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.
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页数：6
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