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Gen
Print version ISSN 0016-3503On-line version ISSN 2477-975X
Abstract
CASTRO, Denny; BECERRA, Vanessa and SILVA, Olga. Endoscopic drainage of pancreatic pseudocysts. Gen [online]. 2025, vol.79, n.3, pp.131-134. Epub July 11, 2025. ISSN 0016-3503. https://doi.org/10.61155/gen.v79i3.750.
There are several endoscopic approaches described for the drainage of pancreatic pseudocysts, including transmural, transpapillary, or a combination of both. In transmural drainage, endoscopic ultrasound (EUS) guidance may or may not be used. The objective of this study is to present our institution’s experience with these techniques.
Patients and Methods:
A retrospective analysis was conducted between January 2000 and December 2024 on patients diagnosed with pancreatic pseudocysts. Endoscopic procedures were performed using an Olympus duodenoscope, needle-knife sphincterotome, biliary dilation balloon, hydrophilic guidewire, and fluoroscopic guidance. Plastic stents included double-pigtail prostheses (7 Fr × 9 cm and 7 Fr × 5 cm) and single-pigtail pancreatic prostheses (7 Fr × 11 cm).
Results:
A total of 31 patients were treated, with a mean age of 38 years. The most common etiology was biliary acute pancreatitis. Of these, 25 patients underwent endoscopic drainage (transmural, transpapillary, or combined), and no cases required surgical intervention.
Conclusions:
Endoscopic drainage of pancreatic pseudocysts is a minimally invasive, effective treatment option associated with low morbidity and mortality.
Keywords : Pseudocyst; pancreas; pancreatitis.
