1. [Endoscopic management of postoperative pancreatic collections]
- Author
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Subtil, C., Moutardier, V., Vitton, V., Gasmi, M., Desjeux, A., Grimaud, J.-C., Berdah, S., Barthet, M., C, Brunet, Centre de recherche en neurobiologie - neurophysiologie de Marseille (CRN2M), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Image et ville (IV), Université Louis Pasteur - Strasbourg I-Centre National de la Recherche Scientifique (CNRS), Centre de Recherche et d'Application en Traitement de l'Image et du Signal (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-École Supérieure de Chimie Physique Électronique de Lyon (CPE)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-École Supérieure Chimie Physique Électronique de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), and Dumonceaud, Corinne
- Subjects
Adult ,Male ,Adenocarcinoma ,MESH: Splenectomy ,MESH: Exudates and Transudates ,MESH: Drainage ,Endosonography ,MESH: Pancreatic Cyst ,Pancreatectomy ,Postoperative Complications ,MESH: Endoscopy, Digestive System ,MESH: Pancreatectomy ,MESH: Postoperative Complications ,Cystadenoma, Mucinous ,Pancreatic Pseudocyst ,Humans ,Endoscopy, Digestive System ,[SDV.BBM.BC]Life Sciences [q-bio]/Biochemistry, Molecular Biology/Biochemistry [q-bio.BM] ,[SDV.BBM.BC] Life Sciences [q-bio]/Biochemistry, Molecular Biology/Biochemistry [q-bio.BM] ,MESH: Pancreatic Pseudocyst ,Aged ,MESH: Aged ,Cholangiopancreatography, Endoscopic Retrograde ,MESH: Humans ,MESH: Middle Aged ,MESH: Endosonography ,MESH: Adenocarcinoma ,MESH: Adult ,Exudates and Transudates ,Middle Aged ,MESH: Male ,[SDV.BBM.BC]Life Sciences [q-bio]/Biochemistry, Molecular Biology/Biomolecules [q-bio.BM] ,MESH: Cystadenoma, Mucinous ,Pancreatic Neoplasms ,Splenectomy ,Drainage ,MESH: Cholangiopancreatography, Endoscopic Retrograde ,Female ,MESH: Pancreatic Neoplasms ,Pancreatic Cyst ,MESH: Tomography, X-Ray Computed ,Tomography, X-Ray Computed ,MESH: Female - Abstract
International audience; INTRODUCTION: Treatment of pancreatic postoperative collections are usually managed with a multidisciplinary team. Different managements are possible: abstention, external drainage, endoscopic treatment or surgery. METHODS: We report on a case series of five patients with a postoperative pancreatic collection, endoscopically managed. Patients underwent all a CT scan associated or not with endoscopic ultrasonography. RESULTS: An endoscopic cystenterosotomy was performed in all the cases, with two double pig tail stents sometimes associated with nasocystic drainage for clearing the cyst lumen and with transpapillary drainage in one case. All the procedures were successful and patients healed in all the cases with the disappearance of the radiological image within a 33 days to three months range with one complication due to superinfection of the drained cyst, endoscopically managed with a nasocystic catheter. CONCLUSION: Therapeutic endoscopy, with a multidisciplinary approach, is a promising way to manage postoperative pancreatic collections.
- Published
- 2008