J Korean Radiol Soc.  1994 May;30(5):817-822.

Percutaneous Drainage of Pancreatic Pseudocysts: Analysis of 16 Cases

• Kim YJ
• Ryeom HK

Abstract

PURPOSE
We reviewed 13 cases of pancreatic pseudocysts treated by percutaneous catheter drainage to determine the value and effectiveness of the procedure.
MATERIALS AND METHODS
Sixteen pancreatic pseudocysts(nine infected, seven noninfected) were drained in 13 patients. Access routes were determined by images on CT scan and procedures were performed under fiuoroscopic guidance. Ultrasonogram was used as a guide for drainage when there were bowel loops near the access routes. Various access routes were used for catheter drainage:transperitoneal (10), retroperitoneal (3), transsplenic (2) transhepatic (1).
RESULTS
Percutaneous catheter drainage cured 15 of 16 pancreatic pseudocysts(93.8%). No recurrance was encountered in the clinical follow-up of 7 to 69 months(mean 35 months). The mean duration of drainage was 29 days(infected, 24 days; noninfected, 39 days). Five pseudocysts(31%) were communicated with pancreatic duct The mean duration of drainage in these cases was 38 days. Spontaneous of the pancreatic pseudocysts to the gastrointestinal tract was occurred in 3 pseudocysts. Mean duration of drainage in pseudocysts with fistulas was 19 days.
CONCLUSION
Percutaneous cather drainage is a safe and effective front-line treatment method in most pancreatic pseudocysts if drainage is done with a adequate follow-up and catheter care.

MeSH Terms

Catheters
Drainage*
Fistula
Follow-Up Studies
Gastrointestinal Tract
Humans
Pancreatic Ducts
Pancreatic Pseudocyst*
Tomography, X-Ray Computed
Ultrasonography