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World Journal of Clinical Cases 2021年第28期9卷 8476-8481页

作者： Gang Zhu Yi-Sheng Peng Cheng Fang Xiao-Li Yang Bo Li Department of General Surgery(Hepatobiliary Surgery) Academician(Expert)Workstation of Sichuan ProvinceThe Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina

BACKGROUND Intrahepatic pancreatic pseudocyst(IHPP)is an extremely rare complication of acute pancreatitis,with only a few cases previously described in the *** the best of our knowledge,IHPP with Budd-Chiari syndrome(BCS)has not yet been *** SUMMARY A 35-year-old male presented with abdominal pain,vomiting and anorexia,followed by severe swelling of the lower body after 4 *** morphological assessment(using computed tomography revealed the presence of a huge cyst of 18.28 cm×10.34 cm under the liver capsule accompanied by a large amount of *** puncture allowed us to detect a high level of amylase in the collection,confirming the diagnosis of *** cyst was treated by percu-taneous drainage,producing complete resolution of the *** IHPP can be treated with percutaneous drainage,endoscopic drainage,surgery or even conservative treatment,depending on the specific *** recommend percutaneous drainage as the first choice of treatment when IHPP with secondary BCS.

关键词： Intrahepatic pancreatic pseudocyst Pancreatic pseudocyst Pancreatitis Budd�Chiari syndrome percutaneous drainage Case report

Successful percutaneous drainage of a giant hydatid cyst in the liver

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World Journal of Gastroenterology 2006年第5期12卷 812-814页

作者： István Battyány Zsuzsanna Herbert Tamás Rostás ron Vincze Adrien Fülp Zoltán Harmat Beáta Gasztony Department of Radiology University of PécsHungary 1~(st)Department of Medicine University of PécsHungary

A 35-year-old female was hospitalized for abdominal pain, bloating, and vomiting. Plain X-ray pictures exhibited bowel obstruction for which she underwent emergency surgery. On the second postoperative day, she started to complain about dull right upper quadrant abdominal pain and bloating. Abdominal CT scans revealed very large cystic lesion with an inhomogeneous fluid content. The cyst occupied the whole right lobe of the liver compressing the surrounding organs and dislocating the left lobe of the liver towards the left hypochondrium （Figure 1）. Additionally, several more cysts of various sizes were seen in the whole abdomen. This radio-morphology raised the possibility of a hydatid disease （caused by ruptured hydatid cyst） confirmed through positive echinococcus IgG serology （ELISA）. Interestingly, no hypereosinophilia could be detected through repeated blood tests.

关键词： Echinococcosis Giant hydatid cyst PAIR technique percutaneous drainage Anaphylaxis

Endoscopic transgastric fenestration versus percutaneous drainage for management of(peri)pancreatic fluid collections adjacent to gastric wall(with video)

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World Journal of Gastroenterology 2023年第40期29卷 5557-5565页

作者： Hong-Mei Zhang Hui-Ting Ke Md Robin Ahmed Ya-Juan Li Ghulam Nabi Mu-Han Li Ji-Yu Zhang Dan Liu Li-Xia Zhao Bing-Rong Liu Department of Gastroenterology and Hepatology The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450000Henan ProvinceChina Department of Ultrasound Ezhou Central HospitalEzhou 436099Hubei ProvinceChina Institute of Nature Conservation Polish Academy of SciencesKrakow 31120Poland State Key Laboratory of Esophageal Cancer Prevention and Treatment Zhengzhou UniversityZhengzhou 450052Henan ProvinceChina

