Operative Endoscopy in the Stomach: Cystogastric Pancreatic Drainage
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 When the metal guide-sleeve has been retracted, the two preformed ends of the catheter coil up into a double pigtail catheter with the distal end in the cyst and the proximal in the stomach (Figs. 1,2).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.
KeywordsCatheter Lipase Pancreatitis Candida Amylase
Unable to display preview. Download preview PDF.
- 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