A COMPARATIVE STUDY OF PANCREATIC PSEUDOCYST TREATED WITH ULTRASOUND GUIDED ASPIRATION VERSUS CONVENTIONAL SURGERY

2021 ◽  
pp. 5-7
Author(s):  
Ganesh Chandra Karan ◽  
Kumar Akash

Background: Pancreatic pseudocysts belong to a large and hetero-geneous group of cystic pancreatic lesions and represent a complication of acute or chronic pancreatitis. This is a prospect Material and Methods: ive study conducted in the department of General surgery, at darbhanga medical college and Hospital, Darbhanga, Laheriasarai, Bihar. Study duration on One year. Conclusion: Ultrasound guided aspiration is equally safe compared to conventional surgery, It not only cures but provides palliation of symptoms and gives enough time needed for maturation of the cyst.

2016 ◽  
Vol 7 (2) ◽  
pp. 155-159
Author(s):  
ManoharBabu S. ◽  
◽  
Prashant M. Anadinni ◽  
Ramesh K. ◽  
◽  
...  

2017 ◽  
Vol 4 (10) ◽  
pp. 3470 ◽  
Author(s):  
Sibaprashad Pattanayak ◽  
Tapan Kumar Malla ◽  
Bipin Kishore Bara ◽  
Manoj Kumar Behera

Background: Human rabies continues to be endemic in India and according to recent estimate 20,000 persons die of this disease every year. Hence this study was conducted to know the prevalence and pattern of animal bites during last one year and to determine the rate of admission in Department of Surgery.Methods: This study was conducted in the casualty, Department of Community Medicine, Department of Surgery at M. K. C. G. Medical College, Odisha, India between 1st April 2016 - March 31st, 2017. It was a cross sectional study, where convenient sampling method was used. The sample size was 6242 subjects, above 1year age group selected randomly within last 1 year. The socio demographic characteristics, epidemiological and rate of admission in surgery department were studied.Results: It was found that during last one year, out of 6242 animal bite cases, majority of them were bitten by dogs 4785 (76.66%). It was found that 5617 (90%) are category III bite, 548 (8.78%) are category II bites, 77 (1.23%) are category I bite. Parts of body bitten by animals were limbs 5828 (93.37%), face 312 (5%), back 52 (0.83%). Out of 6242 cases, 348 (5.5%) cases were admitted in General Surgery Department.Conclusions: The prevalence of dog bite was found to be more and was of category III in nature and part of body affected were mostly limbs. Prevalence of bite was nearly equal among male and female. Around 5% of the total animal bite cases required admission in Department of Surgery.  


2011 ◽  
Vol 68 (7) ◽  
pp. 602-606 ◽  
Author(s):  
Sasa Mickovic ◽  
Miroslav Mitrovic ◽  
Nebojsa Stankovic ◽  
Mihailo Bezmarevic ◽  
Milan Jovanovic ◽  
...  

Introduction. Pancreatic pseudocyst presented as pseudoaneurysm of the splenic artery is a potential serious complication in patients with chronic pancreatitis. Case report. A 42-year-old male patient with a long-standing evolution of chronic pancreatitis and 8-year long evolution of pancreas pseudocyst was referred to the Military Medical Academy, Belgrade due to worsening of the general condition. At admission, the patient was cachectic, febrile, and had the increased values of amylases in urine and sedimentation (SE). After clinical and diagnostic examination: laboratory assessment, esophagogastroduodenoscopy (EGDS), ultrasonography (US), endoscopic ultrasonography (EUS), multislice computed scanner (MSCT) angiography, pseudoaneurysm was found caused by the conversion of pseudocyst on the basis of chronic pancreatitis. The patient was operated on after founding pancreatic pseudocyst, which caused erosion of the splenic artery and their mutual communication. Postoperative course was duly preceded without complications with one year follow-up. Conclusion. Angiography is the most reliable and the safest method for diagnosing hemorrhagic pseudocysts when they clinically present as pseudoaneurysms. A potentially dangerous complication in the presented case was treated surgically with excellent postoperative results.


