Percutaneous Cystogastrostomy with a New Catheter for Drainage of Pancreatic Pseudocysts and Fluid Collections
- Department of Radiology, Flinders Medical Centre, Bedford Park, South Australia, 5042 (Australia)
- 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, Vol. 19, Issue 2; Other Information: DOI: 10.1007/s002709900030; Copyright (c) 1996 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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