Two cases of percutaneous pancreatic gastrostomy in the treatment of pancreatic pseudocysts

The authors describe a new method for treatment of pancreatic pseudocysts using a personal technique: the percutaneous pseudocistogastrostomy. Under US and fluoroscopy guidance at first a percutaneous drainage is introduced in the pseudocyst using a transgastric approach. For seven days the drainage catheter is flushed with antibiotic solution (Rifocin), then under fluoroscopy and endoscopy guidance doubled pig-tail catheter is placed with its curlend ends in the lumen of the stomach and pseudocyst respectively. After 60 days the double pig-tail catheter is removed endoscopically. Two patients with pancreatic pseudocyst were treated successfull by this method. No complications or recurrences were observed