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Treatment of Pancreatic Pseudocyst in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
4792.25
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
9874.5
General therapeutic rehabilitation
717.22

University Hospital Duesseldorf

8.5/10
location_onGermany, Duesseldorf

Department of Gastroenterology, Hepatology and Infectology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15123
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27528.7

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Gastroenterology and Hepatology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15169.4
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27808.55

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Gastroenterology and Hepatology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
14554.6
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
26141.05

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Gastroenterology, Hepatology, Pulmonology, Allergology, Endocrinology and Diabetology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
13886.15
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
24708.45

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Gastroenterology, Hepatology and Infectology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
0
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15112.85
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27524.35

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gastroenterology, Hepatology and Infectology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
17962.1
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
32589.2

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
12868.25
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
22851

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Gastroenterology and Hepatology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
17635.85
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
32204.95

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Hepatology and Gastroenterology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
20522.8
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
37635.2

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Gastroenterology, Metabolic Disorders and Internal Intensive Care

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15542.05
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27427.2

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Gastroenterology, Hepatology and Infectology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15375.3
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27578

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gastroenterology, Hepatology and Pulmonology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
13607.75
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
24425.7

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Gastroenterology, Endocrinology, Metabolism and Clinical Infectology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
12966.85
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
23122.15

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gastroenterology, Hepatology, Endocrinology and Infectology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
15337.6
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
27393.85

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Pancreatic Pseudocyst Diagnostik with ERCP and Endoscopic Oral Pankreatoscopy (POPS)
13735.35
Treatment of Pancreatic pseudocyst by ERCP and endoscopic pankreatoscopy
24580.85
| from Booking Health GmbH

A pancreatic pseudocyst is an accumulation of fluid near this organ that develops as a result of acute or chronic pancreatitis. Unlike a true cyst, its wall is non-epithelialized and consists of fibrous and granulation tissue. The disease causes abdominal pain, nausea, and vomiting. The diagnostics of this condition is carried out using ultrasound, CT scans, and endoscopic methods such as ERCP and endoscopic oral pancreatoscopy (POPS). The pathology can be cured with surgery or a minimally invasive procedure. You can undergo your treatment of pancreatic pseudocyst in Germany so that it is safe, non-traumatic, and effective.

Content

  1. Treatment options
  2. Endoscopic drainage
  3. Surgical drainage
  4. Percutaneous drainage

Endoscopic procedures are usually used because they are safer than open surgery and do not require a long recovery period. Surgical interventions are less often performed, and percutaneous procedures are very rarely used.

You can undergo your treatment in one of the following hospitals: University Hospital of Ludwig Maximilian University of Munich, University Hospital Duesseldorf, or University Hospital Ulm.

The Booking Health company will take care of the organization of your trip. Our specialists will help you to choose a specialized clinic and a doctor, make an appointment on the preferred date, help you to collect the necessary medical documents and get a visa, and take care of your flights and transfers. The Booking Health doctors will control the treatment process, and the company's coordinators will help you with any medical or organizational issues.

Treatment options

 

Cysts rarely disappear on their own. At the same time, they cause symptoms, reducing a patient's quality of life and may provoke severe complications. Therefore, most patients require invasive treatment, including surgery. Here are some arguments for its necessity:

  • the presence of multiple cysts; 
  • location near the tail of the pancreas; 
  • concomitant strictures or calcifications of the pancreatic ducts;
  • a progressive increase in the size of a pseudocyst. 

Some patients require emergency surgical treatment. This is performed for acute complications of the pseudocyst such as infection, peritonitis, bleeding, or gastric obstruction.

Surgeons perform three types of invasive interventions for pseudocysts. These are percutaneous, endoscopic, and surgical drainage or resection. Ideally, any intervention is performed 6 weeks or more after acute pancreatitis to allow the pseudocyst wall to mature. However, pseudocysts of any size and maturity are treated immediately if they are expected to be a source of severe complications in the near future.

Endoscopic drainage

 

Endoscopic pseudocyst drainage is considered a first-line treatment  in Germany because it is the safest and least traumatic option. The procedure is performed without any abdominal incisions or punctures but through the oral cavity. There are two types of endoscopic drainage, namely transpapillary and transmural. In any case, the goal of the intervention is to create a channel for the outflow of the contents of the pseudocyst into the gastrointestinal tract.

Transpapillary drainage is performed through the major duodenal papilla, the place where the pancreatic duct opens into the intestine. This procedure can be used if:

  • there is a communicating tract between the pseudocyst and the main pancreatic duct; 
  • the pseudocyst is located far from the gastrointestinal tract, making transmural drainage a challenging task.

During the procedure, a catheter is inserted through the pancreatic duct, and a stent is placed in the connecting tract between the pseudocyst and the lumen of the duct under the guidance of ERCP. If the duct is scarred, it may be expanded with an inflatable balloon before stent placement. The main advantage of the transpapillary method is the ability to eliminate strictures in other ducts, which reduces the risk of additional pseudocysts. The effectiveness of the procedure is 81%, and in the best specialized centers in Germany it reaches 94%.

Transmural drainage is carried out through the wall of the stomach or duodenum under the guidance of endoscopic ultrasound or a conventional endoscope. Doctors in Germany prefer to use the ultrasound method for guidance as it allows them to get a safe approach even to a pseudocyst that is not adjacent to the wall of the gastrointestinal tract, as well as masses with a distal location. The procedure also reduces the risk of bleeding due to vascular damage.

During the procedure, a doctor determines the puncture site using endoscopy, inserts a needle into the pseudocyst, and then controls its location using X-ray scans. This place is then dilated and several stents are placed. If the procedure is performed without ultrasound guidance, technical success is achieved in 59% of cases. When using endosonography, the procedure is successful in 95% of cases, with a lower risk of complications (perforation, bleeding, and infection).

Surgical drainage

 

Open surgery is historically the very first treatment for pancreatic pseudocysts, but it is almost never used in Germany. Surgical drainage is performed only in special situations, namely in the case of technical failure of the endoscopic procedure, a recurrent pseudocyst, or if a malignant process is suspected.

When performing the operation, a doctor forms a channel through which the pseudocyst communicates with the stomach, duodenum, or jejunum.

Even so, this type of treatment in Germany is less invasive compared to the standard technique. Surgical drainage in German hospitals is performed laparoscopically (through short abdominal incisions). The operation is successful in more than 98% of patients, and the risk of cyst recurrence does not exceed 2.5%.

Percutaneous drainage

 

Percutaneous pseudocyst drainage is a rarely used procedure. This may be performed if the operation is contraindicated due to the high risk of complications.

Doctors in Germany perform this minimally invasive procedure under CT or ultrasound guidance. Through a skin puncture in the abdomen with a needle, a specialist inserts a stent into the pseudocyst.

The advantages of the method are a low risk of complications, a fast rehabilitation, and the possibility of carrying out the procedure in a short time after pancreatitis. Nonetheless, there are more disadvantages, so the procedure is considered a third-line treatment option after endoscopic and surgical methods. The stent is often clogged, so doctors have to change its position, which causes discomfort for a patient. The method is not applicable in the presence of pancreatic duct strictures.

You are welcome to use the Booking Health website to find the cost of medical services in different clinics in Germany and make your treatment appointment at the best price. Our company's employees will help to organize your trip abroad.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Verywell Health

MedlinePlus

UpToDate




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