Abstract

MORENO-TAPIA, José Alberto et al. Tratamiento endoscópico de estenósis de cistogastroanastomosis. Endoscopia [online]. 2019, vol.31, suppl.2, pp.304-305.  Epub Feb 14, 2022. ISSN 2444-6483.  https://doi.org/10.24875/end.m19000115.

Pancreatic pseudocysts are complications of acute pancreatitis, the decision of treatment depends on the presence of symptoms; The current therapeutic options are surgical, endoscopic or radiological. Surgical anastomosis stenoses occur from 8 to 30% and currently endoscopic dilatations have become the first line treatment, since they have been shown to be effective and with few complications. We present the case of a patient with a history of severe biliary pancreatitis, who presented as a complication the formation of a pseudocyst which was resolved surgically by a cystogastrostomy anastomosis. The patient presented stenosis of the anastomosis and underwent endoscopic dilation with a hydrostatic balloon; managing to enter the pseudocyst and perform washing; clinically, the patient showed improvement in symptoms. In the revision endoscopy a partially collapsed pseudocyst with adequate drainage was observed. In conclusion, dilatations of postoperative anastomoses by endoscopy with hydrostatic balloons are effective and safe procedures for the patient.

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