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- W2890250619 abstract "Background: Pancreatic pseudocysts and walled off pancreatic necrosis (WOPN) are long term complications of pancreatitis. When surgery is indicated, cystgastrostomy or pancreatic resection is commonly performed. The need for pancreatic resection following cyst-enteric procedure is not well studied. The aim of the study was to analyze the outcomes after cystgastrostomy in patients with WOPN. Methods: A retrospective review of 17 patients over a 5-year time period was conducted. All patients developed abdominal mass effect symptoms (i.e. pain, bloating, distension, early satiety) and subsequent imaging showed WOPN with significant extraluminal compression of the stomach and/or duodenum. No patient had symptoms consistent with recurrent or ongoing pancreatitis. All patients underwent cystgastrostomy. Postoperative course and complications were analyzed Results: All 17 patients were initially treated for pancreatitis. Majority (16/17, 94.1%) were biliary in origin. There were no postoperative pancreatic leaks. All patients initially reported resolution of their mass effect symptoms. Only 2 patients developed new onset abdominal pain months to years after the drainage procedure requiring distal pancreatectomy. Conclusion: Our data suggests that there is a role for pure drainage procedures for patients with WOPN with mass effect symptoms. There is further advantage for these procedures in terms of pancreatic tissue preservation with low mortality and morbidity. In carefully selected patients, the resolution of symptoms related to mass effect was complete with very low chance of needing resection in the future." @default.
- W2890250619 created "2018-09-27" @default.
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- W2890250619 date "2018-03-01" @default.
- W2890250619 modified "2023-09-28" @default.
- W2890250619 title "Pancreatic cystgastrostomy: definitive or temporizing procedure?" @default.
- W2890250619 doi "https://doi.org/10.1016/j.hpb.2018.02.575" @default.
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