2020 ◽  
Vol 27 (2) ◽  
pp. 134-140
Author(s):  
Sumi Datta ◽  
Md Jamal ◽  
Yesmina Rahman ◽  
Mahbuba Hussain ◽  
Fahmida Yeshmina ◽  
...  

Aim: To review the effectiveness of ultrasound- guided hydrostatic reduction of intussusception in children. Methods: This prospective interventional study was done during one year period from January 2014 to December 2014 in the department of Radiology and Imaging of Dhaka Medical College and Hospital, Dhaka and included 30 children clinically and radiologically diagnosed as intussusception with symptoms d” 48 hours. They underwent ultrasound-guided hydrostatic reduction using normal saline and the effectiveness of this technique was reviewed. Results: Majority of the study population were in the age group of 7-24 months with mean age of 9.04± 2.48 months. 100% patients who presented within 24 hours of their symptoms achieved successful reduction whereas success rate of reduction were 95% and 0% respectively in patients presented within 24-36 hours and after 36 hours of their symptoms. 60% cases required 5-10 minutes for successful reduction, 20% cases required 3-5 minutes and 10% patients needed > 10 minutes. Within 3 attempts, reduction happened in 90% cases whereas 10% cases failed to reduce. No case was tried for reduction after 3 attempts in consideration of the bowel pathology and complications. Only 10% patients developed negligible complications. No case showed recurrence. Conclusion: Ultrasound guided hydrostatic reduction of intussusception is an effective nonoperative treatment of intussusception in children because of its high success rate, less complications and recurrence rate. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 134-140


Author(s):  
Samant Negi ◽  
Vishal Prashar

Background: Urolithiasis affects about 12% of the world population at some stage in their lifetime. It affects all ages, both sexes and races but occurs more frequently in men than in women within the age of 20–49 years. Methods: The study was conducted over a period of one year from July 2017 to June 2018 in urolithiasis patients admitted in the Department of General Surgery and Urology at IGMC Shimla. Results: Study population consisted total of 100 patients (M=61, F=39). Majority of the patients were in the age group of 30-45 years (n=42). Minimum and maximum age at presentation were 11 years and 74 years respectively. Conclusion- We conclude that in our study maximum patients were young male and non- vegetarian. Keywords: Age, Sex, Non- vegetarian.


2009 ◽  
Vol 23 (8) ◽  
pp. 557-559 ◽  
Author(s):  
Jaber A Al Ali ◽  
Henry Chung ◽  
Peter L Munk ◽  
Michael F Byrne

Pancreatic pseudocysts develop in 10% to 20% of patients with chronic pancreatitis, and can cause a variety of complications such as infection, bleeding or development of fistulae. However, fistulous communication with the common bile duct is very rare. The present report describes an unusual case of a patient with a large, symptomatic pancreatic pseudocyst with a fistula to the common bile duct that was treated successfully by combined biliary and pancreatic stenting.


2021 ◽  
Vol 28 (4) ◽  
pp. 85-99
Author(s):  
V. M. Durleshter ◽  
S. R. Genrikh ◽  
A. V. Makarenko ◽  
D. S. Kirakosyan

