Lijecnicki vjesnik 2007;129(1-2)
PSEUDOCYSTO-GASTROSTOMY GUIDED BY ENDOSCOPIC ULTRASOUND – NEW APPROACH TO OLD THERAPEUTIC PROBLEM
Milorad Opačić, Nadan Rustemović, Eleonora Goluža, Roland Pulanić, Boris Vucelić
Abstract
Summary. It has been appreciated for a long time that surgery is the treatment of choice for pancreatic pseudocysts. Endoscopic internal drainage is an alternative to surgical intervention, but requires bulging of pseudocyst in gastric lumen and carries the risk of bleeding from gastric vessels. Endosonographically guided pseudocyst drainage, an elegant one-step method to connect gastric lumen with pseudocyst avoiding the risk of bleeding using EUS guidance and Doppler isdescribed with review of literature. The procedure was for the first time successfully performed in Croatia.