Advances in the treatment of pancreatic pseudo cyst_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANGZhiwei ^1,2 ,  CHAIChen ²

1. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, P.R.China;
2. The Third Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, P.R.China;

Corresponding author：

CHAIChen, Email: chasechai@gmail.com

Keywords：

pancreatic pseudocyst; treatment

DOI：

10.7507/1007-9424.201605066

Video：

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Objective To summarize the treatment of pancreatic pseudo cyst in recent years. Methods Through the retrieval of relevant literatures, the progress in the treatment of pancreatic pseudo cyst in recent years were reviewed. Results Pancreatic pseudo cyst is a common complication of pancreatitis or pancreatic injury. Severe symptoms are often caused by large cysts or complications, and it can cause serious consequences. The main treatment methods are conservative treatment, percutaneous drainage, surgical treatment, endoscopic drainage technology, combined with traditional Chinese and Western medicine treatment, and each method has its own indications and advantages and disadvantages. Conclusion The treatment of pancreatic pseudo cyst is varied, and it should be individualized treatment according to different indications, different patients and the development stage of the disease.

Citation： WANGZhiwei, CHAIChen. Advances in the treatment of pancreatic pseudo cyst. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(1): 115-119. doi: 10.7507/1007-9424.201605066 Copy

1.	Banks PA, Bollen TL, Dervenis C,et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1): 102-111.
2.	Talukdar R, Sundaram M, Nageshwar Reddy D. Endoscopicvs surgical drainage of pancreatic pseudocysts. Gastroenterology, 2014, 146(1): 319-320.
3.	Nasa M, Choudhary N, Patil G,et al. Mediastinal pancreatic pseudocyst. J Dig Endosc, 2016, 7(1): 20.
4.	Mihai G, Ramona G, Adrian M. Influence of chronic alcohol consumption in occurrence and cours of pancreatic pseudocyst. Analele Universităţii din Oradea, 2013, 12(A): 132-137.
5.	廖泉, 赵玉沛, 张太平, 等. 假性胰腺囊肿的外科手术治疗. 中华肝胆外科杂志, 2004, 10(12): 814-816.
6.	Singhal S, Rotman SR, Gaidhane M,et al. Pancreatic fluid collection drainage by endoscopic ultrasound: an update. Clin Endosc, 2013, 46(5): 506-514.
7.	Kleespies A, Thasler WE, Schäfer C,et al. Acute pancreatitis: is there a need for surgery? Z Gastroenterol, 2008, 46(8): 790-798.
8.	Yeo CJ, Sarr MG. Cystic and pseudocystic diseases of the pancreas. Curr Probl Surg, 1994, 31(3): 165-243.
9.	Ishida H, Ichikawa W, Sasaki Y. Crizotinib-induced pancreatic pseudocyst: a novel adverse event. BMJ Case Rep, 2015, 2015. pii: bcr2015211556.
10.	Lerch MM, Stier A, Wahnschaffe U,et al. Pancreatic pseudocysts: observation, endoscopic drainage, or resection? Dtsch Arztebl Int, 2009, 106(38): 614-621.
