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題名 | Management of Pancreatic Pseudocysts by Endoscopic Cystogastrostomy=經內視鏡胃囊腫造口引流術治療症狀性胰臟假性囊腫 |
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作者 | 楊基滐; 辛政憲; 劉裕財; 樂聖高; 周德敖; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 98:4 1999.04[民88.04] |
頁次 | 頁283-286 |
分類號 | 415.54 |
關鍵詞 | 內視鏡胃囊腫造口引流術; 症狀性胰臟假性囊腫; Pancreatic pseudocyst; Cystogastrostomy; Endoscopic transluminal drainage; |
語文 | 英文(English) |
英文摘要 | Open surgical drainage is currently the treatment of choice for pancreatic pseudocysts, but endoscopic transmural drainage is another minimally invasive surgical alternative. In this report, we describe two patients with symptomatic pancreatic pseudocysts treated with endoscopic cystogastrostomy. The first patient, a 15-year-old boy, had an episode of traumatic pancreatitis after abdominal injury from a car accident, and complained of postprandial vomiting and abdominal distention 4 weeks later. A large pancreatic pseudocyst, about 10 cm x 6 cm, was noted. The second patient, a 44-year-old man, had a 1-year history of recurrent alcoholic pancreatitis prior to this admission. He suffered from abdominal distention for several weeks. Sonography revealed a large pancreatic pseudocyst, about 18 cm x 9 cm in size. Both patients underwent successful endoscopic cyst-drainage without recurrence. These cases illustrate that endoscopic transmural drainage provides a minimally invasive and effective approach to the management of pancreatic pseudocysts. |
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