MINIMALLY INVASIVE APPROACHES IN PANCREATIC PSEUDOCYST: A CASE REPORT

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YEGHANEH R.A.; ALAVI S.H.; KHARAMESH M.; EMADI M.

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Paper Information

Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2009 | Volume:67 | Issue:6 Page(s): 450-456

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Information Journal Paper

Title

MINIMALLY INVASIVE APPROACHES IN PANCREATIC PSEUDOCYST: A CASE REPORT

Author(s)

YEGHANEH R.A. | ALAVI S.H. | KHARAMESH M. | EMADI M. | Issue Writer Certificate

Keywords

PSEUDOCYSTQ3

PANCREATITISQ2

ENDOSCOPIC DRAINAGEQ3

TRANS-ENTRIC DRAINAGEQ3

TRANSPAPILLERYQ3

DRAINAGEQ3

MINIMALLY INVASIVEQ3

PROCEDUREQ3

Abstract

Background: According to importance of post operative period, admission duration, post operative pain, and acceptable rate of complications, MINIMALLY INVASIVE approaches with endoscope in pancreatic PSEUDOCYST management becomes more popular, but the best choice of PROCEDURE and patient selection is currently not completely established. During past decade endoscopic PROCEDUREs are become first choice in most authors’ therapeutic plans, however, open surgery remains gold standard in pancreatic PSEUDOCYST treatment.Methods: we present here a patient with pancreatic PSEUDOCYST unresponsive to conservative management that is intervened endoscopically before 6th week, and review current literatures to depict a schema to management navigation.Results: A 16 year old male patient presented with two episodes of acute PANCREATITIS with abdominal pain, nausea and vomiting. Hyperamilasemia, pancreatic ascites and a PSEUDOCYST were found in our preliminary investigation. Despite optimal conservative management, including NPO (nil per os) and total parentral nutrition, after four weeks, clinical and para-clinical findings deteriorated. Therefore, ERCP and trans-papillary cannulation with placement of 7Fr stent was performed and led to a dramatic improvement.Conclusions: Endoscopic based approaches must be considered the first line intervention for PSEUDOCYST management and its complications. Complexity and need for technical expertise for endoscopic therapy is rate limiting issue for this approach. Surgical intervention must be reserved for unresponsive patients to MINIMALLY INVASIVE treatments. Further investigations need for more complex endoscopic PROCEDUREs that promote the results.

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APA: Copy

YEGHANEH, R.A., ALAVI, S.H., KHARAMESH, M., & EMADI, M.. (2009). MINIMALLY INVASIVE APPROACHES IN PANCREATIC PSEUDOCYST: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 67(6), 450-456. SID. https://sid.ir/paper/38476/en

Vancouver: Copy

YEGHANEH R.A., ALAVI S.H., KHARAMESH M., EMADI M.. MINIMALLY INVASIVE APPROACHES IN PANCREATIC PSEUDOCYST: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2009;67(6):450-456. Available from: https://sid.ir/paper/38476/en

IEEE: Copy

R.A. YEGHANEH, S.H. ALAVI, M. KHARAMESH, and M. EMADI, “MINIMALLY INVASIVE APPROACHES IN PANCREATIC PSEUDOCYST: A CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 67, no. 6, pp. 450–456, 2009, [Online]. Available: https://sid.ir/paper/38476/en

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