Hrvatska znanstvena bibliografija (CROSBI)

Pregled bibliografske jedinice broj: 764654


Autori: Zerem, Enver; Hauser, Goran; Loga-Zec, Svjetlana; Kunosić, Suad; Jovanović, Predrag; Crnkić, Dino
Naslov: Minimally invasive treatment of pancreatic pseudocysts
( Minimally invasive treatment of pancreatic pseudocysts )
Izvornik: World journal of gastroenterology (1007-9327) 21 (2015), 22; 6850-6860
Vrsta rada: pregledni rad
Ključne riječi: Complications; Pseudocyst; Treatment; Drainage; Outcomes
( Complications; Pseudocyst; Treatment; Drainage; Outcomes )
A pancreatic pseudocyst (PPC) is typically a complication of acute and chronic pancreatitis, trauma or pancreatic duct obstruction. The diagnosis of PPC can be made if an acute fluid collection persists for 4 to 6 wk and is enveloped by a distinct wall. Most PPCs regress spontaneously and require no treatment, whereas some may persist and progress until complications occur. The decision whether to treat a patient who has a PPC, as well as when and with what treatment modalities, is a difficult one. PPCs can be treated with a variety of methods: percutaneous catheter drainage (PCD), endoscopic transpapillary or transmural drainage, laparoscopic surgery, or open pseudocystoenterostomy. The recent trend in the management of symptomatic PPC has moved toward less invasive approaches such as endoscopic- and image-guided PCD. The endoscopic approach is suitable because most PPCs lie adjacent to the stomach. The major advantage of the endoscopic approach is that it creates a permanent pseudocysto-gastric track with no spillage of pancreatic enzymes. However, given the drainage problems, the monitoring, catheter manipulation and the analysis of cystic content are very difficult or impossible to perform endoscopically, unlike in the PCD approach. Several conditions must be met to achieve the complete obliteration of the cyst cavity. Pancreatic duct anatomy is an important factor in the prognosis of the treatment outcome, and the recovery of disrupted pancreatic ducts is the main prognostic factor for successful treatment of PPC, regardless of the treatment method used. In this article, we review and evaluate the minimally invasive approaches in the management of PPCs.
Izvorni jezik: eng
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
URL Internet adrese:
Broj citata:
DOI: 10.3748/wjg.v21.i22.6850
URL cjelovitog teksta:
Google Scholar: Minimally invasive treatment of pancreatic pseudocysts
Upisao u CROSBI: Goran Hauser (, 9. Lip. 2015. u 01:39 sati