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KMID : 0614620070490020100
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Korean Journal of Gastroenterology
2007 Volume.49 No. 2 p.100 ~ p.105
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Three Cases of Pancreatic Pseudocyst Treated with Transpapillary Endoscopic Management of Pancreatic Duct Disruption after Percutaneous Drainage as a First-Line Treatment
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Kang Jee-Heon
Park Do-Hyun
Park Sang-Heum
Yoon Hyung-Geun
Lee Suck-Ho
Chung Il-Kwun
Kim Hong-Soo
Kim Sun-Joo
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Abstract
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Previously reported series suggested that the morbidity rate of internal surgical drainage procedure alone was about 15% and the mortality rate was less than 5% in patients with pancreatic pseudocysts. Recently, ultrasonography or CT-guided percutaneous drainage and endoscopic drainage techniques have created a new dimension of invasive, non-surgical treatment options for these patients. In the absence of prospective, randomized, controlled studies comparing outcomes of different pseudocysts drainage techniques, the decision as to which method should be employed often lies with local expertise and enthusiasm. In our experience, radiologic percutaneous drainage with subsequent transpapillary endosopic drainage had a high success rate and was relatively less difficult which resulted in rapid clinical improvement. We report three cases of pancreatic pseudocysts treated with percutaneous drainage as a first-line treatment followed by endoscopic treatment. (Korean J Gastroenterol 2007;49:100-105)
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KEYWORD
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Pseudocyst, Percutaneous drainage, Endoscopic drainage
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