Successful treatment of pancreatic pseudocyst with a somatostatin analogue and catheter drainage
Morali, G.A.; Braverman, D.Z.; Shemesh, D.; Abramovitz, Z.; Jacobsohn, W.Z.
American Journal of Gastroenterology 86(4): 515-518
1991
ISSN/ISBN: 0002-9270 PMID: 2012054 Document Number: 368473
We report a patient with bile duct stone-induced pancreatitis who subsequently developed a large pseudocyst that became infected after endoscopic retrograde cholangiopancreatography (ERCP) was done for extraction of the stones. Percutaneous external drainage allowed control of the infection, but failed to seal the pseudocyst. We then treated the patient with a long-acting somatostatin analogue which shrunk the cyst within a week. Patients with pancreatic pseudocyst resistant to drainage should be offered a course of somatostatin before surgery is contemplated.