Guardado-Bermúdez F, Azuara-Turrubiates AJ, Ardisson-Zamora FJ, Guerrero-Silva LA, Villanueva-Rodríguez E, Gómez-de Leija NA

Language: Spanish
References: 14
Page: 425-431
PDF size: 554.30 Kb.

ABSTRACT

Background: The most frequent etiology of pancreatic pseudocyst is acute pancreatitis and exacerbations of chronic pancreatitis, presenting spontaneous resolution in 50% of the cases. Treatment is indicated in symptomatic or complicated persistent pseudocysts. The objective of this article is to present a case and management options of pancreatic pseudocyst defined as a collection of fluid in the omental bursa.
Clinical case: We present the case of a 59-year-old female patient with a history of laparoscopic cholecystectomy and necrotizing pancreatitis. She presented abdominal pain, early satiety, and nausea during the previous 2 months. Presence of pancreatic pseudocysts of 92 and 62 mm was demonstrated by computed tomography. The patient was submitted to a laparoscopic cyst-gastric anastomosis.
Conclusions: Laparoscopic cyst-gastric anastomosis is the ideal treatment for pancreatic pseudocyst management because it offers continuous drainage, low rate of recurrence and few complications, exceeding the results of endoscopic management and imaging-guided drainage along with the benefits of a minimally invasive procedure.

REFERENCES

1. Khanna AK, Satyendra K, Kumar P. Review Article. Pancreatic Pseudocyst: Therapeutic Dilemma. International J Inflammat 2012 (2012);Article Id 279476, 7 pages. doi:10.1155/2012/279476 Disponible en http://www. hindawi.com/journals/iji/2012/279476/

2. Ramírez CG, De La Peña MS, Liho NA. Cistogastroanastomosis laparoscópica en el tratamiento de pseudoquiste pancreático: Reporte de un caso y revisión de la literatura. Cirug Endoscóp 2010;11:20-24.

3. Miskic D, Pitlovic V, Latic F, Samardzic J, Miskic B, Latic- Hodzic L. Laparoscopic Transgastric Gastrocystostomy Pancreatic Pseudocyst. Med Arh 2011;65(6):371-372.

4. Nealon WH, Walser E. Main Pancreatic Ductal Anatomy Can Direct Choice of Modality for Treating Pancreatic Pseudocysts (Surgery Versus Percutaneous Drainage). Ann Surg 2002;235(6):751-758.

5. Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, et al. Schwartz Principios De Cirugia 9 Ed. Mexico DF. McGraw Hill, 2012. p. 1200-1204.

6. Nealon WH, Walser E. Surgical Management of Complications Associated with Percutaneous and/or Endoscopic Management of Pseudocyst of the Pancreas. Annals Surg 2005;241:948-960.

7. Andrén-Sandberg Å, Ansorge C, Eiriksson K, Glomsaker T, Maleckas A. Treatment of Pancreatic Pseudocysts. Scandinavian J Surgery 2005;94(2):165-175.

8. Pérez Torres E, Bernal Sahagún F, García Guerrero V, Abdo Francis JM, Pérez Pineda J. Diagnóstico y Tratamiento de los pseudoquistes del páncreas en el Servicio de Gastroenterología el Hospital General de México. Rev Med Hosp Gen Mex 2005;68(2):76-81.

9. Khalid A, Brugge W. ACG Practice Guidelines for the Diagnosis and Management of Neoplastic Pancreatic Cysts. Am J Gastroenterol 2007;102:2339-2349.

10. Vila JJ, Carral D, Fernández-Urien I. Pancreatic pseudocyst drainage guided by endoscopic ultrasound. World J Gastrointest Endosc 2010;2(6):193-197.

11. Nealon WH. Non-Operative Management of Pancreatic Pseudocysts: There is Still a Role. Ann Surg 2006;244:162- 163.

12. Cannon JW, Callery MP, Vollmer CM Jr. Diagnosis and Management of Pancreatic Pseudocysts: What is the Evidence? J Am College Surg 2009;209:385-393.

13. Barragan B, Love L, Wachtel M, Grisworld JA, Frezza EE. A Comparison of Anterior and Posterior Approaches for the Surgical Treatment of Pancreatic Pseudocyst Using Laparoscopic Cystogastrostomy. J Laparoendoscopic & Advanced Surg Techniques 2005;15(6):596-600.

14. Antillon MR, Shah RJ, Stiegmann G, Chen YK. Single-step EUS-guided Transmural drainage of simple and complicated pancreatic pseudocysts. Gastrointest Endosc 2006;63(1):797-803.