[Endoscopic drainage of XXXX ].

@entity13115 @entity1 @entity548 @entity158 @entity9007 @entity432
AIM OF STUDY: To compare retrospectively the endoscopic treatment of @entity9007 by retrograde pancreatic drainage (ERPD), cystogastrostomy (ECG) or cystoduodenostomy ( @entity13115 ). @entity1 AND METHODS: Between 1987 and 1995 @entity9007 were successfully treated endoscopically in 30 @entity1 (13 @entity1 , 17 @entity1 ; mean age 49 [18-89] years): ERPD was accomplished through papillary insertion of 5-7 F prostheses into the cysts or pancreatic duct in 9 @entity1 ; ECG achieved drainage of cysts in the body or tail of the pancreas in 15 @entity1 , and @entity13115 for cysts in the head of the pancreas in three. Combined ERPD and ECG was necessary in three @entity1 . RESULTS: Significant @entity158 relief was achieved in all @entity1 , accompanied by increased appetite and weight. @entity432 or dislocation of the prosthesis required renewed endoscopic drainage in three @entity1 . The prostheses were removed, 2-12 months after implantation, when @entity158 relief had occurred and clinical as well as radiological findings had become normal. Recurrence 10-22 months after removal of the drain was observed in four @entity1 , of whom two had a successful second drainage procedure. Surgical intervention became necessary in three @entity1 because of inadequate drainage or (one case) @entity548 . CONCLUSION: These data indicate that endoscopic drainage of @entity9007 gives good results with a low complication rate and no deaths. The procedure is thus an alternative to the at present prevailing operative treatment.
