Endoscopic cyst-gastrostomy for pancreatic pseudocysts: refining the indications.

Abstract:

BACKGROUND:Pseudocysts are a common consequence of acute pancreatitis and require intervention if symptomatic. Endoscopic management is emerging as a safe and effective alternative to surgery, although its use is not yet widespread. METHODS:We describe our experience of 10 consecutive unselected patients who underwent endoscopic ultrasound-guided cyst-gastrostomy and stent insertion at a tertiary referral centre. Technical aspects of the procedure are detailed with accompanying photographs. RESULTS:Six patients made an uneventful recovery. Four patients developed complications, of which one was successfully salvaged by endoscopy and three required surgery. CONCLUSION:We discuss technical and patient factors which may have contributed to these complications in the context of current literature, and in particular, found that the presence of necrosis was associated with higher morbidity, both in our series and in others. In our experience, endoscopic ultrasound-guided cyst-gastrostomy is best employed in simple, mature pseudocysts without necrotic debris, and we recommend this procedure only after a detailed assessment of the pseudocyst in a specialist hepatobiliary unit.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Due SL,Wilson TG,Chung A,Chen JW

doi

10.1111/ans.12648

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

399-402

issue

5

eissn

1445-1433

issn

1445-2197

journal_volume

86

pub_type

杂志文章
  • Routine level VI lymph node dissection for papillary thyroid cancer: surgical technique.

    abstract::Total thyroidectomy is the treatment of choice for clinically significant papillary thyroid cancer (PTC); however, 10-15% develop palpable local recurrence in the cervical lymph nodes. Metastases in the cervical lymph nodes account for 75% of loco-regional recurrence and up to 50% of these patients eventually die of t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04019.x

    authors: Grodski S,Cornford L,Sywak M,Sidhu S,Delbridge L

    更新日期:2007-04-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13676

    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00

  • Frequency and cost of acute surgical admissions in over-anticoagulated patients: over-anticoagulation in the community.

    abstract:BACKGROUND:Anticoagulation treatment in the community is common. This investigation was undertaken to determine the frequency of patient surgical admission with conditions associated with over-anticoagulation in the community and the surgical resource required to effectively and safely manage these patients acutely. M...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13851

    authors: Nimmo M,Armstrong D,Koea JB

    更新日期:2018-04-01 00:00:00

  • Use of trastuzumab in Australia and New Zealand: results from the National Breast Cancer Audit.

    abstract:BACKGROUND:Trastuzumab increases disease-free and overall survival in HER-2-positive, early breast cancer. In 2007, the National Breast and Ovarian Cancer Centre recommended that patients with HER-2 positive cancers (node positive or node negative tumours >1 cm) be offered adjuvant trastuzumab with chemotherapy. The ai...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2011.05998.x

    authors: Whitfield R,Kollias J,De Silva P,Zorbas H,Maddern G

    更新日期:2012-04-01 00:00:00

  • Streamlining the assessment of haematuria: 3-year outcomes of a dedicated haematuria clinic.

    abstract:BACKGROUND:Urgent assessment of haematuria is critical to exclude malignancy. The objective of this study is to report the outcomes of the first 3 years of a dedicated haematuria clinic at the Royal Melbourne Hospital, a Victorian tertiary hospital. METHODS:All patients assessed in the haematuria clinic from April 201...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12742

    authors: Sapre N,Hayes E,Bugeja P,Corcoran NM,Costello AJ,Anderson PD

    更新日期:2015-05-01 00:00:00

  • Appendix redux: a stone unturned.

    abstract::Recent advances in understanding of the biology of appendicitis are reviewed. Immunological aspects are discussed in the setting of a changing microbiome. Implications for practice are summarized. ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.16018

    authors: de Costa A

    更新日期:2020-06-08 00:00:00

  • Changing pattern of adrenalectomy at a tertiary referral centre 1970-2000.

    abstract:BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02454.x

    authors: Sidhu S,Bambach C,Pillinger S,Reeve T,Stokes G,Robinson B,Delbridge L

    更新日期:2002-07-01 00:00:00

  • Review of epiglottitis in the post Haemophilus influenzae type-b vaccine era.

    abstract:BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14787

    authors: Baird SM,Marsh PA,Padiglione A,Trubiano J,Lyons B,Hays A,Campbell MC,Phillips D

    更新日期:2018-11-01 00:00:00

  • An in-vivo paradigm for the evaluation of stimulating electrodes for use with a visual prosthesis.

    abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.02983.x

    authors: Chowdhury V,Morley JW,Coroneo MT

    更新日期:2004-05-01 00:00:00

  • Recovery of parathyroid function after total thyroidectomy: long-term follow-up study.

    abstract:BACKGROUND:To prevent postoperative hypoparathyroidism following total thyroidectomy, the parathyroid glands are preserved in situ and/or resected or devascularized parathyroid glands are autotransplanted. A retrospective investigation was conducted utilizing biochemical and specific endocrine assessments to evaluate t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03435.x

    authors: Kihara M,Miyauchi A,Kontani K,Yamauchi A,Yokomise H

    更新日期:2005-07-01 00:00:00

  • Soluble Human Leukocyte Antigen class I antigen and interleukin-12 in hepatectomized patients.

    abstract:BACKGROUND:Interleukin-12 (IL-12) has been shown to enhance the cytotoxic activity of NK cells and CTL. IL-12 also acts as a growth factor for activated NK, T and NKT cells. The soluble HLA class I (sHLA-I) has been reported to bind a killer-cell inhibitory receptor, which is expressed on the NK cell, and its signals i...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.04947.x

    authors: Shimura T,Morinaga N,Suzuki H,Araki K,Kobayashi T,Ishizaki M,Kuwano H

    更新日期:2009-06-01 00:00:00

  • Reduction in hospital admissions with an early computed tomography scan: results of an outpatient management protocol for uncomplicated acute diverticulitis.

