Evolving Endoscopic Approaches to Pancreatic Pseudocysts and Walled-Off Necrosis: Case Series and Review of Evidence

被引：0
|
作者：
Duggal, Shivangini [1 ]
Nagineni, Lokesh [1 ]
Trivedi, Bhavi S. [1 ]
Zuckerman, Marc [1 ]
Badillo, Ricardo [1 ]
机构：
[1] Texas Tech Univ, Hlth Sci Ctr, El Paso, TX USA
来源：
JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2024年 / 12卷
关键词：
pancreatic pseudocyst; endoscopic cystogastrostomy; ERCP; biliary obstruction; FLUID COLLECTIONS; MANAGEMENT; MULTICENTER;
D O I：
10.1177/23247096241304521
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Imaging followed by endoscopic ultrasound (EUS)-guided therapy has become the preferred modality for treating pancreatic pseudocysts over surgical or radiological interventions. However, there continues to be a lack of consensus regarding the utility of endoscopic retrograde cholangiopancreatography (ERCP) before and after cyst drainage. We describe 4 cases of large pancreatic pseudocyst causing extrinsic biliary obstruction treated successfully with endoscopic cystogastrostomy decompression using a lumen-apposing self-expandable metal stent (LAMS) without ERCP. Endoscopic cystogastrostomy with LAMS was successful in all cases; none required ERCP. As endoscopic therapeutic systems continue to evolve, ERCP is becoming less essential to improve outcomes in patients with extrinsic biliary obstruction by pseudocysts and walled-off necrosis.
引用
收藏
页数：6
相关论文
共 50 条
  • [31] The Development of Endoscopic Techniques for Treatment of Walled-Off Pancreatic Necrosis: A Single-Center Experience
    Jagielski, Mateusz
    Smoczynski, Marian
    Jablonska, Anna
    Adrych, Krystian
    GASTROENTEROLOGY RESEARCH AND PRACTICE, 2018, 2018
  • [32] The role of endoscopic ultrasonography in endoscopic debridement of walled-off pancreatic necrosis - A single center experience
    Jagielski, Mateusz
    Smoczynski, Marian
    Jablonska, Anna
    Marek, Iwona
    Dubowik, Michal
    Adrych, Krystian
    PANCREATOLOGY, 2015, 15 (05) : 503 - 507
  • [33] Successful Open and Endoscopic Transgastric Necrosectomy for Huge Infected Walled-Off Pancreatic Necrosis: A Case Report
    Okishio, Yuko
    Yokoyama, Satoshi
    Higashide, Yasuhiro
    Ueno, Kohei
    Masuda, Mitsuru
    Hosokawa, Shinichi
    Kamimura, Ryo
    Ito, Daisuke
    Ichimiya, Masato
    Uyama, Shiro
    PANCREAS, 2017, 46 (08) : E69 - E70
  • [34] Efficacy and safety of endoscopic ultrasound guided drainage of pseudocysts and walled-off necrosis after failure of percutaneous drainage
    Mack, Sahar
    Galasso, Domenico
    Marx, Mariola
    Robert, Maxime
    Romailler, Elodie
    Oumrani, Sarra Hadjer
    Aslan, Nurullah
    Moschouri, Eleni
    Schoepfer, Alain
    Godat, Sebastien
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2023, 37 (04): : 2626 - 2632
  • [35] Successful endoscopic treatment of walled-off pancreatic necrosis complicated with pancreaticopleural and pancreaticocolonic fistulas
    Jagielski, Mateusz
    Smoczynski, Marian
    Jablonska, Anna
    Pienkowska, Joanna
    Adrych, Krystian
    Jackowski, Marek
    ARCHIVES OF MEDICAL SCIENCE, 2020, 16 (02) : 471 - 474
  • [36] Imaging of endoscopic cystogastrostomy in pancreatic walled-off necrosis: what the radiologist needs to know
    Abou Karam, Anthony
    Bagherpour, Arya
    Calleros, Jesus
    Laks, Shaked
    ABDOMINAL RADIOLOGY, 2018, 43 (11) : 3043 - 3053
  • [37] Interventional endoscopy for the treatment of pancreatic pseudocyst and walled-off necrosis (with videos)
    Mukai, Shuntaro
    Itoi, Takao
    Moriyasu, Fuminori
    JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2014, 21 (10) : E75 - E85
  • [38] Interobserver Agreement on "Assessment of Debris" During Endoscopic Ultrasound-guided Drainage of Walled-off Pancreatic Necrosis
    Pal, Partha
    Lakhtakia, Sundeep
    Jagtap, Nitin
    Asif, Shujaath
    Koduri, Krithi Krishna
    Gupta, Rajesh
    Basha, Jahangeer
    Haja, Azimudin
    Singh, Aniruddha Pratap
    Pasumarthy, Ashirwad
    Nabi, Zaheer
    Singh, Jagdeesh Rampal
    Kalpala, Rakesh
    Ramchandani, Mohan
    Reddy, D. Nageshwar
    TECHNIQUES AND INNOVATIONS IN GASTROINTESTINAL ENDOSCOPY, 2023, 25 (03): : 213 - 220
  • [39] Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis
    Sato, Yozo
    Hara, Kazuo
    Okuno, Nozomi
    Murata, Shinichi
    Hasegawa, Takaaki
    Morinaga, Hiroyuki
    Kimbara, Yuki
    Imai, Yugo
    Yamaura, Hidekazu
    Inaba, Yoshitaka
    INTERNATIONAL JOURNAL OF GASTROINTESTINAL INTERVENTION, 2020, 9 (03): : 128 - 131
  • [40] Predicting success of direct endoscopic necrosectomy with lumen-apposing metal stents for pancreatic walled-off necrosis
    Zhai, Ya-Qi
    Ryou, Marvin
    Thompson, Christopher C.
    GASTROINTESTINAL ENDOSCOPY, 2022, 96 (03) : 522 - +
12345