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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Main Authors: Hussam I. A. Alzeerelhouseini, Muawiyah Elqadi, Mohammad N. Elqadi, Sadi A. Abukhalaf, Hazem A. Ashhab
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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institution Kabale University
issn 2090-6528
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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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