11.	Cantasdemir M, Kara B, Kantarci F,et al. Percutaneous drainage for treatment of infected pancreatic pseudocysts. South Med J, 2003, 96(2): 136-140.
12.	Giovannini M. Endoscopic ultrasonography-guided pancreatic drainage. Gastrointest Endosc Clin N Am, 2012, 22(2): 221-230.
13.	Dubravcsik Z, Hritz I, Fejes R,et al. Early ERCP and biliary sphincterotomy with or without small-caliber pancreatic stent insertion in patients with acute biliary pancreatitis: better overall outcome with adequate pancreatic drainage. Scand J Gastroenterol, 2012, 47(6): 729-736.
14.	Zerem E, G Imamović, S Omerović,et al. Percutaneous treatment for symptomatic pancreatic pseudocysts: Long-term results in a single center. EurJ Intern Med, 2010, 21(5): 393-397.
15.	Ang TL, Kwek AB, Tan SS,et al. Direct endoscopic necrosectomy: a minimally invasive endoscopic technique for the treatment of infected walled-off pancreatic necrosis and infected pseudocysts with solid debris. Singapore Med J, 2013, 54(4): 206-211.
16.	Cui ML, Kim KH, Kim HG,et al. Incidence, risk factors and clinical course of pancreatic fluid collections in acute pancreatitis. Dig Dis Sci, 2014, 59(5): 1055-1062.
17.	Khaled YS, Malde DJ, Packer J,et al. Laparoscopic versus open cystgastrostomy for pancreatic pseudocysts: a case-matched comparative study. J Hepatobiliary Pancreat Sci, 2014, 21(11): 818-823.
18.	Patel AD, Lytle NW, Sarmiento JM. Laparoscopic Roux-en-Y drainage of a pancreatic pseudocyst. Curr Surg Rep, 2013, 1: 131-134.
19.	Sheng QS, Chen DZ, Lang R,et al. Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report. World J Gastroenterol, 2008, 14(30): 4841-4843.
20.	Simo KA, Niemeyer DJ, Swan RZ,et al. Laparoscopic transgastric endolumenal cystogastrostomy and pancreatic debridement. Surg Endosc, 2014, 28(5): 1465-1472.
21.	彭淑牖, 王家骅. 序贯式外、内引流术治疗胰腺假性囊肿. 实用外科杂志, 1992, 12(12): 664-665.
22.	卢永刚. 假性胰腺囊肿的治疗. 中国现代普通外科进展, 2012, 15(3): 219-221.
23.	Kim S C, Park K T, Hwang J W,et al. Comparative analysis of clinical outcomes for laparoscopic distal pancreatic resection and open distal pancreatic resection at a single institution. Surg Endosc, 2008, 22(10): 2261-2268.
24.	Malde DJ, Khaled Y, Fox T,et al. OC-062 A comparative study of laparoscopicvs open cystgastrostomy for pancreatic pseudocysts. Gut, 2012, 61(Suppl 2): A27-A27.
25.	Galketiya KB, Pinto V , Samarasinghe B,et al. Management of pancreatic pseudocyst: where do we stand? Anuradhapura Med J, 2015, 9(1): 9-11.
26.	Gumaste VV, Aron J. Pseudocyst management: endoscopic drainage and other emerging techniques. J Clin Gastroenterol, 2010, 44(5): 326-331.
27.	Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomyversus open pancreaticoduodenectomy——a comparative study. Int J Surg, 2012, 10(9): 475-479.
