A case of infected pancreatic pseudocyst drainage successfully treated with combination of trans-gastric, trans-papillary and trans-cutaneous approach
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- Uchida Yuichi
- Department of Gastroenterology, Tsukuba university hospital
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- Hasegawa Naoyuki
- Department of Gastroenterology, Tsukuba university hospital
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- Ishige Kazunori
- Department of Gastroenterology, Tsukuba university hospital
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- Fukuda Kuniaki
- Department of Gastroenterology, Tsukuba university hospital
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- Narasaka Toshiaki
- Division of Endoscopy, Tsukuba university hospital
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- Kaneko Tsuyoshi
- Division of Endoscopy, Tsukuba university hospital
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- Abei Masato
- Department of Gastroenterology, Tsukuba university hospital
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- Hyodo Ichinosuke
- Department of Gastroenterology, Tsukuba university hospital
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- Mizokami Yuji
- Division of Endoscopy, Tsukuba university hospital
Bibliographic Information
- Other Title
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- 各種ドレナージを組み合わせた治療が有用であった膵仮性囊胞の1例
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Description
<p> A 68-year-old man was admitted because of an infected pancreatic pseudocyst after alcoholic pancreatitis. Computed tomography revealed multiple pancreatic duct stones and multilocular pancreatic pseudocysts in his pancreatic tail. We performed endoscopic ultrasonography-guided transmural drainage of the pancreatic pseudocyst adjacent to the fundus of the stomach. It was effective for the punctured cyst, but not for the distant cysts. Therefore, we additionally performed transcutaneous drainage. Although the size of the cysts decreased, the drainage tube could not be removed because of continuous drainage of pancreatic juice. Then, we performed trans-papillary drainage by using a pancreatic duct stent. After that, the amount of pancreatic juice drained from the transcutaneous tube decreased and was successfully removed. Combined drainage from various routes is effective for treating multilocular pancreatic pseudocysts, not only when the cysts do not communicate with each other but also when they communicate with an obstructed pancreatic duct.</p>
Journal
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 90 (1), 156-157, 2017
Japan Gastroenterological Endoscopy Society Kanto Chapter
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Details 詳細情報について
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- CRID
- 1390282680417777792
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- NII Article ID
- 130005809610
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- ISSN
- 21874999
- 13489844
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed