Endoscopic Transmural Drainage of Pancreatic Pseudocysts: Technical Challenges in the Resource Poor Setting

Autor: Shamir O. Cawich, Trevor Murphy, Sundeep Shah, Phillip Barrow, Milton Arthurs, Michael J. Ramdass, Peter B. Johnson
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Gastrointestinal Medicine, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 2090-6528
2090-6536
DOI: 10.1155/2013/942832
Popis: Although surgical drainage of pancreatic pseudocysts has been superseded by less invasive options, the requirement for specialized equipment, technical expertise, and consumables limits the options available in low resource settings. We describe the challenges experienced during endoscopic transmural drainage in a low resource setting and the methods used to overcome these barriers. Despite operating in a low resource environment, endoscopic drainage of pancreatic pseudocysts can be incorporated into our armamentarium with minimal change to the existing hardware. Careful patient selection by a dedicated multidisciplinary team should be observed in order to achieve good outcomes.
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