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Endoscopic treatment of pancreatic pseudocysts

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Abstract

Background

This study aimed to assess the effectiveness of therapeutic endoscopy in the treatment of pancreatic pseudocysts, and to define factors limiting endoscopic therapy.

Methods

The results of therapeutic endoscopy were evaluated for 170 patients with pancreatic pseudocysts treated at the Department of Surgery, Helsinki University Central Hospital, during the 6-year period from 1998 to 2003.

Results

The therapeutic endoscopy success rate was 86.1%, with 23 (13.9%) patients requiring operative treatment because therapeutic endoscopy was unsuccessful or technically impossible. There was little morbidity and no procedure-related mortality. The majority of the 38 complications, which arose from 380 procedures, could be treated conservatively.

Conclusions

Endoscopic methods are safe and effective for the treatment of pancreatic pseudocysts. The indications for surgery include inaccessible pancreatic duct, location, or content of the pseudocyst rendering the problem not amenable to endoscopic therapy, as well as complications of the endoscopic treatment.

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Authors and Affiliations

  1. Department of Surgery, Helsinki University Central Hospital, Helsinki, Finland

    L. Weckman, M.-L. Kylänpää, P. Puolakkainen & J. Halttunen

  2. Department of Gastrointestinal and General Surgery, University of Helsinki, Meilahti Hospital, Haartmaninkatu 4, Post Office Box 340, HUS, 00029, Finland

    J. Halttunen

Authors
  1. L. Weckman
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  2. M.-L. Kylänpää
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  3. P. Puolakkainen
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  4. J. Halttunen
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Corresponding author

Correspondence to J. Halttunen.

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Weckman, L., Kylänpää, ML., Puolakkainen, P. et al. Endoscopic treatment of pancreatic pseudocysts. Surg Endosc 20, 603–607 (2006). https://doi.org/10.1007/s00464-005-0201-y

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  • DOI: https://doi.org/10.1007/s00464-005-0201-y

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