28.	Sharaiha RZ, DeFilippis EM, Kedia P,et al. Metalversus plastic for pancreatic pseudocyst drainage: clinical outcomes and success. Gastrointestinal Endosc, 2015, 82(5): 822-827.
29.	Singla V, Garg PK. Role of diagnostic and therapeutic endoscopic ultrasonography in benign pancreatic diseases. Endosc Ultrasound, 2013, 2(3): 134-141.
30.	Wang GX, Liu X, Wang S,et al. Stent displacement in endoscopic pancreatic pseudocyst drainage and endoscopic management. World J Gastroenterol, 2015, 21(7): 2249-2253.
31.	张太平, 赵玉沛, 杨宁, 等. 胰腺假性囊肿治疗方式的选择与评价. 中华外科杂志, 2005, 43(3): 149-152.
32.	王瑞官, 李虎城, 黄辉, 等. 内镜下胃内引流术治疗胰腺假性囊肿. 中国内镜杂志, 2013, 19(3): 284-287.
33.	Bang JY, Wilcox CM, Trevino JM,et al. Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of uncomplicated pancreatic pseudocysts. Surg Endosc, 2014, 28(10): 2877-2883.
34.	Kraft M, Simon P, Nitsche C,et al. Successful drainage of recurrent pancreatic pseudocyst via a transpapillary and transpancreatic approach, using a conventional cystotome. Endoscopy, 2012, 44(S 02): E186-E187.
35.	Samuelson AL, Shah RJ. Endoscopic management of pancreatic pseudocysts. Gastroenterol Clin North Am, 2012, 41(1): 47-62.
36.	Rana SS, Bhasin DK, Rao C,et al. Intramural pseudocysts of the upper gastrointestinal tract. Endosc Ultrasound, 2013, 2(4): 194-198.
37.	倪志, 邓桃枝, 张荣春. EUS, ERCP 经内镜内引流治疗胰腺假性囊肿疗效观察. 华南国防医学杂志, 2015, 12: 921-923.
38.	Zhao X, Feng T, Ji W. Endoscopic versus surgical treatment for pancreatic pseudocyst. Dig Endosc, 2016, 28(1): 83-91.
39.	Varadarajulu S, Bang JY, Sutton BS,et al. Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology, 2013, 145(3): 583-590.
40.	Jazrawi SF, Barth BA, Sreenarasimhaiah J. Efficacy of endoscopic ultrasound-guided drainage of pancreatic pseudocysts in a pediatric population. Dig Dis Sci, 2011, 56(3): 902-908.
41.	Pan G, Wan MH, Xie KL,et al. Classification and management of pancreatic pseudocysts. Medicine, 2015, 94(24): e960.
42.	Goyal S, Raju R, Yadav S. Pancreatic pseudocyst of gastrohepatic ligament: a case report and review of management. JOP, 2012, 13(4): 439-442.
43.	Tomar S, Bakhshi S, Kabra SK,et al. Pancreatic pseudocyst complicating treatment of acute lymphoblastic leukemia. Indian Pediatr, 2003, 40(7): 670-672.
44.	Chaurasiya OS, Gupta S. Pancreatic pseudocyst in a child: a case report. Injury, 2015, 6: 7.
45.	Russell KW, Barnhart DC, Madden J,et al. Non-operative treatmentversus percutaneous drainage of pancreatic pseudocysts in children. Pediatr Surg Int, 2013, 29(3): 305-310.
46.	张继涛. 中药清胰汤结合外、内引流术治疗胰腺假性囊肿. 现代医药卫生, 2006, 22(2): 245-246.
47.	姜明华. 中西医结合治疗胰腺假性囊肿临床观察. 实用中医药杂志, 2015, 31(3): 207-208.
48.	German M, German R, Maghiar A. Influence of chronic alcohol consumption in occurrence and cours of pancreatic pseudocyst. the annals of oradea universităţii fascicula ecotoxicologie, animal husbandry industry alimentară şi technologies, 2013, 12(A): 132-137.

