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Obstruction of a distal common bile duct (CBD) caused by a pancreatic pseudocyst. (A) A magnetic resonance image shows narrowing of the distal CBD by pancreatic pseudocyst (arrow). (B) A fluoroscopic image shows the injection of a contrast agent after puncture of the pancreatic pseudocyst with a 19-gauge aspiration needle. (C) An endoscopic image of a plastic stent inserted into a duodenal wall.
Source publication
Despite many advances in the treatment of acute pancreatitis, the mortality rate in severe cases is as high as 30%. Therefore, it is very important to treat the local complications of acute pancreatitis. Pancreatic fluid collections (PFCs) are among the most important local complications of acute pancreatitis. According to the Atlanta classificatio...
Context in source publication
Context 1
... are recommended for the following conditions: symptomatic PFCs (persistent abdominal, flank, or back pain), PFCrelated infections (gas within the collection, presence of debris in a pseudocyst), bleeding, luminal obstruction (gastric or duodenal outlet obstruction related to a local mass effect) (Fig. 2), fistulization, biliary obstruction ( Fig. 3), rapid fluid accumulation or pseudocyst growth seen on serial imaging, new onset of symptoms in pseudocysts of any size, and WOPN. 8,9 For patients with proven or suspected infected necrotizing pancreatitis, if possible, an invasive intervention should be delayed for ≥ 4 weeks after the initial presentation to allow the collection to ...
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Background and aim
Endoscopic ultrasound (EUS)-guided drainage is the gold standard approach for the treatment of encapsulated pancreatic collections (EPCs) including pseudocyst and walled-off pancreatic necrosis (WON), and is associated with an equivalent clinical efficacy to surgical drainage with fewer complications and less morbidity. Drainage...
Background and objectives:
The Hot AXIOS system, which features a cautery-enhanced lumen-apposing metal stent, facilitates EUS-guided transmural drainage of pancreatic fluid collection (PFC). We aimed to evaluate the safety and efficacy of stents in a multicenter Chinese cohort.
Patients and methods:
Thirty patients from nine centers with a sing...
Pancreatic pseudocysts often arise as complications of pancreatitis and present unique challenges in clinical management, encompassing considerations for both technical aspects and financial implications. Before the advancements of invasive gastroenterology, pancreatic pseudocysts have been drained surgically for many years. Nowadays, we have less...
Introduction: To report on a clinical case of a pancreatic pseudocyst that evolved to rupture and to understand the main therapeutic approaches adopted for pancreatic pseudocysts, thus fostering a better approach to such cases. Case report: Female patient, 30 years old, with pseudocystoadenoma and acute abdomen due to cystic rupture. Discussion: Th...
