Endoscopic transpapillary drainage of pancreatic abscess

Technique and results

Rama P. Venu, Russell D. Brown, Jorge A. Marrero, Bennet J. Pastika, James T. Frakes

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Pancreatic abscess is one of the serious complications of acute pancreatitis. Traditionally, pancreatic abscess has been treated by operative drainage. Based on experience with endoscopic transpapillary drainage of pseudocysts, a similar technique was used in patients with pancreatic abscess. Method: Patients were evaluated by endoscopic retrograde cholangiopancreatography. In those with pancreatic abscess communicating with the main pancreatic duct, pancreatic sphincterotomy, saline irrigation of the abscess cavity, and catheter dilation followed by 10F pancreatic stent placement were done. Instillation of gentamicin and nasopancreatic catheter drainage were used in difficult cases. Results: Of 22 patients with pancreatic abscess, 11 underwent endoscopic transpapillary drainage with technical success in 10 patients (90%); 8 patients (74%) had resolution of pancreatic abscess, clinically and radiographically. Intracavitary instillation of gentamicin and nasopancreatic catheter drainage were used in 2 patients. Two patients in whom endoscopic transpapillary drainage failed underwent operative drainage with a favorable outcome, and the one patient in whom endoscopic treatment was technically unsuccessful underwent successful percutaneous drainage. One patient had mild pancreatitis. Conclusion: Endoscopic transpapillary drainage is an effective nonoperative therapy for selected cases of pancreatic abscess and is associated with minimal morbidity and no mortality.

Original languageEnglish (US)
Pages (from-to)391-395
Number of pages5
JournalGastrointestinal Endoscopy
Volume51
Issue number4 I
StatePublished - 2000

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Abscess
Drainage
Catheters
Gentamicins
Pancreatitis
Endoscopic Retrograde Cholangiopancreatography
Pancreatic Ducts
Stents
Dilatation
Morbidity
Mortality
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Venu, R. P., Brown, R. D., Marrero, J. A., Pastika, B. J., & Frakes, J. T. (2000). Endoscopic transpapillary drainage of pancreatic abscess: Technique and results. Gastrointestinal Endoscopy, 51(4 I), 391-395.

Endoscopic transpapillary drainage of pancreatic abscess : Technique and results. / Venu, Rama P.; Brown, Russell D.; Marrero, Jorge A.; Pastika, Bennet J.; Frakes, James T.

In: Gastrointestinal Endoscopy, Vol. 51, No. 4 I, 2000, p. 391-395.

Research output: Contribution to journalArticle

Venu, RP, Brown, RD, Marrero, JA, Pastika, BJ & Frakes, JT 2000, 'Endoscopic transpapillary drainage of pancreatic abscess: Technique and results', Gastrointestinal Endoscopy, vol. 51, no. 4 I, pp. 391-395.
Venu, Rama P. ; Brown, Russell D. ; Marrero, Jorge A. ; Pastika, Bennet J. ; Frakes, James T. / Endoscopic transpapillary drainage of pancreatic abscess : Technique and results. In: Gastrointestinal Endoscopy. 2000 ; Vol. 51, No. 4 I. pp. 391-395.
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