1. Banks PA, Bollen TL, Dervenis C,et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1): 102-111.
2. Talukdar R, Sundaram M, Nageshwar Reddy D. Endoscopicvs surgical drainage of pancreatic pseudocysts. Gastroenterology, 2014, 146(1): 319-320.
3. Nasa M, Choudhary N, Patil G,et al. Mediastinal pancreatic pseudocyst. J Dig Endosc, 2016, 7(1): 20.
4. Mihai G, Ramona G, Adrian M. Influence of chronic alcohol consumption in occurrence and cours of pancreatic pseudocyst. Analele Universităţii din Oradea, 2013, 12(A): 132-137.
5. 廖泉, 赵玉沛, 张太平, 等. 假性胰腺囊肿的外科手术治疗. 中华肝胆外科杂志, 2004, 10(12): 814-816.
6. Singhal S, Rotman SR, Gaidhane M,et al. Pancreatic fluid collection drainage by endoscopic ultrasound: an update. Clin Endosc, 2013, 46(5): 506-514.
7. Kleespies A, Thasler WE, Schäfer C,et al. Acute pancreatitis: is there a need for surgery? Z Gastroenterol, 2008, 46(8): 790-798.
8. Yeo CJ, Sarr MG. Cystic and pseudocystic diseases of the pancreas. Curr Probl Surg, 1994, 31(3): 165-243.
9. Ishida H, Ichikawa W, Sasaki Y. Crizotinib-induced pancreatic pseudocyst: a novel adverse event. BMJ Case Rep, 2015, 2015. pii: bcr2015211556.
10. Lerch MM, Stier A, Wahnschaffe U,et al. Pancreatic pseudocysts: observation, endoscopic drainage, or resection? Dtsch Arztebl Int, 2009, 106(38): 614-621.
11. Cantasdemir M, Kara B, Kantarci F,et al. Percutaneous drainage for treatment of infected pancreatic pseudocysts. South Med J, 2003, 96(2): 136-140.
12. Giovannini M. Endoscopic ultrasonography-guided pancreatic drainage. Gastrointest Endosc Clin N Am, 2012, 22(2): 221-230.
13. Dubravcsik Z, Hritz I, Fejes R,et al. Early ERCP and biliary sphincterotomy with or without small-caliber pancreatic stent insertion in patients with acute biliary pancreatitis: better overall outcome with adequate pancreatic drainage. Scand J Gastroenterol, 2012, 47(6): 729-736.
14. Zerem E, G Imamović, S Omerović,et al. Percutaneous treatment for symptomatic pancreatic pseudocysts: Long-term results in a single center. EurJ Intern Med, 2010, 21(5): 393-397.
15. Ang TL, Kwek AB, Tan SS,et al. Direct endoscopic necrosectomy: a minimally invasive endoscopic technique for the treatment of infected walled-off pancreatic necrosis and infected pseudocysts with solid debris. Singapore Med J, 2013, 54(4): 206-211.
16. Cui ML, Kim KH, Kim HG,et al. Incidence, risk factors and clinical course of pancreatic fluid collections in acute pancreatitis. Dig Dis Sci, 2014, 59(5): 1055-1062.
17. Khaled YS, Malde DJ, Packer J,et al. Laparoscopic versus open cystgastrostomy for pancreatic pseudocysts: a case-matched comparative study. J Hepatobiliary Pancreat Sci, 2014, 21(11): 818-823.
18. Patel AD, Lytle NW, Sarmiento JM. Laparoscopic Roux-en-Y drainage of a pancreatic pseudocyst. Curr Surg Rep, 2013, 1: 131-134.
19. Sheng QS, Chen DZ, Lang R,et al. Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report. World J Gastroenterol, 2008, 14(30): 4841-4843.
20. Simo KA, Niemeyer DJ, Swan RZ,et al. Laparoscopic transgastric endolumenal cystogastrostomy and pancreatic debridement. Surg Endosc, 2014, 28(5): 1465-1472.
21. 彭淑牖, 王家骅. 序贯式外、内引流术治疗胰腺假性囊肿. 实用外科杂志, 1992, 12(12): 664-665.
22. 卢永刚. 假性胰腺囊肿的治疗. 中国现代普通外科进展, 2012, 15(3): 219-221.
23. Kim S C, Park K T, Hwang J W,et al. Comparative analysis of clinical outcomes for laparoscopic distal pancreatic resection and open distal pancreatic resection at a single institution. Surg Endosc, 2008, 22(10): 2261-2268.
