Transduodenal drainage of hard-to-reach pancreatic pseudocyst under endosonography control
https://doi.org/10.31146/1682-8658-ecg-189-5-97-100
Abstract
The aim of the investigation was to demonstrate the possibility of modern technology of endoscopic drainage of difficultly accessible pancreatic pseudocyst of complex configuration using endosonography.
Material and methods: a patient with a long history of recurrent chronic pancreatitis and a pseudocyst of complex configuration and anatomical location formed on this background was subjected to internal drainage of postnecrotic cyst under the control of endosonography in November 2020.
Result: The surgical intervention and postoperative period were without complications. Control CT scan of the abdominal cavity organs after 3 months showed complete reduction and disappearance of the cyst. The follow-up period up to the present time is 5 months. The patient had no complaints at the moment.
Conclusion: this clinical observation demonstrates the advantages of minimally invasive intraluminal transduodenal access. The used access permitted to perform surgery in maximum organ preserving variant with the best functional result.
About the Authors
S. V. Dzhantukhanova
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Seda V. Dzhantukhanova, Ph. D., Senior Researcher, Surgical Endoscopy Department
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
Yu. G. Starkov
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Yuri G. Starkov, Doctor of Medical Sciences, Prof., Head of the Surgical Endoscopy Department
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
R. D. Zamolodchikov
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Rodion D. Zamolodchikov, Ph. D., Junior Researcher, Surgical Endoscopy Department
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
A. A. Zvereva
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Anna A. Zvereva, Junior Researcher Candidate of Medical Sciences
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
V. S. Shirokov
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Vadim S. Shirokov, Radiologist
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
I. S. Gruzdev
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation
Russian Federation
Ivan S. Gruzdev, Resident of the Department of Radiology and Magnetic Resonance Studies
117997, Moscow, Bolshaya Serpukhovskaya Street, 27, Russia
References
1. Kloppel G. Pseudocysts and other non-neoplastic cysts of the pancreas. Semin. Diagn. Pathol. 2000; 17 (1): 7–15.
2. Baron T.H., Harewood G. C., Morgan D. E., Yates M. R. Outcome diff erences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts. Gastrointest. Endosc. 2002; 56 (1): 7–17.
3. Singhal S., Rotman S. R., Gaidhane M., Kahaleh M. Pancreatic fl uid collection drainage by endoscopic ultrasound: an update. Clin. Endosc. 2013; 46 (5): 506–514. doi: 10.5946/ce.2013.46.5.506.
4. Antillon M. R., Shah R. J., Stiegmann G., Chen Y. K. Single-step EUS-guided transmural drainage of simple and complicated pancreatic pseudocysts. Gastrointest. Endosc. 2006; 63 (6): 797–803. doi: 10.1016/j.gie.2005.10.025.
5. Kunzli H. T., Timmer R., Schwartz M. P., et al. Endoscopic ultrasonography- guided drainage is an effective and relatively safe treatment for peripancreatic fluid collections in a cohort of 108 symptomatic patients. Eur. J. Gastroenterol. Hepatol. 2013; 25 (8): 958–963. doi: 10.1097/MEG.0b013e3283612f03.
6. Varadarajulu S., Bang J. Y., Phadnis M. A., Christein J. D., Wilcox C. M. Endoscopic transmural drainage of peripancreatic f luid collections: outcomes and predictors of treatment success in 211 consecutive patients. J. Gastrointest. Surg. 2011; 15 (11): 2080–2088. doi: 10.1007/s11605–011–1621–8.
7. Shamah S., Okolo P. I., 3rd. Systematic review of endoscopic cyst gastrostomy. Gastrointest. Endosc. Clin. N. Am. 2018; 28 (4): 477–492. doi: 10.1016/j.giec.2018.06.002.
8. Vosoghi M., Sial S., Garrett B., Feng J., Lee T., Stabile B. E., Eysselein V. E. EUS-guided pancreatic pseudocyst drainage: review and experience at Harbor- UCLA Medical Center. Med. Gen. Med. 2002; 4 (3): 2.
9. Yang J., Chen Y. I., Friedland S., et al. Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts: a large, comparative, international, multicenter study. Endoscopy. 2018. doi: 10.1055/a-0759–1353.
10. Zamolodchikov RD, Solodinina EN, Starkov Iu G. Internal drainage of pancreatic pseudocysts. Khirurgiya. 2015;(4):68–75. (In Russ.) Doi:10.17116/hirurgia2015468–75.
11. Starkov Yu.G., Zamolodchikov R. D., Dzhantukhanova S. V., et al. The results of endosonography- assisted internal drainage of pancreatic pseudocyst. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(1):43–52. (In Russ.) doi: 10.16931/1995–5464.2019143–52
Review
For citations:
Dzhantukhanova S.V., Starkov Yu.G., Zamolodchikov R.D., Zvereva A.A., Shirokov V.S., Gruzdev I.S. Transduodenal drainage of hard-to-reach pancreatic pseudocyst under endosonography control. Experimental and Clinical Gastroenterology. 2021;1(5):97-100. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-189-5-97-100
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