External-internal transgastric drainage of pancreatic pseudocysts

The article presents an analysis of the results of puncture drainage of pancreatic pseudocysts. The medical records of patients who were hospitalized in the past four years to the surgical departments were analyzed. In all the cases, the cause of the formation of pancreatic pseudocysts was biliary destructive pancreatitis. There were 86 such patients in total; all were female, their age ranged from 42 to 78 years. The procedure for draining pancreas cysts was performed under ultrasound guidance, using a GE Logik P 5 ultrasound scanner with attachments for color Doppler mapping with convex sensor 3.5–5 MHz. With formed postnecrotic cysts, patients underwent cystogastroanastomosis (CGA) under the control of ultrasound and EGD. The duration of the stay of patients in the hospital was 7–14 days. In 14 cases, patients were discharged from the hospital with drains under the supervision of a surgeon at the place of residence. Such complications of drainage of pancreas pseudocysts as bleeding, peritonitis and suppuration, were not observed. Cyst recurrence was registered in 2 cases after primary external drainage of the cyst cavity.