24. Malde DJ, Khaled Y, Fox T,et al. OC-062 A comparative study of laparoscopicvs open cystgastrostomy for pancreatic pseudocysts. Gut, 2012, 61(Suppl 2): A27-A27.
25. Galketiya KB, Pinto V , Samarasinghe B,et al. Management of pancreatic pseudocyst: where do we stand? Anuradhapura Med J, 2015, 9(1): 9-11.
26. Gumaste VV, Aron J. Pseudocyst management: endoscopic drainage and other emerging techniques. J Clin Gastroenterol, 2010, 44(5): 326-331.
27. Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomyversus open pancreaticoduodenectomy——a comparative study. Int J Surg, 2012, 10(9): 475-479.
28. Sharaiha RZ, DeFilippis EM, Kedia P,et al. Metalversus plastic for pancreatic pseudocyst drainage: clinical outcomes and success. Gastrointestinal Endosc, 2015, 82(5): 822-827.
29. Singla V, Garg PK. Role of diagnostic and therapeutic endoscopic ultrasonography in benign pancreatic diseases. Endosc Ultrasound, 2013, 2(3): 134-141.
30. Wang GX, Liu X, Wang S,et al. Stent displacement in endoscopic pancreatic pseudocyst drainage and endoscopic management. World J Gastroenterol, 2015, 21(7): 2249-2253.
31. 张太平, 赵玉沛, 杨宁, 等. 胰腺假性囊肿治疗方式的选择与评价. 中华外科杂志, 2005, 43(3): 149-152.
32. 王瑞官, 李虎城, 黄辉, 等. 内镜下胃内引流术治疗胰腺假性囊肿. 中国内镜杂志, 2013, 19(3): 284-287.
33. Bang JY, Wilcox CM, Trevino JM,et al. Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of uncomplicated pancreatic pseudocysts. Surg Endosc, 2014, 28(10): 2877-2883.
34. Kraft M, Simon P, Nitsche C,et al. Successful drainage of recurrent pancreatic pseudocyst via a transpapillary and transpancreatic approach, using a conventional cystotome. Endoscopy, 2012, 44(S 02): E186-E187.
35. Samuelson AL, Shah RJ. Endoscopic management of pancreatic pseudocysts. Gastroenterol Clin North Am, 2012, 41(1): 47-62.
36. Rana SS, Bhasin DK, Rao C,et al. Intramural pseudocysts of the upper gastrointestinal tract. Endosc Ultrasound, 2013, 2(4): 194-198.
37. 倪志, 邓桃枝, 张荣春. EUS, ERCP 经内镜内引流治疗胰腺假性囊肿疗效观察. 华南国防医学杂志, 2015, 12: 921-923.
38. Zhao X, Feng T, Ji W. Endoscopic versus surgical treatment for pancreatic pseudocyst. Dig Endosc, 2016, 28(1): 83-91.
39. Varadarajulu S, Bang JY, Sutton BS,et al. Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology, 2013, 145(3): 583-590.
40. Jazrawi SF, Barth BA, Sreenarasimhaiah J. Efficacy of endoscopic ultrasound-guided drainage of pancreatic pseudocysts in a pediatric population. Dig Dis Sci, 2011, 56(3): 902-908.
41. Pan G, Wan MH, Xie KL,et al. Classification and management of pancreatic pseudocysts. Medicine, 2015, 94(24): e960.
42. Goyal S, Raju R, Yadav S. Pancreatic pseudocyst of gastrohepatic ligament: a case report and review of management. JOP, 2012, 13(4): 439-442.
43. Tomar S, Bakhshi S, Kabra SK,et al. Pancreatic pseudocyst complicating treatment of acute lymphoblastic leukemia. Indian Pediatr, 2003, 40(7): 670-672.
44. Chaurasiya OS, Gupta S. Pancreatic pseudocyst in a child: a case report. Injury, 2015, 6: 7.
45. Russell KW, Barnhart DC, Madden J,et al. Non-operative treatmentversus percutaneous drainage of pancreatic pseudocysts in children. Pediatr Surg Int, 2013, 29(3): 305-310.
46. 张继涛. 中药清胰汤结合外、内引流术治疗胰腺假性囊肿. 现代医药卫生, 2006, 22(2): 245-246.
47. 姜明华. 中西医结合治疗胰腺假性囊肿临床观察. 实用中医药杂志, 2015, 31(3): 207-208.
48. German M, German R, Maghiar A. Influence of chronic alcohol consumption in occurrence and cours of pancreatic pseudocyst. the annals of oradea universităţii fascicula ecotoxicologie, animal husbandry industry alimentară şi technologies, 2013, 12(A): 132-137.

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