A pancreaspseudocystadrenazs uj modszere es a pseudocystatartalom vizsgalata

Translated title of the contribution: A new method for the drainage of pancreas pseudocysts and the analysis of the cyst content

G. Lippai, L. Topa, Z. Berger, A. Pap

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - Endoscopic drainage is an alternative possibility in the treatment of pancreas pseudocysts. The authors have combined the ultra- sonographic, radiologic and endoscopic techniques in their new method. PATIENTS AND METHODS - 33 interventions were tried. The cyst was punctured with a thin percutaneous needle using the ultrasound technique. After taking a sample from the cyst for biochemical and cytological analysis, a radiopaque material was given into the cave of the cyst through the same needle. Using an X-ray monitor the cyst was positioned to the wall of the stomach or the duodenum. After this an 8F drain was placed into the cave of the cyst - using an X-ray monitor-after cutting the wall of the stomach and the duodenum with a diathermic needle through a duodenoscope. RESULTS - From the 33 patients analysed citologically cystadenoma was found in 3 cases who have undergone an operation. From the 30 cysts drainage failed in 4 cases. Subfebrility or fever appeared in 8 cases. In one particular patient bleeding occured as a complication. Amylase level of the cyst content was low in one case. Bacterological culture was positive in 2 cases. The leukocyte content of the pseudocyst sediment was examined in 23 cases. Per visual fields there was no leukocyte in nine cases, 1-2 in nine cases, 50 in two cases, more than 50 in four cases. If the cyst was absolutely free from leukocytes or contained only 1-2, fever complications were significantly more frequent, than if there were more chronic inflammatory cells. Fever complications appeared quite often in the cases of cystogastrostomy. CONCLUSION - On the basis of the results this combined technique is recommended to replace percutaneous and surgical methods if the distance between the cyst and the wall of the stomach or the duodenum is not greater than 4 cm, and there are no close visualised vessels.

Original languageHungarian
Pages (from-to)708-712
Number of pages5
JournalLege Artis Medicinae
Volume6
Issue number12
Publication statusPublished - 1996

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Cysts
Drainage
Pancreas
Duodenum
Needles
Stomach
Leukocytes
Fever
Duodenoscopes
X-Rays
Cystadenoma
Amylases
Visual Fields
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A pancreaspseudocystadrenazs uj modszere es a pseudocystatartalom vizsgalata. / Lippai, G.; Topa, L.; Berger, Z.; Pap, A.

In: Lege Artis Medicinae, Vol. 6, No. 12, 1996, p. 708-712.

Research output: Contribution to journalArticle

Lippai, G, Topa, L, Berger, Z & Pap, A 1996, 'A pancreaspseudocystadrenazs uj modszere es a pseudocystatartalom vizsgalata', Lege Artis Medicinae, vol. 6, no. 12, pp. 708-712.
Lippai, G. ; Topa, L. ; Berger, Z. ; Pap, A. / A pancreaspseudocystadrenazs uj modszere es a pseudocystatartalom vizsgalata. In: Lege Artis Medicinae. 1996 ; Vol. 6, No. 12. pp. 708-712.
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