BACKGROUND percutaneous drainage(PCD)and endoscopic approaches have largely replaced surgical drainage as the initial approach for(peri)pancreatic fluid collections(PFC)s,while complications associated with endoscopic stent implantation are *** To introduce a novel endoscopic therapy named endoscopic transgastric fenestration(ETGF),which involves resection of tissue by endoscopic accessory between gastric and PFCs without stent implantation,and to evaluate its efficacy and safety compared with PCD for the management of PFCs adjacent to the gastric *** Patients diagnosed with PFCs adjacent to the gastric wall and who subsequently received ETGF or PCD were restrospectively *** for intervention were consistent with related *** analyzed patients baseline characteristics,technical and clinical success rate,recurrence and reintervention rate,procedure-related complications and adverse *** Seventy-two eligible patients were retrospectively identified(ETGF=34,PCD=38)from October 2017 to May *** in the ETGF group had a significantly higher clinical success rate than those in the PCD group(97.1 vs 76.3%,P=0.01).There were no statistically significant differences regarding recurrence,reintervention and incidence of complication between the two *** long-term catheter drainage was very common in the PCD *** Compared with PCD,ETGF has a higher clinical success rate in the management of PFCs adjacent to the gastric *** is an alternative effective strategy for the treatment of PFCs adjacent to the gastric wall.

关键词： (Peri)Pancreatic fluid collections Endoscopic transgastric fenestration percutaneous drainage

Amebic liver abscess: An update

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World Journal of Hepatology 2024年第3期16卷 316-330页

作者： Ramesh Kumar Rishabh Patel Rajeev Nayan Priyadarshi Ruchika Narayan Tanmoy Maji Utpal Anand Jinit R Soni Department of Gastroenterology All India Institute of Medical SciencesPatna 801507India Department of Radiodiagnosis All India Institute of Medical SciencesPatna 801507India Department of Surgical Gastroenterology All India Institute of Medical SciencesPatna 801507India

Amebic liver abscess(ALA)is still a common problem in the tropical world,where it affects over three-quarters of patients with liver *** is caused by an anaerobic protozoan Entamoeba hystolytica,which primarily colonises the *** is a non-suppurative infection of the liver consisting primarily of dead hepatocytes and cellular *** of the male gender,during their reproductive years,are most prone to ALA,and this appears to be due to a poorly mounted immune response linked to serum testosterone *** is more common in the right lobe of the liver,is strongly associated with alcohol consumption,and can heal without the need for *** majority of ALA patients have an uncomplicated course,a number of complications have been described,including rupture into abdomino-thoracic structures,biliary fistula,vascular thrombosis,bilio-vascular compression,and secondary bacterial *** on clinico-radiological findings,a classification system for ALA has emerged recently,which can assist clinicians in making treatment *** research has revealed the role of venous thrombosis-related ischemia in the severity of *** years have seen the development and refinement of newer molecular diagnostic techniques that can greatly aid in overcoming the diagnostic challenge in endemic area where serology-based tests have limited *** has been the drug of choice for ALA patients for many ***,concerns over the resistance and adverse effects necessitate the creation of new,safe,and potent antiamebic *** the indication of the drainage of uncomplicated ALA has become more clear,high-quality randomised trials are still necessary for robust *** drainage appears to be a viable option for patients with ruptured ALA and diffuse peritonitis,for whom surgery represents a significant risk of *** regard to all of the aforementioned issues,this article intends to present an u

关键词： Amebic liver abscess Amebiasis Ruptured liver abscess percutaneous drainage Metronidazole

Management of Hinchey Ⅱ diverticulitis

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World Journal of Gastroenterology 2008年第47期14卷 7163-7169页

作者： Soni Soumian Sudeep Thomas Prasoon P Mohan Nadia Khan Zeeshan Khan Tirumala Raju Department of Surgery Good Hope HospitalHeart of England NHSFoundation TrustRectory RoadSutton ColdfieldBirminghamB75 7RRUnited Kingdom

Colonic diverticulosis can either be asymptomatic or present with complications resulting in significant morbidity and mortality.A key presentation of complicated disease is abscess formation(Hinchey type Ⅱ).The natural course of this is unclear and therefore treatments range from conservative approach with antibiotics and percutaneous guided drainage(PCD) to *** is no clear consensus on the exact management strategy.A Medline based literature search specifically looking at studies dealing with Hinchey type Ⅱ diverticulitis and its management was carried *** comparison,five-year retrospective data of diverticular abscesses from our institution was collected and the outcome *** studies have looked into this aspect of the disease,elaborating on the significance of the size and location of the abscesses,the role of PCD,recurrence rates and the controversies regarding the need for elective *** treatment with antibiotics alone is effective in a majority of cases with a role for PCD in large safely accessible *** recurrence rates have been reported in literature and elective surgery should be planned for selected groups of patients.

