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ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst

Twenty patients with ultrasonographic or computed tomographic diagnosis of pancreatic pseudocyst were referred for endoscopic retrograde cholangiopancreatography (ERCP). Two of these were found at laparotomy not to have pseudocysts and were excluded. Pancreatography was successful in 15 out of 18 ca...

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Detalles Bibliográficos
Autores principales: Nordback, I., Auvinen, O., Airo, I., Isolauri, J., Teerenhovi, O.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 1988
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423505/
https://www.ncbi.nlm.nih.gov/pubmed/3153775
http://dx.doi.org/10.1155/1988/47060
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author Nordback, I.
Auvinen, O.
Airo, I.
Isolauri, J.
Teerenhovi, O.
author_facet Nordback, I.
Auvinen, O.
Airo, I.
Isolauri, J.
Teerenhovi, O.
author_sort Nordback, I.
collection PubMed
description Twenty patients with ultrasonographic or computed tomographic diagnosis of pancreatic pseudocyst were referred for endoscopic retrograde cholangiopancreatography (ERCP). Two of these were found at laparotomy not to have pseudocysts and were excluded. Pancreatography was successful in 15 out of 18 cases (83%) and cholangiography in 12 out of 18 cases (67%). Three types of pseudocysts were noticed according to the communication of the pseudocyst to the main pancreatic duct and the presence of pancreatic duct stensosis. Successful treatment included two spontaneous resolutions, two internal drainages and three left pancreatic resections. In the eight percutaneous external drainages four recurrences (50%) occurred, one after closure of temporary pancreatocutaneous fistula. All the recurrences occurred in Type III pseudocysts with communication of the pseudocysts to stenotic main pancreatic duct. In these cases internal drainage would have been the preferable treatment method. We believe that by ERCP one can identify pseudocysts not suitable for external drainage.
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spelling pubmed-24235052008-07-08 ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst Nordback, I. Auvinen, O. Airo, I. Isolauri, J. Teerenhovi, O. HPB Surg Research Article Twenty patients with ultrasonographic or computed tomographic diagnosis of pancreatic pseudocyst were referred for endoscopic retrograde cholangiopancreatography (ERCP). Two of these were found at laparotomy not to have pseudocysts and were excluded. Pancreatography was successful in 15 out of 18 cases (83%) and cholangiography in 12 out of 18 cases (67%). Three types of pseudocysts were noticed according to the communication of the pseudocyst to the main pancreatic duct and the presence of pancreatic duct stensosis. Successful treatment included two spontaneous resolutions, two internal drainages and three left pancreatic resections. In the eight percutaneous external drainages four recurrences (50%) occurred, one after closure of temporary pancreatocutaneous fistula. All the recurrences occurred in Type III pseudocysts with communication of the pseudocysts to stenotic main pancreatic duct. In these cases internal drainage would have been the preferable treatment method. We believe that by ERCP one can identify pseudocysts not suitable for external drainage. Hindawi Publishing Corporation 1988 /pmc/articles/PMC2423505/ /pubmed/3153775 http://dx.doi.org/10.1155/1988/47060 Text en Copyright © 1988 Hindawi Publishing Corporation. http://creativecommons.org/licenses/by/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nordback, I.
Auvinen, O.
Airo, I.
Isolauri, J.
Teerenhovi, O.
ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title_full ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title_fullStr ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title_full_unstemmed ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title_short ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst
title_sort ercp in evaluating the mode of therapy in pancreatic pseudocyst
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423505/
https://www.ncbi.nlm.nih.gov/pubmed/3153775
http://dx.doi.org/10.1155/1988/47060
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