Endoscopic cystogastrostomy: preliminary experience.

ABSTRACT

OBJECTIVE: To study the usefulness of endoscopic drainage in the management of pancreatic pseudocyst. METHODS: Five patients with pancreatic pseudocyst were subjected to endoscopic cystogastrostomy. In addition 7 french stent was placed between the cyst and stomach in three patients. RESULTS: The three patients with a cystogastrostomy and stent had complete resolution of the pseudocyst in 2-6 weeks without any complications after a mean follow up of 3.5 months. One patient with rapidly enlarging post-traumatic pancreatic pseudocyst, who was treated with only cystogastrostomy had a significant decrease in cyst size. Another patient with post-traumatic pseudocyst had bleeding during cyst puncture; the procedure was abandoned and surgical drainage was done. CONCLUSIONS: Endoscopic cystogastrostomy is an effective method of treatment for suitably situated pancreatic pseudocysts and obviates the need for radiological help.