巨大膵囊胞に対して経乳頭的ドレナージが有効であった1例

• 桂田 純二郎

  赤心堂病院／外科

• 松本 力雄

  赤心堂病院／外科

• 井上 裕文

  赤心堂病院／外科

• 山田 博文

  赤心堂病院／外科

• 黒田 徹

  赤心堂病院／外科

書誌事項

タイトル別名

• A patient with a large pancreatic cyst treated successfully by endoscopic transpapillary drainage

抄録

A 46-year-old man was admitted to our hospital with abdominal pain. Abdominal ultrasonography and computed tomography (CT) showed a large pancreatic cyst in the pancreatic body. Magnetic resonance cholangiopancreatography suggested a large pancreatic pseudocyst. Endoscopic retrograde cholangiopancreatography revealed communication between the cyst lumen and the main pancreatic duct. Endoscopic nasopancreatic drainage was performed. Post-drainage CT revealed reduction in the size of the pancreatic cyst. Therefore, endoscopic pancreatic stenting was performed. The patient is being followed up and remains in good general condition. Two methods are available for endoscopic drainage of a pancreatic pseudocyst : transpapillary drainage and drainage guided by endosonography through the stomach or the duodenum. Drainage guided by endosonography is impossible without a specific modality and devices, as it carries a high risk of hemorrhage and perforation. The indication for transpapillary drainage is a cyst in communication with the pancreatic duct. It is a less invasive and safer procedure.

収録刊行物

• Progress of Digestive Endoscopy

  Progress of Digestive Endoscopy 85 (1), 138-139, 2014

  一般社団法人 日本消化器内視鏡学会 関東支部

キーワード

• 膵囊胞
• 経乳頭的ドレナージ

詳細情報

• CRID: 1390001205439721984
• NII論文ID: 130004985557
• DOI: 10.11641/pde.85.1_138
• ISSN: 21874999
• ISSN: 13489844
• Web Site: https://www.jstage.jst.go.jp/article/pde/85/1/85_138/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2015124786
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可