Tariq Mahmood, Uzma Azmatullah, Fayyaz Ahmad, Raza Younus, Shakoor Memon, Saeed Quraishy.
Ultrasound guided Percutaneous drainage of Pancreatic Pseudocyst; using RD. catheter.
J Surg Pak Jan ;9(2):11-4.

OBJECTIVE: The purpose of the study is to report the drainage of pancreatic pseudocysts by percutaneous insertion of P.D. catheter under US guidance. PATIENTS & METHODS: Between January 1999 and December 2003, 44 patients (28 male, 16 female) with abdominal fluid collection from complicated acute pancreatitis underwent percutaneous ultrasound guided drainage using adult (12 F) or pediatric (10 F) peritoneal drainage catheter. RESULTS: Simple cysts found in 07 patients, hemorrhagic in 20 and infected in 17 patients. Etiology varied from trauma in 09 patients, gallstone in 19 patients, post ERCP 05 patients, biliary ascariasis in 03 and alcohol consumption in 01 patient to idiopathic 07 patients. The tube was kept for drainage from 2 weeks to 11 weeks. The success rate was 84% whereas 12 % patients did not improve and required open drainage and lavage. No major complications occurred. CONCLUSION: The study shows that complicated peripancreatic fluid collections can be safely and effectively treated in most patients with percutaneous RD. catheter insertion under real time US guidance.

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