Skip to main content
Log in

A Simple Fluoroscopic Approach to Percutaneous Transgastric Cystgastrostomy with Internalized Drainage Catheter for Treatment of Pancreatic Pseudocysts: Report of Two Cases

  • Case Report
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

With the emergence of minimally invasive techniques, percutaneous drainage has been applied to the management of symptomatic pancreatic pseudocysts in lieu of conventional surgical or endoscopic therapy. Percutaneous insertion of internalized drainage catheters represents an attractive method for pseudocyst drainage, but has been limited by the usual need for cross-sectional imaging or endoscopic guidance. Herein, we describe the use of a simple fluoroscopically guided technique for percutaneous transgastric cystgastrostomy with internalized drainage catheter placement in two cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

References

  1. Bergman S, Melvin WS. Operative and nonoperative management of pancreatic pseudocysts. Surg Clin North Am. 2007;87:1447–1460. doi:10.1016/j.suc.2007.09.003.

    Article  PubMed  Google Scholar 

  2. Sacks D, Robinson ML. Transgastric percutaneous drainage of pancreatic pseudocysts. AJR Am J Roentgenol. 1988;151:303–306.

    CAS  PubMed  Google Scholar 

  3. Sacks BA, Greenberg JJ, Porter DH, et al. An internalized double-J catheter for percutaneous transgastric cystogastrostomy. AJR Am J Roentgenol. 1989;152:523–526.

    CAS  PubMed  Google Scholar 

  4. Cox MR, Davies RP, Bowyer RC, Toouli J. Percutaneous cystograstrostomy for treatment of pancreatic pseudocysts. Aust N Z J Surg. 1993;63:693–698. doi:10.1111/j.1445-2197.1993.tb00493.x.

    Article  CAS  PubMed  Google Scholar 

  5. Henriksen FW, Hancke S. Percutaneous cystogastrostomy for chronic pancreatic pseudocyst. Br J Surg. 1994;81:1525–1528. doi:10.1002/bjs.1800811043.

    Article  CAS  PubMed  Google Scholar 

  6. Davies RP, Cox MR, Wilson TG, Bowyer RC, Padbury RTA, Toouli J. Percutaneous cystogastrostomy with a new catheter for drainage of pancreatic pseudocysts and fluid collections. Cardiovasc Intervent Radiol. 1996;19:128–131. doi:10.1007/BF02563909.

    Article  CAS  PubMed  Google Scholar 

  7. Andersson R, Cwikiel W. Percutaneous cystogastrostomy in patients with pancreatic pseudocysts. Eur J Surg. 2002;168:345–348. doi:10.1080/11024150260284851.

    Article  PubMed  Google Scholar 

  8. Grace PA, Williamson RCN. Modern management of pancreatic pseudocysts. Br J Surg. 1993;80:573–581. doi:10.1002/bjs.1800800508.

    Article  CAS  PubMed  Google Scholar 

  9. Gumaste VV, Pitchumoni CS. Pancreatic pseudocysts. Gastroenterologist. 1996;4:33–43.

    CAS  PubMed  Google Scholar 

  10. Bradley EL. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis. Arch Surg. 1993;128:586–590.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Riad Salem.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gaba, R.C., Mun, S.J., Ryu, R.K. et al. A Simple Fluoroscopic Approach to Percutaneous Transgastric Cystgastrostomy with Internalized Drainage Catheter for Treatment of Pancreatic Pseudocysts: Report of Two Cases. Dig Dis Sci 55, 523–528 (2010). https://doi.org/10.1007/s10620-009-0722-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-009-0722-7

Keywords

Navigation