Percutaneous Cystogastrostomy with a New Catheter for Drainage of Pancreatic Pseudocysts and Fluid Collections

Journal Article · Fri Mar 15 04:00:00 EST 1996 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900030· OSTI ID:21080551

Davies, Roger P ^[1]; Cox, Michael R; Wilson, Thomas G; Bowyer, Richard C; Padbury, Robert T. A.; Toouli, James ^[2]

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1. Department of Radiology, Flinders Medical Centre, Bedford Park, South Australia, 5042 (Australia)
2. Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia, 5042 (Australia)

We describe a new catheter for the initial percutaneous drainage of large symptomatic pancreatic fluid collections and abscesses using a transgastric approach to allow fluid drainage into the gastric lumen. A double-mushroom stent is placed secondarily for long-term internal drainage to the stomach, avoiding the need for an extended period of external catheter drainage. This technique, termed percutaneous cystogastrostomy (PCG), has been used in 19 consecutive patients with one recurrent symptomatic pseudocyst in the follow-up period of 9<+>-<+>43 months. There was one death within 30 days of PCG and 1 patient proceeded to surgical necrosectomy. After evidence of resolution of the pseudocysts, the internal stent was retrieved in 17 patients by endoscopic snare.

• OSTI ID: 21080551
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 19; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
BODY FLUIDS
DEATH
MUSHROOMS
PANCREAS
PATIENTS
STOMACH
SURGERY