Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature
Introduction. A pancreatic pseudocyst (PP) with major diameter equal to 10 cm or more is called a giant pseudocyst. The ideal management for giant PPs is controversial. Endoscopic drainage is an alternative nonsurgical approach for PP management. Only a few cases of giant PPs were reported to be man...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Gastrointestinal Medicine |
Online Access: | http://dx.doi.org/10.1155/2021/6610610 |
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author | Hussam I. A. Alzeerelhouseini Muawiyah Elqadi Mohammad N. Elqadi Sadi A. Abukhalaf Hazem A. Ashhab |
author_facet | Hussam I. A. Alzeerelhouseini Muawiyah Elqadi Mohammad N. Elqadi Sadi A. Abukhalaf Hazem A. Ashhab |
author_sort | Hussam I. A. Alzeerelhouseini |
collection | DOAJ |
description | Introduction. A pancreatic pseudocyst (PP) with major diameter equal to 10 cm or more is called a giant pseudocyst. The ideal management for giant PPs is controversial. Endoscopic drainage is an alternative nonsurgical approach for PP management. Only a few cases of giant PPs were reported to be managed by endoscopic drainage. Case Presentation. We reported two cases of giant PPs following an episode of acute pancreatitis. Both were resolved following endoscopic cystogastrostomy using metallic and double-pigtail stents with excellent outcomes. There was no history of recurrence or complications on follow-up. In addition, we extensively reviewed all available literature studies of giant pancreatic pseudocyst presentation, management, and complications. We summarized all reported cases and presented them in a comprehensive table. Conclusion. The endoscopic cystogastrostomy approach is cost saving, can avoid surgical complications, and offers an early hospital discharge. |
format | Article |
id | doaj-art-4091214d905c47b6a15dc74e8b1ae028 |
institution | Kabale University |
issn | 2090-6528 2090-6536 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Gastrointestinal Medicine |
spelling | doaj-art-4091214d905c47b6a15dc74e8b1ae0282025-02-03T06:46:10ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/66106106610610Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current LiteratureHussam I. A. Alzeerelhouseini0Muawiyah Elqadi1Mohammad N. Elqadi2Sadi A. Abukhalaf3Hazem A. Ashhab4Al-Quds University, Faculty of Medicine, Jerusalem, State of PalestineAl-Quds University, Faculty of Medicine, Jerusalem, State of PalestineAl-Quds University, Faculty of Medicine, Jerusalem, State of PalestineAl-Quds University, Faculty of Medicine, Jerusalem, State of PalestineAl-Ahli Hospital, Hebron, State of PalestineIntroduction. A pancreatic pseudocyst (PP) with major diameter equal to 10 cm or more is called a giant pseudocyst. The ideal management for giant PPs is controversial. Endoscopic drainage is an alternative nonsurgical approach for PP management. Only a few cases of giant PPs were reported to be managed by endoscopic drainage. Case Presentation. We reported two cases of giant PPs following an episode of acute pancreatitis. Both were resolved following endoscopic cystogastrostomy using metallic and double-pigtail stents with excellent outcomes. There was no history of recurrence or complications on follow-up. In addition, we extensively reviewed all available literature studies of giant pancreatic pseudocyst presentation, management, and complications. We summarized all reported cases and presented them in a comprehensive table. Conclusion. The endoscopic cystogastrostomy approach is cost saving, can avoid surgical complications, and offers an early hospital discharge.http://dx.doi.org/10.1155/2021/6610610 |
spellingShingle | Hussam I. A. Alzeerelhouseini Muawiyah Elqadi Mohammad N. Elqadi Sadi A. Abukhalaf Hazem A. Ashhab Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature Case Reports in Gastrointestinal Medicine |
title | Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature |
title_full | Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature |
title_fullStr | Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature |
title_full_unstemmed | Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature |
title_short | Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature |
title_sort | endoscopic drainage of giant pancreatic pseudocysts using both lumen apposing metal stent and plastic stent a report of two cases and review of the current literature |
url | http://dx.doi.org/10.1155/2021/6610610 |
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