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Percutaneous drainage of pancreatic pseudocyst into the stomach.

机译:经皮将胰腺假性囊肿引流到胃中。

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BACKGROUND: We present our experience with percutaneous ultrasonographically guided internal cystogastric drainage of pancreatic pseudocysts using a double pigtail catheter. METHODS: In nine patients, the pancreatic pseudocysts following acute pancreatitis were drained percutaneously into the stomach with the double pigtail catheter under ultrasonographical (US) control. The needle insertion through both gastric walls and the final position of the proximal curve of the catheter were monitored with a gastroscope. The position of the distal curve of the catheter was checked by US. There were no procedure-related complications. The patients were followed up monthly by clinical and US examination. RESULTS: At first follow-up 1 month after the intervention, none of the patients had evidence of the pseudocyst. The patients were not aware of the catheter and functioned normally throughout the procedure and catheter removal. The catheter was removed endoscopically after 5-8 months. CONCLUSIONS: The method is minimally invasive and also feasible in high-risk surgical patients. It requires a team consisting of an interventional radiologist, an ultrasonographer, and an endoscopist. In properly selected patients, the results are excellent.
机译:背景:我们介绍了使用双尾纤导管经皮超声引导胰腺假性囊肿的内部膀胱胃引流的经验。方法:在9例患者中,急性胰腺炎后的胰腺假性囊肿在超声(US)控制下通过双尾纤导管经皮引流到胃中。用胃镜监测穿过胃壁的针插入和导管近端弯曲的最终位置。通过US检查导管的远端弯曲的位置。没有与手术相关的并发症。每月对患者进行临床和US检查。结果:在干预后1个月的第一次随访中,没有患者有假性囊肿的证据。患者不了解导管,并且在整个手术过程中和导管拆除过程中均正常运行。 5-8个月后在内窥镜下取出导管。结论:该方法微创,对高危手术患者也可行。它需要一个由放射介入医师,超声检查医师和内镜医师组成的团队。在适当选择的患者中,结果极好。

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