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World J Gastrointest Endosc. Dec 16, 2014; 6(12): 620-624
Published online Dec 16, 2014. doi: 10.4253/wjge.v6.i12.620
Published online Dec 16, 2014. doi: 10.4253/wjge.v6.i12.620
Novel endoscopic management for pancreatic pseudocyst with fistula to the common bile duct
Stefano Francesco Crinò, Giuseppe Scalisi, Pierluigi Consolo, Doriana Varvara, Socrate Pallio, Digestive Endoscopy Unit, University Hospital, 98100 Messina, Italy
Antonio Bottari, Radiological Sciences, University Hospital, 98100 Messina, Italy
Sebastiano Pantè, General Surgery Unit, University Hospital, 98100 Messina, Italy
Author contributions: Crinò SF, Scalisi G and Varvara D had contributed to the conception and design of the article and had also collected and analyzed data; Consolo P and Pallio S had performed the two ERCP; Crinò SF had performed the EUS and the consequent drainage; Bottari A had performed the CT scan; Pantè S, Scalisi G and Varvara D had clinically managed the patient; Crinò SF and Scalisi G had drafted the article and revised it critically for important intellectual content; all the authors had approved the final version to be published.
Correspondence to: Giuseppe Scalisi, MD, Digestive Endoscopy Unit, University Hospital, via consolare Valeria 1, 98100 Messina, Italy. scalisi.giuseppe@alice.it
Telephone: +39-90-2212294 Fax: +39-90-2212312
Received: July 22, 2014
Revised: September 22, 2014
Accepted: October 14, 2014
Published online: December 16, 2014
Processing time: 149 Days and 0.5 Hours
Revised: September 22, 2014
Accepted: October 14, 2014
Published online: December 16, 2014
Processing time: 149 Days and 0.5 Hours
Core Tip
Core tip: In our opinion the combination of endoscopic ultrasound-guided drainage of the pseudocyst and the simultaneous biliary stenting represent the best endoscopic treatment. The advantages of such approach consist in a better evaluation and a more effective drainage of the cystic cavity with the possibility to collect samples for biochemical and bacteriological analysis. Furthermore, the simultaneous biliary stenting can determine, at the same time, a pressure reduction in the bile system and in the pancreatic collection facilitating the healing of the fistula.