Clin Endosc.  2014 May;47(3):222-226. 10.5946/ce.2014.47.3.222.

Endoscopic Drainage of Pseudocysts

• Song TJ
• Lee SS

• KMID: 2049017
• DOI: http://doi.org/10.5946/ce.2014.47.3.222

Abstract

During the last decade, great progress has been made in minimally invasive endoscopic techniques. For pancreatic pseudocysts (PPCs), endoscopic drainage has become the first-line therapeutic option. Recent advances in therapeutic endoscopic ultrasound (EUS)-related techniques have focused on EUS-guided transmural drainage, which is now replacing the conventional endoscopy-guided transmural drainage. While transmural drainage is usually performed using multiple plastic stents with or without a nasocystic drain, fully covered self-expandable metal stents are now being used with increasing frequency. In this review, we discuss some of the controversies related to the endoscopic drainage of PPCs.

Keyword

Pancreatic pseudocyst; Endoscopy; Endosonography; Drainage

MeSH Terms

Drainage*
Endoscopy
Endosonography
Pancreatic Pseudocyst
Plastics
Stents
Ultrasonography
Plastics

Figure

• 

  Fig. 1 (A) Fluoroscopic image showing a endoscopic ultrasound-guided transgastric puncture of the pancreatic pseudocyst (PPC). (B) Coiling of the guidewire within the PPC under fluoroscopic guidance. (C) Dilation of the tract with a needle-knife. (D) Placement of a fully covered self-expandable metal stent.

• 

  Fig. 2 A case of successful pancreatic pseudocyst (PPC) drainage. (A) A PPC located around the stomach. (B) The PPC completely disappeared at 4 weeks after a fully covered self-expandable metal stent was inserted.

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