A novel method for performing multiple wire insertions during endoscopic cyst gastrostomy - 22/08/11
Reprint requests: John A. (Jerry) Evans, MD, MMSc, Section of Gastroenterology, Medical Center Blvd., Winston-Salem, NC 27157.Winston-Salem, North Carolina, USA
Abstract |
Background |
Endoscopic cyst gastrostomy is effective in the management of uncomplicated pancreatic pseudocysts. A challenging aspect of the procedure is the insertion and confirmation of at least 2 guidewires into the cyst. Many technical procedures to accomplish the wire insertion have been described but are complicated.
Objective |
We describe the use of a simple commercially available catheter that allows multiple wires to be inserted into a pancreatic pseudocyst as an efficient and simple means of performing a cyst gastrostomy.
Design |
Case series.
Setting |
Academic referral center.
Patients |
Four consecutive patients undergoing EUS-guided cyst gastrostomy.
Interventions |
A Haber ramp was used as the means for the introduction of multiple wires into a pancreatic pseudocyst.
Main Outcome Measurements |
Technical success without loss of wire access during the cyst gastrostomy.
Results |
Four patients underwent successful pancreatic cyst gastrostomy. There was no loss of wire access during the procedure. There were no intraprocedure or postprocedure complications.
Limitations |
Small patient population.
Conclusions |
The use of the Haber ramp provides a simple and efficient means for introducing, ensuring, and maintaining wire access during the creation of an endoscopic cyst gastrostomy.
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| DISCLOSURE: The following authors disclosed financial relationships relevant to this publication: J.A. Evans: Consultant for Cook Endoscopy. J. Conway: Consultant for Cook Endoscopy; research support from Olympus America. G. Mishra: Consultant for Cook Endoscopy. |
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| If you would like to chat with an author of this article, you may contact Dr. Evans at joevans@wfubmc.edu. |
Vol 71 - N° 3
P. 612-614 - marzo 2010 Ritorno al numero
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