowo AO, Afolayan MO, et al. Laparoscopic transgastric sutured cystogastrostomy for post-traumatic pancreatic pseudocyst in a low resource setting: case report and literature review. West Afr J Med. 2019;36:80–82.PubMed Balogun OS, Osinowo AO, Afolayan MO, et al. Laparoscopic transgastric sutured cystogastrostomy for post-traumatic pancreatic pseudocyst in a low resource setting: case report and literature review. West Afr J Med. 2019;36:80–82.PubMed
3.
Zurück zum Zitat Zarin M, Ali S, Majis A, et al. Gastroduodenal artery aneurism: post pancreatic pseudocyst drainage: an interesting case. Int J Surg Case Rep. 2018;42:82–84.CrossRef Zarin M, Ali S, Majis A, et al. Gastroduodenal artery aneurism: post pancreatic pseudocyst drainage: an interesting case. Int J Surg Case Rep. 2018;42:82–84.CrossRef
4.
Zurück zum Zitat Galileu FAF, Wanderley MB, Diogo THDM, et al. Endoscopical versus surgical treatment for pancreatic pseudocyst, systematic review and meta-analysis. Medicine. 2019;98:e14255.CrossRef Galileu FAF, Wanderley MB, Diogo THDM, et al. Endoscopical versus surgical treatment for pancreatic pseudocyst, systematic review and meta-analysis. Medicine. 2019;98:e14255.CrossRef
5.
Zurück zum Zitat Elmunzer BJ. Endoscopic drainage of pancreatic fluid collections. Clin Gastroenterol Hepatol. 2018;16:1851–1863.CrossRef Elmunzer BJ. Endoscopic drainage of pancreatic fluid collections. Clin Gastroenterol Hepatol. 2018;16:1851–1863.CrossRef
7.
Zurück zum Zitat Wundsam HV, Spaun GO, Bräuer F, et al. Evolution of transluminal necrosectomy for acute pancreatitis to stent in stent therapy: step-up approach leads to low mortality and morbidity rates in 302 consecutive cases of acute pancreatitis. J Laparoendosc Adv Surg Tech A. 2019;29:891–899.CrossRef Wundsam HV, Spaun GO, Bräuer F, et al. Evolution of transluminal necrosectomy for acute pancreatitis to stent in stent therapy: step-up approach leads to low mortality and morbidity rates in 302 consecutive cases of acute pancreatitis. J Laparoendosc Adv Surg Tech A. 2019;29:891–899.CrossRef
9.
Zurück zum Zitat Hollemans RA, Bakker OJ, Boermeester MA, et al. Superiority of step-up approach vs open necrosectomy in long-term follow-up of patients with necrotizing pancreatitis. Gastroenterology. 2019;156:1016–1026.CrossRef Hollemans RA, Bakker OJ, Boermeester MA, et al. Superiority of step-up approach vs open necrosectomy in long-term follow-up of patients with necrotizing pancreatitis. Gastroenterology. 2019;156:1016–1026.CrossRef
10.
Zurück zum Zitat Boxhoorn L, Fockens P, Besselink MG, et al. Endoscopic management of infected necrotizing pancreatitis: an evidence-based approach. Curr Treat Options Gastroenterol. 2018;16:333–344.CrossRef Boxhoorn L, Fockens P, Besselink MG, et al. Endoscopic management of infected necrotizing pancreatitis: an evidence-based approach. Curr Treat Options Gastroenterol. 2018;16:333–344.CrossRef
11.
Zurück zum Zitat van Brunschot S, van Grinsven J, van Santvoort HC, et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicenter randomised trial. Lancet. 2018;391:51–58.CrossRef van Brunschot S, van Grinsven J, van Santvoort HC, et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicenter randomised trial. Lancet. 2018;391:51–58.CrossRef
12.
Zurück zum Zitat Gurusamy KS, Belgaumkar AP, Haswell A, et al. Interventions for necrotising pancreatitis. Cochrane Database Syst Rev. 2016;4:CD011383.PubMed Gurusamy KS, Belgaumkar AP, Haswell A, et al. Interventions for necrotising pancreatitis. Cochrane Database Syst Rev. 2016;4:CD011383.PubMed
13.
Zurück zum Zitat Weledji EP, Ngowe MN, Mokake DM, et al. Post traumatic pancreatic pseudocyst managed by Roux-en-Y drainage. J Surg Case Rep. 2015;8:1–4.CrossRef Weledji EP, Ngowe MN, Mokake DM, et al. Post traumatic pancreatic pseudocyst managed by Roux-en-Y drainage. J Surg Case Rep. 2015;8:1–4.CrossRef
14.
Zurück zum Zitat Martinez-Ordaz JL, Toledo-Toral C, Franco-Guerreo N, et al. Tratamiento quirurgico de seudoquiste de pancreas. Cirurgia y Cirujanos. 2016;84:288–292. (in Spanish).CrossRef Martinez-Ordaz JL, Toledo-Toral C, Franco-Guerreo N, et al. Tratamiento quirurgico de seudoquiste de pancreas. Cirurgia y Cirujanos. 2016;84:288–292. (in Spanish).CrossRef
15.
Zurück zum Zitat Howard TJ, Lueking CA, Wiebke EA, et al. The role of pancreatic resection in the treatment of pancreatic pseudocysts. J Gastrointestinal Surg. 1997;1:205–212.CrossRef Howard TJ, Lueking CA, Wiebke EA, et al. The role of pancreatic resection in the treatment of pancreatic pseudocysts. J Gastrointestinal Surg. 1997;1:205–212.CrossRef
16.
