Abstract
Cystogastric catheter drainage under endoscopic and ultrasonographic guidance as introduced by Hancke and Heriksen has developed into a minimally invasive alternative to percutaneous or operative drainage. In cystogastric drainage, a pigtail catheter (2.8 mm external diameter) is placed in the pancreatic pseudocyst via a percutaneous, transgastric cannula under percutaneous ultra sonographic guidance. When the metal guide-sleeve has been retracted, the two preformed ends of the catheter coil up into a double pigtail catheter with the distal end in the cyst and the proximal in the stomach (Figs. 1,2). The catheter is usually 8 cm in length. The best way to remove the double pigtail catheter is endoscopically, either using a polypectomy noose or a forceps.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andersson R, Janzon M, Sundberg I, Bengmark S (1989) Management of pancreatic pseudocysts. Br J Surg 76: 550–552
Bradley EL, Clements JL, Jr, Gonzales AC (1979) The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg 137: 135–141
Campion JP, Baradxoglou E, Caillon P, Faroux R, Bourdonnec P (1989) Surgical treatment of chronic pancreatitis. Indications and results. An experience of 246 cases. Chirurgie 115: 123–131
Cremer M, Deviere J, Engelholm L (1989) Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long term follow-up after 7 years of experience. Gastrointest Endosc 35: 1–9
Hancke S, Heriksen FW (1985) Percutaneous pancreatic cysto-gastrostomy guided by ultrasound scanning and gastroscopy. Br J Surg 72: 916–917
Heyder N, Flügel H, Domschke W (1988) Catheter drainage of pancreatic pseudocysts into the stomach. Endoscopy 20: 75–77
Heyder N, Günter E, Hahn EG (1992) Endoskopisch-sonographisch geführte zystogastrale Katheterdrainagen pankreatogener Flüssigkeitsansammlungen. Z Gastroenterol 30: 553–557
Sahel J, Bastid C, Pellat B, Schurgers P, Sarles H (1987) Endoscopic cystoduodenostomy of cysts of chronic calcifying pancreatitis. A report of 20 cases. Pancreas 2: 447–453
Van Sonnenberg E, Wittich GR, Casola G, Brannigan TC, Karnel F, Stabile BE, Varney RR, Christensen RR (1989) Percutaneous drainage of infected and noninfected pancreatic pseudo-cysts: experience in 101 cases. Radiology 170: 757–761
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Foerster, E.C., Domschke, W. (1993). Operative Endoscopy in the Stomach: Cystogastric Pancreatic Drainage. In: Domschke, W., Konturek, S.J. (eds) The Stomach. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78176-6_27
Download citation
DOI: https://doi.org/10.1007/978-3-642-78176-6_27
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-56613-7
Online ISBN: 978-3-642-78176-6
eBook Packages: Springer Book Archive