Background. Pancreatic pseudocysts stand among current challenges in modern medicine. Their treatment uses variant instrumental techniques and implies a multispecialty approach. Trials in surgery and gastroenterology have aimed to identify an optimal strategy to tackle pancreatic pseudocysts for reducing complications and the recurrence rate, suggesting ultrasound-guided percutaneous, laparoscopic and flexible endoscopic drainage as promising treatment choices.Objectives. A summarising review of diagnostic and therapeutic methods for pancreatic pseudocyst treatment and comparison of ultrasound-guided percutaneous vs. surgical and endoscopic drainage techniques.Methods. The review examines the classification, epidemiology and methods for diagnosis and treatment of pancreatic pseudocysts. Only comparative full-text studies published within 2014–2021, as well as selected impactive publications within 2002–2013, have been included. The eLibrary, Elsevier and PubMed resources were queried for the article or journal title fields against the keywords (separate or combined) “pancreatic pseudocyst” [псевдокиста поджелудочной железы], “pseudocyst drainage” [дренирование псевдокисты], “surgical drainage” [хирургическое дренирование], “endoscopic drainage” [эндоскопическое дренирование], cystogastrostomy [цистогастростомия], gastrojejunostomy [гастроеюностомия], “duodenal-cystic anastomosis” [цистодуоденоанастомоз], “transpapillary drainage” [транспапиллярное дренирование], “transmural drainage and esophagogastroduodenoscopy” [трансмуральное дренирование и эзофагогастродуоденоскопия]. Records have been selected for topic-related scientific value.Results. The review systematically surveys 68 scientific papers in the focus area and summarises the most common surgical methods for pancreatic pseudocyst treatment. Based on the main principle, the methods are classified into three categories, ultrasound-guided percutaneous drainage, surgical drainage and flexible endoscopic drainage. The major classifications and treatment techniques are highlighted for their advantages and disadvantages.Conclusion. There exist no generally adopted strategy for pancreatic pseudocyst treatment in current clinical practice and no evidence on a particular method application in a large patient cohort. The publication survey identifies the techniques of percutaneous, surgical and endoscopic drainage with ultrasound control as highly effective overall among other surgical treatments.


2020 ◽  
Vol 4 (1) ◽  
pp. 006-010
Author(s):  
Yetisir Fahri ◽  
Güzel Kerim

Introduction: Pancreatic pseudocysts (PPs) are mostly delayed complications of acute or chronic pancreatitis and trauma. Pancreatic pseudocysts are usually managed by supportive medical treatment without surgical procedure. All the surgical interventions (percutaneous, endoscopic or surgical approaches) are based on the location, size, symptoms, complications of the pancreatic pseudocyst and medical condition of the patients. Recently, laparoscopic cystogastrostomy has become most appropriate approach especially for retrogastric pancreatic pseudocysts. In this study, we would like to report results of laparoscopic anterior transgastric cystogastrostomy by using linear articulated endo GIA stapler (Covidien medium thick purple) and versa-lifter (versa lifter®, laparoscopic retractor, manufactured by protomedlabs, France) in 14 pancreatic pseudocysts patients. Methods: We retrospectively analyzed data of patients with pancreatic pseudocysts treated by laparoscopic anterior transgastric cystogastrostomy from September 2010 to October 2014. All of the patients were controlled for the recurrence of pancreatic pseudocysts in February 2017. Results: 14 patients with pancreatic pseudocysts were managed by laparoscopic anterior transgastric cysto-gastrostomy. Conversion was performed in only one patient (7%). There were no symptoms and signs of recurrence of pancreatic pseudocyst during on average 43.6 months follow up time. Conclusion: Laparoscopic cystogastrostomy by using articulated linear endo-GIA stapler and versa-lifter is a safe and effective method for management of appropriate retro-gastric pancreatic pseudocysts.


2016 ◽  
Vol 07 (01) ◽  
pp. 020-023 ◽  
Author(s):  
Mukesh Nasa ◽  
Narendra Choudhary ◽  
Gaurav Patil ◽  
Rajesh Puri

AbstractPancreatic pseudocyst is a well-known complication of both acute and chronic pancreatitis. It is a collection of fluid due to acute or chronic inflammation of pancreas or from injury. A pseudocyst with mediastinal extension is a rare entity. There are only few reports of endoscopic transesophageal drainage of mediastinal pseudocysts. We present a case of mediastinal pseudocyst in a 45-year-old male who presented with dysphagia, weight loss, fever, and productive cough which was managed endoscopically by endoscopic ultrasound-guided transesophageal aspiration.


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