The Stomach pp 340-342 | Cite as

Operative Endoscopy in the Stomach: Cystogastric Pancreatic Drainage

  • E. C. Foerster
  • W. Domschke
Conference paper


Cystogastric catheter drainage under endoscopic and ultrasonographic guidance as introduced by Hancke and Heriksen has developed into a minimally invasive alternative to percutaneous or operative drainage. In cystogastric drainage, a pigtail catheter (2.8 mm external diameter) is placed in the pancreatic pseudocyst via a percutaneous, transgastric cannula under percutaneous ultra sonographic guidance. When the metal guide-sleeve has been retracted, the two preformed ends of the catheter coil up into a double pigtail catheter with the distal end in the cyst and the proximal in the stomach (Figs. 1,2). The catheter is usually 8 cm in length. The best way to remove the double pigtail catheter is endoscopically, either using a polypectomy noose or a forceps.


Catheter Lipase Pancreatitis Candida Amylase 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Andersson R, Janzon M, Sundberg I, Bengmark S (1989) Management of pancreatic pseudocysts. Br J Surg 76: 550–552PubMedCrossRefGoogle Scholar
  2. 2.
    Bradley EL, Clements JL, Jr, Gonzales AC (1979) The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg 137: 135–141PubMedCrossRefGoogle Scholar
  3. 3.
    Campion JP, Baradxoglou E, Caillon P, Faroux R, Bourdonnec P (1989) Surgical treatment of chronic pancreatitis. Indications and results. An experience of 246 cases. Chirurgie 115: 123–131PubMedGoogle Scholar
  4. 4.
    Cremer M, Deviere J, Engelholm L (1989) Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long term follow-up after 7 years of experience. Gastrointest Endosc 35: 1–9PubMedCrossRefGoogle Scholar
  5. 5.
    Hancke S, Heriksen FW (1985) Percutaneous pancreatic cysto-gastrostomy guided by ultrasound scanning and gastroscopy. Br J Surg 72: 916–917PubMedCrossRefGoogle Scholar
  6. 6.
    Heyder N, Flügel H, Domschke W (1988) Catheter drainage of pancreatic pseudocysts into the stomach. Endoscopy 20: 75–77PubMedCrossRefGoogle Scholar
  7. 7.
    Heyder N, Günter E, Hahn EG (1992) Endoskopisch-sonographisch geführte zystogastrale Katheterdrainagen pankreatogener Flüssigkeitsansammlungen. Z Gastroenterol 30: 553–557PubMedGoogle Scholar
  8. 8.
    Sahel J, Bastid C, Pellat B, Schurgers P, Sarles H (1987) Endoscopic cystoduodenostomy of cysts of chronic calcifying pancreatitis. A report of 20 cases. Pancreas 2: 447–453PubMedCrossRefGoogle Scholar
  9. 9.
    Van Sonnenberg E, Wittich GR, Casola G, Brannigan TC, Karnel F, Stabile BE, Varney RR, Christensen RR (1989) Percutaneous drainage of infected and noninfected pancreatic pseudo-cysts: experience in 101 cases. Radiology 170: 757–761Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • E. C. Foerster
  • W. Domschke

There are no affiliations available

Personalised recommendations