在胰腺的 pseudocyst 的管理的 Miniprobe EUS

查看全文 作　　者：Paola De Angelis;Erminia Romeo;Francesca Rea;Filippo Torroni;Tamara Caldaro;Giovanni Federici di Abriola;Francesca Foschia;Claudia Caloisi;Vincenzina Lucidi;Luigi Dall’Oglio

机构地区：Department of Surgery and Transplantation,Digestive Surgery and Endoscopy Unit,Bambino Gesù Children’s Hospital,IRCCS,00165 Rome,Italy;Department of Pediatrics,University of 'L’Aquila',67100 L’Aquila,Italy;Cystic Fibrosis Unit,Bambino Gesù Children’s Hospital,IRCCS,00165 Rome,Italy

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2013年第5卷第5期,共6页

摘　　要：Pancreatic pseudocysts(PP) arise from trauma and pancreatitis;endoscopic gastro-cyst drainage(EGCD) under endoscopic ultrasonography(EUS) in symptomatic PP is the treatment of choice.Miniprobe EUS(MEUS) allows EGCD in children.We report our experience on MEUS-EGCD in PP,reviewing 13 patients(12 children;male:female = 9:3;mean age:10 years,4 mo;one 27 years,malnourished male Belardinelli-syndrome;PP:10 post-pancreatitis,3 post-traumatic).All patients underwent ultrasonography,computed tomography and magnetic resonance imaging.Conservative treatment was the first option.MEUS EGCD was indicated for retrogastric cysts larger than 5 cm,diameter increase,symptoms or infection.EGCD(stent and/or nasogastrocystic tube) was performed after MEUS(20-MHz-miniprobe) identification of place for diathermy puncture and wire insertion.In 8 cases(61.5%),there was PP disappearance;one,surgical duodenotomy and marsupialization of retro-duodenal PP.In 4 cases(31%),there was successful MEUS-EGCD;stent removal after 3 mo.No complications and no PP relapse in 4 years of mean followup.MEUS EGCD represents an option for PP,allowing a safe and effective procedure. 关键词：ENDOSCOPIC ULTRASONOGRAPHY Miniprobe PANCREATIC PSEUDOCYST CHILDREN ENDOSCOPIC gastrocyst drainage

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在胰腺的 pseudocyst 的管理的 Miniprobe EUS

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