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Korean J Pancreas Biliary Tract > Volume 2(2):1997 > Article
The Korean Journal of Pancreas and Biliary Tract 1997;2(2):155-162.
췌장 가성낭종의 치료에 있어 새로운 내시경적 내배액술
최우봉, 홍수진, 문종호, 조영덕, 김진오, 조주영, 김연수, 이준성, 이문성, 황성규, 심찬섭
순천향대학교 의과대학 내과학교실, 소화기 연구소
New Device for Endoscopic Internal Drainage of Pancreatic Pseudocyst
Woo Bong Choi, Su Jin Hong, Jong Ho Moon, Young Deok Cho, Jin Ho Kim, Joo Young Cho, Yun Soo Kim, Joon Seong Lee, Moon Sung Lee, Seong Gyu Hwang, Chan Sup Shim
Institute for Digestive Research, Department of Internal Medicine, Soon Chun Hyang University, Seoul, Korea
Corresponding Author: Chan Sup Shim ,
ABSTRACT
The treatment of acute and chronic pancreatic pseudocyst has been hotly debated. Small, aymptomatic pseudocysts, particulary less than 5 cm in diameter seldom complicate and can be watched medically. Symptomatic pseudocysts and those cysts that develop complications (bleeding, abscess formation, intestinal or biliary obstruction), as well as pseudocysts which are increasing in size, usually require drainage. Such drainage may be internal(cystogastrostomy, cystoenterostomy) or external or rarely may be effected by excision of a suitably situated lesion. External surgical drainge has a significant recurrence rate and a high incidence of pancreaticocutaneous fistula. Endoscopic cystogastrostomy or cystoenterostomy is a valuable method of internal drainage if technical expertise is available. However, these endoscopic methods, currently used, are technically very complex and time-consuming procedure. So we designed a new device for endoscopic treatment of pancreatic pseudocyst. In this report, we describe a new endoscopic cystogastrostomy which permits easier, and probably safer, management of pancreatic pseduocyst in three patients.
Keywords: Pancreatic pseudocyst, New endoscopic cystogastrostomy
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