Zurück zum Zitat Gerosa M, Chiarelli M, Guttadauro A, et al. Wirsung atraumatic rupture in patient with pancreatic pseudocysts: case presentation. BMC Gastroenterol. 2018;18:52.CrossRef Gerosa M, Chiarelli M, Guttadauro A, et al. Wirsung atraumatic rupture in patient with pancreatic pseudocysts: case presentation. BMC Gastroenterol. 2018;18:52.CrossRef
17.
Zurück zum Zitat Krajewski A, Lech G, Maciewicz M, et al. Infeasibility of endoscopic transmural drainage due to pancreatic pseudocyst wall calcifications: case report. Pol Przegl Chir. 2017;89:63–67.CrossRef Krajewski A, Lech G, Maciewicz M, et al. Infeasibility of endoscopic transmural drainage due to pancreatic pseudocyst wall calcifications: case report. Pol Przegl Chir. 2017;89:63–67.CrossRef
18.
Zurück zum Zitat Beuran M, Negoi I, Catena F, et al. Laparoscopic transgastric versus endoscopic drainage of a large pancreatic pseudocyst: a case report. J Gastrointestin Liver Dis. 2016;25:243–247.PubMed Beuran M, Negoi I, Catena F, et al. Laparoscopic transgastric versus endoscopic drainage of a large pancreatic pseudocyst: a case report. J Gastrointestin Liver Dis. 2016;25:243–247.PubMed
19.
Zurück zum Zitat Kwaiatkoski AP, Kowalewski PK, Pasnik K. Urgent laparoscopic gastrocystostomy after iatrogenic perforation of pancreatic cyst: case report and literature review. Wideochir Inne Tech Maloinwazyjne. 2015;10:328–331. Kwaiatkoski AP, Kowalewski PK, Pasnik K. Urgent laparoscopic gastrocystostomy after iatrogenic perforation of pancreatic cyst: case report and literature review. Wideochir Inne Tech Maloinwazyjne. 2015;10:328–331.
20.
Zurück zum Zitat Udeshika WAE, Herath HMMTB, Dassanayake SUB, et al. A case report of giant pancreatic pseudocyst following acute pancreatitis: experience with endoscopic internal drainage. BMC Res Notes. 2018;111:262.CrossRef Udeshika WAE, Herath HMMTB, Dassanayake SUB, et al. A case report of giant pancreatic pseudocyst following acute pancreatitis: experience with endoscopic internal drainage. BMC Res Notes. 2018;111:262.CrossRef
21.
Zurück zum Zitat Costa JM, Gonçalves BM, Costa RS, et al. Endoscopic management of stent displacement after pancreatic pseudocyst drainage. Endoscopy. 2018;50:E304–E306.CrossRef Costa JM, Gonçalves BM, Costa RS, et al. Endoscopic management of stent displacement after pancreatic pseudocyst drainage. Endoscopy. 2018;50:E304–E306.CrossRef
22.
Zurück zum Zitat Takayanagi T, Sekino Y, Ishii K, et al. Successful endoscopic ultrasound-guided cyst drainage (EUS-CD) of pancreatic pseudocyst in the abdominal cavity to the cervical region accompanied by spontaneous rupture into the portal vein: a case study. Nihon Shokakibyo Gakkai Zasshi. 2018;115:219–227.PubMed Takayanagi T, Sekino Y, Ishii K, et al. Successful endoscopic ultrasound-guided cyst drainage (EUS-CD) of pancreatic pseudocyst in the abdominal cavity to the cervical region accompanied by spontaneous rupture into the portal vein: a case study. Nihon Shokakibyo Gakkai Zasshi. 2018;115:219–227.PubMed
23.
Zurück zum Zitat de Castro CF, Cañete A, de Villalobos ES, et al. Pancreatic pseudocyst drainage performed with new prototype forward-viewing linear echoendoscope. Rev Esp Enferm Dig. 2016;108:680–683.CrossRef de Castro CF, Cañete A, de Villalobos ES, et al. Pancreatic pseudocyst drainage performed with new prototype forward-viewing linear echoendoscope. Rev Esp Enferm Dig. 2016;108:680–683.CrossRef
24.
Zurück zum Zitat Anderloni A, Orellana F, Jovani M, et al. Endoscopic ultrasound-guided drainage of pancreatic pseudocyst with a novel lumen-apposing metal stent on an electrocautery-enhanced delivery system. Dig Liver Dis. 2015;47:e17.CrossRef Anderloni A, Orellana F, Jovani M, et al. Endoscopic ultrasound-guided drainage of pancreatic pseudocyst with a novel lumen-apposing metal stent on an electrocautery-enhanced delivery system. Dig Liver Dis. 2015;47:e17.CrossRef
25.
Zurück zum Zitat Maegawa Y, Terabe F, Ueda T, et al. A case of pancreatic pseudocyst associated with pancreatic cancer successfully treated with endoscopic pseudocyst drainage, which allowed continuation of chemotherapy. Gan To Kagaku Ryoho. 2014;41:2211–2213.PubMed Maegawa Y, Terabe F, Ueda T, et al. A case of pancreatic pseudocyst associated with pancreatic cancer successfully treated with endoscopic pseudocyst drainage, which allowed continuation of chemotherapy. Gan To Kagaku Ryoho. 2014;41:2211–2213.PubMed
Metadaten
Titel
Two’s a Charm: Endoscopic Therapy of Multiple Pancreatic Pseudocysts
verfasst von
M. Minghetti
A. Lauro
N. Pagano
S. Vaccari
V. D’Andrea
I. R. Marino
M. Cervellera
V. Tonini
Publikationsdatum
16.11.2019
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 1/2020
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-019-05947-2

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