Endoscopic intramural cystogastrostomy for treatment of peripancreatic fluid collection: A viewpoint from a surgeon

Percutaneous or endoscopic drainage is the initial choice for the treatment of peripancreatic fluid collection in symptomatic patients. Endoscopic transgastric fenestration (ETGF) was first reported for the management of pancreatic pseudocysts of 20 patients in 2008. From a surgeon's viewpoint,...

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Bibliographic Details
Published inWorld journal of gastroenterology : WJG Vol. 30; no. 6; pp. 610 - 613
Main Author Ker, Chen-Guo
Format Journal Article
LanguageEnglish
Published United States 14.02.2024
Subjects
Fenestration for pancreatic cyst
Surgical cystogastrostomy
Peripancreatic fluid collection
Pancreatic pseudocyst
Endoscopic cystogastrostomy
Pancreatitis
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Summary:Percutaneous or endoscopic drainage is the initial choice for the treatment of peripancreatic fluid collection in symptomatic patients. Endoscopic transgastric fenestration (ETGF) was first reported for the management of pancreatic pseudocysts of 20 patients in 2008. From a surgeon's viewpoint, ETGF is a similar procedure to cystogastrostomy in that they both produce a wide outlet orifice for the drainage of fluid and necrotic debris. ETGF can be performed at least 4 wk after the initial onset of acute pancreatitis and it has a high priority over the surgical approach. However, the surgical approach usually has a better success rate because surgical cystogastrostomy has a wider outlet (> 6 cm 2 cm) than ETGF. However, percutaneous or endoscopic drainage, ETGF, and surgical approach offer various treatment options for peripancreatic fluid collection patients based on their conditions.
Bibliography:ObjectType-Article-1
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ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v30.i6.610