Use of a novel covered self-expandable metal stent with an anti-migration system for endoscopic ultrasound-guided drainage of a pseudocyst
The development of pseudocysts in patients with chronic pancreatitis has been reported in 23%-60% of cases and drainage is indicated when they become symptomatic. Endoscopic ultrasound-guided drainage with the placement of plastic or metallic stents to create a cystogastric anastomosis has been show...
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Published in | World journal of gastrointestinal endoscopy Vol. 5; no. 6; pp. 297 - 299 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Co., Limited
16.06.2013
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Subjects | |
Online Access | Get full text |
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Summary: | The development of pseudocysts in patients with chronic pancreatitis has been reported in 23%-60% of cases and drainage is indicated when they become symptomatic. Endoscopic ultrasound-guided drainage with the placement of plastic or metallic stents to create a cystogastric anastomosis has been shown to be a reliable and efficacious maneuver. Metallic stent use appears to be a safe and effective alternative that shortens the length of time of the procedure and maintains a greater diameter in the cystogastric communication. However, important migration rates have been reported. The use of new metallic stents that are specially designed to prevent migration represents a promising development in the treatment of these group of patients that appears to be safe and effective for pseudocyst drainage and could importantly reduce migrationrates, while at the same time having the advantage of a single step procedure and a larger fistula diameter in the endoscopic cystogastric anastomosis. |
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Bibliography: | Félix Ignacio Téllez-vila, lvaro Villalobos-Garita, Miguel ngel Ramírez-Luna Department of Endoscopy, Instituto Nacional de Ciencias Médicasy Nutrición Salvador Zubirn, Mexico City, CP 14000, México Gastroenterology Department, Hospital Calderón Guardia, CCSS, San José, Costa Rica ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author contributions: Téllez-Ávila FI and Vilalobos-Garita A designed the report; Téllez-Ávila FI, Villalobos-Garita A and Ramírez-Luna M were attending doctors for patient; Téllez-Ávila FI performed endoscopy procedure; Téllez-Ávila FI and Villalobos-Garita A organized the report; Téllez-Ávila FI and Villalobos-Garita A wrote paper. Telephone: +52-5-54870900 Fax: +52-5-54870900 Correspondence to: Félix Ignacio Téllez-Ávila, MD, MSc, PhD, Department of Endoscopy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga #15. Col. Sección XVI. Del. Tlalpan, Mexico City, CP 14000, Mexico. felixtelleza@gmail.com |
ISSN: | 1948-5190 1948-5190 |
DOI: | 10.4253/wjge.v5.i6.297 |