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Intracystic wire exchange facilitating insertion of multiple stents during endoscopic drainage of pancreatic pseudocysts

2007; Elsevier BV; Volume: 66; Issue: 1 Linguagem: Inglês

10.1016/j.gie.2007.02.016

1097-6779

Jeroen M. Jansen, Agaath Hanrath, E RAUWS, Marco J. Bruno, Paul Fockens,

Gallbladder and Bile Duct Disorders

Endoscopic drainage of pancreatic pseudocysts and abscesses has been shown to be an effective treatment modality. A major determinant for successful cyst resolution is the insertion of multiple endoprostheses and/or placement of a nasocystic drain, which require repeated entries of a catheter into the pseudocyst to reintroduce the guidewire.We describe a novel and easy technique to prevent the need for repeated access into the pseudocyst, thereby facilitating the placement of multiple endoprostheses by using a commercially available guiding system for stent introduction.Case series.Academic Medical Center, The Netherlands.Eight consecutive patients with symptomatic pancreatic pseudocysts after acute pancreatitis.Intracystic wire exchange for the insertion of multiple stents in endoscopic treatment of pancreatic pseudocysts by using an echoendoscope.Feasibility of intracystic wire exchange and complications.No guidewire access to the pseudocyst was lost. The procedure was well tolerated by the patients. Complete pseudocyst resolution was established in all patients.The endoscopic appliance of multiple stents becomes easier when using intracystic wire exchange for transgastric pancreatic pseudocyst drainage.