关键词： Diverticulosis Diverticular abscess Hinchey classification percutaneous drainage Recurrent diverticulitis

Outcome of patients with acute, necrotizing pancreatitis requiring drainage-does drainage size matter?

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World Journal of Gastroenterology 2008年第5期14卷 725-730页

作者： T Bruennler J Langgartner S Lang CE Wrede F Klebl S Zierhut S Siebig F Mandraka F Rockmann B Salzberger S Feuerbach J Schoelmerich OW Hamer Department of Internal Medicine I University of Regensburg Regensburg 93042 Germany Department of Radiology University of Regensburg Regensburg 93042 Germany

AIM:To assess the outcome of patients with acute necrotizing pancreatitis treated by percutaneous drainage with special focus on the influence of drainage size and number. METHODS:We performed a retrospective analysis of 80 patients with acute pancreatitis requiring percutaneous drainage therapy for infected necroses. Endpoints were mortality and length of hospital stay. The influence of drainage characteristics such as the median drainage size, the largest drainage size per patient and the total drainage plane per patient on patient outcome was evaluated. RESULTS:Total hospital survival was 66%. Thirty-four patients out of all 80 patients (43%) survived acute necrotizing pancreatitis with percutaneous drainage therapy only. Eighteen patients out of all 80 patients needed additional percutaneous necrosectomy (23%). Ten out of these patients required surgical necrosectomy in addition, 6 patients received open necrosectomy without prior percutaneous necrosectomy. Elective surgery was performed in 3 patients receiving cholecystectomy and one patient receiving resection of the parathyroid gland. The number of drainages ranged from one to fourteen per patient. The drainage diameter ranged from 8 French catheters to 24 French catheters. The median drainage size as well as the largest drainage size used per patient and the total drainage area used per patient did not show statistically significant influence on mortality. CONCLUSION:percutaneous drainage therapy is an effective tool for treatment of necrotizing *** bore drainages did not prove to be more effective in controlling the septic focus.

关键词： Acute necrotizing pancreatitis percutaneous drainage drainage size Interventional radiology percutaneous necrosectomy

What is the optimal treatment for appendiceal mass formed after acute perforated appendicitis?

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World Journal of Gastroenterology 2012年第15期18卷 1849-1850页

作者： Enver Zerem Goran Imamovi Farid Ljuca Jasmina Alidzanovi Department of Gastroenterology University Clinical Center TuzlaTrnovac bb75000 TuzlaBosnia and Herzegovina Medical School of Tuzla University of Tuzla75000 TuzlaBosnia and Herzegovina Department of Oncology University Clinical Center TuzlaTrnovac bb75000 TuzlaBosnia and Herzegovina

We read with great interest the editorial article by Meshikhes AWN published in issue 25 of World J Gastroenterol *** article described the advantages of emergency laparoscopic appendectomy compared with interval appendectomy as a new safe treatment modality for the appendiceal *** author concluded that the emergency laparoscopic appendectomy was a safe treatment modality for the appendiceal mass,and might prove to be more cost-effective than conservative treatment,with no need for interval ***,we would like to highlight certain issues regarding the possibility of percutaneous catheter drainage to successfully treat the appendiceal mass,with no need for appendectomy,too.

