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Endoscopic pancreatic duct drainage and stenting for acute pancreatitis and pancreatic cyst and abscess
Author(s) -
Shinozuka Nozomi,
Okada Katsuya,
Torii Takahiro,
Hirooka Eiji,
Tabuchi Satoshi,
Aikawa Kimiyasu,
Tawara Hideyuki,
Ozawa Shutaro,
Ogawa Nobuji,
Miyazawa Mitsuo,
Takeda Akihiko,
Otani Yoshihide,
Koyama Isamu
Publication year - 2007
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-006-1203-4
Subject(s) - medicine , pancreatitis , pancreatic abscess , pancreatic duct , acute pancreatitis , abscess , pancreatic cyst , drainage , general surgery , endoscopic stenting , pancreatic pseudocyst , cyst , radiology , surgery , endoscopy , ecology , biology
Abstract Background/Purpose Endoscopic drainage of pancreatic pseudocysts using transpapillary and transmural approaches has been reported. In this study, endoscopic nasopancreatic drainage (ENPD) and pancreatic stenting were performed in patients with pseudocyst and abscess associated with acute pancreatitis, and the usefulness and problems of the procedures were investigated. Methods After endoscopic retrograde pancreatography was done, ENPD and/or pancreatic stenting were performed in 13 patients with pancreatitis and pseudocyst or abscess that communicated with the main pancreatic duct. Results ENPD was performed in seven patients, and was effective in all five patients with cysts: the cysts disappeared or shrank. However, the condition in the two patients with abscess was unchanged, and percutaneous drainage was performed. Stenting was carried out in six patients, and the cyst disappeared or pancreatitis was improved in all six. The stent was removed from two patients, but no recurrence has been noted so far. Conclusions ENPD and stenting are effective therapeutic choices for acute and chronic pancreatitis and pseudocysts, and they are superior to percutaneous drainage to avoid pancreatic fistula, but they may not be effective for pancreatic abscess. Selection of therapeutic methods corresponding to individual cases is important.