| Theme | Role of Endoscopy in the Diagnosis and Treatments of Pancreatic Diseases | |
|---|---|---|
| Title | Endoscopic Treatment for Pancreatic Pseudocysts | |
| Publish Date | 2008/07 | |
| Author | Atsushi Irisawa | Department of Internal Medicine II, Fukushima Medical University |
| Author | Goro Shibukawa | Department of Internal Medicine II, Fukushima Medical University |
| Author | Takuto Hikichi | Department of Endoscopy Fukashima Medical University Hospital |
| Author | Tadayuki Takagi | Department of Internal Medicine II, Fukushima Medical University |
| Author | Takeru Wakatsuki | Department of Internal Medicine II, Fukushima Medical University |
| Author | Hidemichi Imamura | Department of Internal Medicine II, Fukushima Medical University |
| Author | Yuta Takahashi | Department of Internal Medicine II, Fukushima Medical University |
| Author | Ai Sato | Department of Internal Medicine II, Fukushima Medical University |
| Author | Masaki Sato | Department of Internal Medicine II, Fukushima Medical University |
| Author | Tsunehiko Ikeda | Department of Internal Medicine II, Fukushima Medical University |
| Author | Rei Suzuki | Department of Internal Medicine II, Fukushima Medical University |
| Author | Katsutoshi Obara | Department of Endoscopy Fukashima Medical University Hospital |
| Author | Hiromasa Ohira | Department of Internal Medicine II, Fukushima Medical University |
| [ Summary ] | Endoscopic approaches, including transmural or transpapillary drainage, are first-line therapies for pancreatic pseudocysts (PPc) and other pancreatic collections. PPc can be divided into 3 types based on causative factors ; type 1, acute post-necrotic pseudocysts ; type 2, post-necrotic pseudocysts. associated with chronic pancreatitis ; and type 3, chronic pseudocysts (retention). In types 1 and 2, the omental sac that exists between the pancreas and the stomach itself forms a cystic cavity, resulting in a pseudocyst. The gastric wall thus becomes a cystic wall, and transmural drainage is indicated. Type 3 is basically an intrapancreatic cyst, and because the stomach is separate from the cyst, transpapillary drainage is indicated. In recent years, a technique to debride / lavage cysts by inserting an endoscope via the stomach has been reported with good results. The therapeutic strategy for PPc should be established based on causative factors associated with PPc. | |