关键词： Appendiceal mass percutaneous drainage Antibiotic therapy Interval appendectomy Laparoscopic appendectomy

Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: A case report

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World Journal of Gastroenterology 2008年第30期14卷 4841-4843页

作者： Qin-song Sheng Da-Zhi Chen Ren Lang Zhong-Kui Jin Dong-Dong Han Li-Xin Li Yong-Jiu Yang Ping Li Fei Pan Dong Zhang Zhao-Wei Qu Qiang He Department of Hepatobiliary and Pancreatospleenic Surgery Beijing Chaoyang Hospital Affiliated to Capital Medical University Beijing 100020 China

Pancreatic pseudocysts （PPs） are collections of pancreatic secretions that are lined by fibrous tissues and may contain necrotic debris or blood. The interventions including percutaneous, endoscopic or surgical approaches are based on the size, location, symptoms and complications of a pseudocyst. With the availability of advanced imaging systems and cameras, better hemostatic equipments and excellent laparoscopic techniques, most pseudocysts can be found and managed by laparoscopy. We describe a case of a 30-year-old male patient with a pancreatic pseudocyst amenable to laparoscopic cystogastrostomy. An incision was made through the anterior gastric wall to expose the posterior gastric wall in close contact with the pseudocyst using an ultrasonically activated scalpel. Then, another incision was made for cystogastrostomy to obtain complete and unobstructed drainage. The patient recovered well after operation and was symptom-free during a 6-mo follow-up, suggesting that laparoscopic cystogastrostomy is a safe and effective alternative to open cystogastrostomy for minimally invasive management of PPs.

关键词： Pancreatic pseudocyst Laparoscopic cystogastrostomy percutaneous drainage Endoscopic drainage Laparoscopy Pancreatitis

Elective operation after acute complicated diverticulitis:Is it still mandatory?

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World Journal of Gastroenterology 2014年第25期20卷 8166-8172页

作者： Valérie Bridoux Marlène Antor Lilian Schwarz Julien Cahais Haitham Khalil Francis Michot Jean-Jacques Tuech Department of Digestive Surgery Rouen University Hospital

AIM: To investigate recurrence rates, patterns and complications after nonoperatively managed complicated diverticulitis (CD).

关键词： Diverticulosis Diverticular abscess Hinchey classification percutaneous drainage Recurrent diverticulitis

Surgical and interventional management of complications caused by acute pancreatitis

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World Journal of Gastroenterology 2014年第37期20卷 13412-13423页

作者： Feza Y Karakayali Baskent University Faculty of MedicineDepartment of General Surgery

Acute pancreatitis is one of the most common gastrointestinal disorders worldwide. It requires acute hospitalization, with a reported annual incidence of 13 to 45 cases per 100000 persons. In severe cases there is persistent organ failure and a mortality rate of 15% to 30%, whereas mortality of mild pancreatitis is only 0% to 1%. Treatment principles of necrotizing pancreatitis and the role of surgery are still controversial. Despite surgery being effective for infected pancreatic necrosis, it carries the risk of long-term endocrine and exocrine deficiency and a morbidity and mortality rate of between 10% to 40%. Considering high morbidity and mortality rates of operative necrosectomy, minimally invasive strategies are being explored by gastrointestinal surgeons, radiologists, and gastroenterologists. Since 1999, several other minimally invasive surgical, endoscopic, and radiologic approaches to drain and debride pancreatic necrosis have been described. In patients who do not improve after technically adequate drainage, necrosectomy should be performed. When minimal invasive management is unsuccessful or necrosis has spread to locations not accessible by endoscopy, open abdominal surgery is recommended. Additionally, surgery is recognized as a major determinant ofoutcomes for acute pancreatitis, and there is general agreement that patients should undergo surgery in the late phase of the disease. It is important to consider multidisciplinary management, considering the clinical situation and the comorbidity of the patient, as well as the surgeons experience.

关键词： Severe acute pancreatitis Complications Necrosectomy percutaneous drainage Endoscopy Laparoscopy