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Cirugía paraguaya

On-line version ISSN 2307-0420

Abstract

ADORNO, Carlos; BENZA, Alejandra  and  CARDOZO, Carlos. EXPERIENCE IN ENDOSCOPIC TREATMENT OF PANCREATIC COLLECTIONS AT THE NATIONAL HOSPITAL OF ITAUGUA. Rev. Cir. Parag. [online]. 2017, vol.41, n.3, pp.11-16. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.diciembre.11-16.

Introduction:

Pancreatic collections are a frequent complication of pancreatitis. It is estimated that 5% to 15% episodes of pancreatitis are complicated by the development of pseudocysts1. Fifteen percent of episodes of pancreatitis are complicated by pancreatic necrosis2.

Objective:

To describe the endoscopic management of pancreatic collections at the National Hospital of Itauguá.

Patients and methods:

Cross-sectional descriptive retrospective observational study, from March 2013 to September 2017, in patients who were hospitalized in the General Surgery Service of the Hospital Nacional de Itauguá in which endoscopic drainage of pancreatic collections was performed.

Results:

Of the 20 cases of endoscopic drainage from the pancreatic collections, 12 patients were women. The age range is between 27 years and 81 years with an average of 52 years. The procedure programmed in 100% of the patients was transmural endoscopic drainage, only two of them (10%) were failed. In 8 patients only transmural drainage was performed, 4 patients also required endoscopic necrosectomy, 4 patients were also washed with sterile physiological solution and in 2 patients it was combined with pigtail stenting for drainage.

Conclusion:

The indications to carry out the endoscopic drainage of the pancreatic collections are: symptomatic collections, complicated collections with infection and those that produce obstructive symptoms to adjacent viscera. The complications observed during the endoscopic procedure were perforation and hemorrhage of the collections. Regarding the follow-up of patients, the success rate was 85% with good evolution and without recurrence.

Keywords : pancreatic collections; pseudocyst; pancreatic necrosis.

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