De Angelis P, Romeo E, Rea F, Torroni F, Caldaro T, Federici di Abriola G, Foschia F, Caloisi C, Lucidi V, Dall'Oglio L. Miniprobe EUS in management of pancreatic pseudocyst. World J Gastrointest Endosc 2013; 5(5): 255-260 [PMID: 23678380 DOI: 10.4253/wjge.v5.i5.255]
Corresponding Author of This Article
Paola De Angelis, MD, Department of Surgery and Transplantation, Digestive Surgery and Endoscopy Unit, Pediatric Hospital Bambino Gesù, IRCCS, Piazza S. Onofrio, 00165 Rome, Italy. paoladeangelis.opbg@gmail.it
Research Domain of This Article
Biotechnology & Applied Microbiology
Article-Type of This Article
Case Report
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World J Gastrointest Endosc. May 16, 2013; 5(5): 255-260 Published online May 16, 2013. doi: 10.4253/wjge.v5.i5.255
Miniprobe EUS in management of pancreatic pseudocyst
Paola De Angelis, Erminia Romeo, Francesca Rea, Filippo Torroni, Tamara Caldaro, Giovanni Federici di Abriola, Francesca Foschia, Claudia Caloisi, Vincenzina Lucidi, Luigi Dall'Oglio
Paola De Angelis, Erminia Romeo, Francesca Rea, Filippo Torroni, Tamara Caldaro, Giovanni Federici di Abriola, Francesca Foschia, Department of Surgery and Transplantation, Digestive Surgery and Endoscopy Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy
Claudia Caloisi, Department of Pediatrics, University of “L’Aquila”, 67100 L’Aquila, Italy
Vincenzina Lucidi, Luigi Dall'Oglio, Cystic Fibrosis Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy
Author contributions: De Angelis P and Romeo E contributed to the manuscript writing and scientific revision; Rea F and Caloisi C contributed to enrolling patients and data collecting; Torroni F and Foschia F contributed to endoscopic treatment; Lucidi V contributed to clinical experience in pancreatitis and patients’ references; Caldaro T and Federici di Abriola G contributed to surgical treatment; Dall’Oglio L contributed to endoscopic and surgical treatment.
Correspondence to: Paola De Angelis, MD, Department of Surgery and Transplantation, Digestive Surgery and Endoscopy Unit, Pediatric Hospital Bambino Gesù, IRCCS, Piazza S. Onofrio, 00165 Rome, Italy. paoladeangelis.opbg@gmail.it
Telephone: +39-66-8592841 Fax: +39-66-8592949
Received: September 13, 2012 Revised: December 11, 2012 Accepted: January 5, 2013 Published online: May 16, 2013
Abstract
Pancreatic pseudocysts (PP) arise from trauma and pancreatitis; endoscopic gastro-cyst drainage (EGCD) under endoscopic ultrasonography (EUS) in symptomatic PP is the treatment of choice. Miniprobe EUS (MEUS) allows EGCD in children. We report our experience on MEUS-EGCD in PP, reviewing 13 patients (12 children; male:female = 9:3; mean age: 10 years, 4 mo; one 27 years, malnourished male Belardinelli-syndrome; PP: 10 post-pancreatitis, 3 post-traumatic). All patients underwent ultrasonography, computed tomography and magnetic resonance imaging. Conservative treatment was the first option. MEUS EGCD was indicated for retrogastric cysts larger than 5 cm, diameter increase, symptoms or infection. EGCD (stent and/or nasogastrocystic tube) was performed after MEUS (20-MHz-miniprobe) identification of place for diathermy puncture and wire insertion. In 8 cases (61.5%), there was PP disappearance; one, surgical duodenotomy and marsupialization of retro-duodenal PP. In 4 cases (31%), there was successful MEUS-EGCD; stent removal after 3 mo. No complications and no PP relapse in 4 years of mean follow-up. MEUS EGCD represents an option for PP, allowing a safe and effective procedure.
