Gastroenterology: Pancreatic pseudocyst — Ercp. Treatment
Pancreatic pseudocysts is a common complication of the inflammatory process in the body and is a consequence of destruction of the duct through which the pancreatic juice flows into the intestinal lumen. The method of choice for treatment of pancreatic pseudocyst is a minimally invasive endoscopic intervention, the efficiency of which reaches 88% subject to correct determination of indications.
After the initial visit of the patient to the clinic, which includes the examination and case history collection, a general clinical and special examination is prescribed. In order to clarify the diagnosis, the following tests are carried out:
- complete blood count and urinalysis;
- biochemical blood test;
- abdomen ultrasonography;
- gastroscopy with biopsy;
- ERCP and endoscopic oral pancreatoscopy.
Endoscopic examinations involve treatment.
Principle of Pancreatic Pseudocyst Endoscopic Treatment
For ERCP and endoscopic pancreatoskop, the endoscope is entered through the esophagus and stomach into the large duodenal papilla, into which the contrast medium for X-ray determination of pseudocyst location and size is administered. On the basis of the visualization through an endoscope camcorder and X-ray picture, the professional decides on the optimal method of pseudocyst drainage by installing the stoma made of inert elastomeric samples. Draining is carried out into the stomach or duodenum.
After the procedure, the patient stays at the clinic full time for 9 days and receives nursing services to the required extent. To improve the state of health and prevent the complications, the symptomatic therapy is administered. The information on the cost of drugs is provided by the clinic physician. After issue of recommendations for further treatment and diet, the patient is discharged.Hide