TY - JOUR
T1 - EUS-guided one-step drainage of pancreatic pseudocysts
T2 - Experience in 3 patients
AU - Inui, Kazuo
AU - Yoshino, Junji
AU - Okushima, Kazumu
AU - Miyoshi, Hironao
AU - Nakamura, Yuta
AU - Watanabe, Shinya
AU - Takashima, Toshin
AU - Nakazawa, Saburo
AU - Hattori, Toshiyuki
PY - 2001/7
Y1 - 2001/7
N2 - Background: EUS-guided drainage has been recognized as a nonsurgical treatment for pancreatic pseudocysts. Bleeding at the puncture site is a known complication of this procedure. This is a report of the use of new equipment for one-step drainage without the use of an electrosurgical needle. Methods: EUS-guided cystoenterostomy was performed in 3 patients. The mean size of the pseudocysts was 8 cm (head = 1, body = 2). A needle and drainage tube were inserted in a one-step procedure into the cyst through the accessory channel of an echoendoscope under EUS. The drainage tube was released immediately after insertion. Observations: All 3 patients were treated successfully without complication. A drainage tube was inserted through the duodenal bulb (n = 1) and the body of the stomach (n = 2).The drain was removed after 1 month in all patients. Two of the 3 drains were obstructed by sludge. One pseudocyst recurrence was observed at a mean follow-up of 3.6 months (range 2-6 months). Conclusions:The EUS-guided one-step system is simple to use and suitable for drainage of pancreatic pseudocysts. It appears to minimize the risk of hemorrhage.
AB - Background: EUS-guided drainage has been recognized as a nonsurgical treatment for pancreatic pseudocysts. Bleeding at the puncture site is a known complication of this procedure. This is a report of the use of new equipment for one-step drainage without the use of an electrosurgical needle. Methods: EUS-guided cystoenterostomy was performed in 3 patients. The mean size of the pseudocysts was 8 cm (head = 1, body = 2). A needle and drainage tube were inserted in a one-step procedure into the cyst through the accessory channel of an echoendoscope under EUS. The drainage tube was released immediately after insertion. Observations: All 3 patients were treated successfully without complication. A drainage tube was inserted through the duodenal bulb (n = 1) and the body of the stomach (n = 2).The drain was removed after 1 month in all patients. Two of the 3 drains were obstructed by sludge. One pseudocyst recurrence was observed at a mean follow-up of 3.6 months (range 2-6 months). Conclusions:The EUS-guided one-step system is simple to use and suitable for drainage of pancreatic pseudocysts. It appears to minimize the risk of hemorrhage.
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U2 - 10.1067/mge.2001.115473
DO - 10.1067/mge.2001.115473
M3 - Article
C2 - 11427851
AN - SCOPUS:0035403244
SN - 0016-5107
VL - 54
SP - 87
EP - 89
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 1
ER -