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A CASE OF PANCREATIC PSEUDOCYST SUCCESSFULLY TREATED WITH ENDOSCOPIC CYSTGASTROSTOMY USING A NEW THERAPEUTIC ECHOENDOSCOPE
Author(s) -
Kakutani Hiroshi,
Hino Syoryoku,
Ikeda Keiichi,
Uchiyama Yujirou,
Sumiyama Kazuki,
Kuramochi Akira,
Kawamura Muneo,
Tajiri Hisao
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2004.00414.x
Subject(s) - medicine , pancreatic pseudocyst , endoscope , endoscopic ultrasound , radiology , stent , cyst , surgery , pancreatitis
Aim: A case of an infected pancreatic pseudocyst in which cystgastrostomy was successfully performed with a new therapeutic echoendoscope and uoroscopic guidance is presented. Methods: A curved linear array echoendoscope (GF‐UCT240‐AL5; Olympus) with an instrument channel 3.7 mm in diameter was used in combination with the Aloka SSD‐5000 display unit. It enabled endoscopic video viewing. The cyst puncture was performed using a 1‐mm diathermic needle housed in a 5 Fr Teon tube. Following the endoscopic ultrasound (EUS)‐guided puncture, a 10 Fr stent was placed in the pancreatic pseudocyst without an exchange of endoscope. Results: The procedure was well tolerated for the patient and there were no complications. The cyst was resolved and the stent was removed 8 weeks later. Conclusion: This new therapeutic echoendoscope may provide a more effective, safer and less time‐consuming method of endoscopic pseudocyst drainage.