    abstract:BACKGROUND:There is increasing evidence that uncomplicated acute diverticulitis (UAD) can be safely and effectively managed as an outpatient. The aim of the current study was to evaluate if an early computed tomography (CT) scan in the emergency department (ED) can reduce the number of hospital admissions when UAD is d...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15285

    authors: Juszczyk K,Ireland K,Thomas B,Kroon HM,Hollington P

    更新日期:2019-09-01 00:00:00

  • Being CLEAR: evaluation of a module to teach critical appraisal to surgeons.

    abstract::The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-1433.2003.02892.x

    authors: Toouli J,Stanton P

    更新日期:2004-01-01 00:00:00

  • Long-term comparison of external valvular stenting and stripping of varicose veins.

    abstract:BACKGROUND:The recurrence rate following stripping of the long saphenous vein is unacceptable. Repair of the terminal valve of the long saphenous vein is a physiological alternative. The aim of the present study was to prospectively compare the long-term recurrence rates in patients having had reparative and ablative p...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02714.x

    authors: Lane RJ,Graiche JA,Coroneos JC,Cuzzilla ML

    更新日期:2003-08-01 00:00:00

  • The readability of original articles in surgical journals.

    abstract:BACKGROUND:Readability indices have been developed based on sentence length and the use of long words. One such measure is the Reading Ease Scale developed by Rudolf Flesch. Texts that are easy to read have high scores: texts with scores below 30 are similar to legal contracts. This study uses Flesch scores to evaluate...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03651.x

    authors: Hall JC

    更新日期:2006-01-01 00:00:00

  • Intraoperative nerve monitoring in endocrine surgery: prevalence and reasons for its use in Australia and New Zealand.

    abstract:BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to gen...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15536

    authors: Leong DCW,Lo J,Ryan S,Nguyen H,Lisewski D

    更新日期:2020-05-01 00:00:00

  • Tumour cell frequency in pleural lavage in cases with stage I epidermoid lung cancer with no visceral pleural involvement.

    abstract:BACKGROUND:The presence of tumour cells in the pleural lavage of lung cancer patients with no malignant pleural effusion is a negative prognosticator. In the present study we aimed to determine the lowest frequency of positive pleural lavage in lung cancer. METHODS:The study included 26 consecutive patients who underw...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03355.x

    authors: Oguzkaya F,Akçali Y,Bilgin M,Haberal A,Akgün H

    更新日期:2005-05-01 00:00:00

  • Parotidectomy: preoperative investigations and outcomes in a single surgeon practice.

    abstract:BACKGROUND:The aim of this study was to assess the value of fine-needle aspiration cytology (FNAC) as a preoperative evaluation for parotid tumours. METHODS:Prospectively collected data on 77 patients, collected on a parotid database, were retrospectively analysed. Preoperative investigations were carried out and cyto...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04651.x

    authors: Burgess AN,Serpell JW

    更新日期:2008-09-01 00:00:00

  • Study of the early management of acute pancreatitis.

    abstract:BACKGROUND:Acute pancreatitis (AP) is a common acute surgical presentation with evidence-based guidelines for early management. The aim of this study was to assess the compliance to the published guidelines in patients presenting with AP in Western Sydney. METHODS:A retrospective case note audit was conducted for all ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13330

    authors: Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MR

    更新日期:2017-10-01 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02502.x

    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Creating change: building the capacity of the medical workforce in Aboriginal health.

    abstract:BACKGROUND:This paper provides an overview of the long-term strategies that have been in place at the University of Western Australia, which aim to build the capacity and preparedness of the health-care workforce in Aboriginal health. In 1996, the Centre for Aboriginal Medical and Dental Health was established within t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12031

    authors: Paul D

    更新日期:2013-01-01 00:00:00

  • Total knee replacement in the morbidly obese: a literature review.

    abstract:BACKGROUND:The 'obesity epidemic' is expected to result in an increased incidence of knee osteoarthritis and hence total knee replacements (TKRs). Reviews have demonstrated the conflicting results of TKR for all obese (body mass index (BMI) >30). The aim of this literature review was to specifically evaluate outcomes o...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2010.05396.x

    authors: Samson AJ,Mercer GE,Campbell DG

    更新日期:2010-09-01 00:00:00

  • Serum interleukin-6 measurement in the diagnosis of acute appendicitis.

    abstract:BACKGROUND:Many attempts have been made to determine ways of decreasing the negative laparotomy rate after a clinical diagnosis of acute appendicitis. The aim of the present study was to determine the effectiveness of serum interleukin-6 (IL-6) concentration in the diagnosis of appendicitis, and in the prevention of no...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02516.x

    authors: Gürleyik G,Gürleyik E,Cetinkaya F,Unalmiser S

    更新日期:2002-09-01 00:00:00

  • Gastric tube graft interposition as an oesophageal substitute.

    abstract:BACKGROUND:Use and techniques of oesophageal replacement for long gap oesophageal atresia are still evolving. Gastric tube graft interposition as an oesophageal substitute was evaluated on an animal model. METHODS:Twenty-three postweaned, 28-day-old-piglets were used as the experimental animals. Isoperistaltic gastric...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1440-1622.2001.02023.x

    authors: Samuel M,Burge DM,Moore IE

    更新日期:2001-01-01 00:00:00

  • Simplified technique for laparoscopic appendectomy.

    abstract::In this article, a simplified technique for laparoscopic appendectomy is described in which the base of the appendix is firstly divided, and then ligated with an endoloop. An endoloop is then passed over the appendix onto the mesoappendix and tightened to secure the blood supply. The appendix can then be freed and rem...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02370.x

    authors: Motson RW,Kelly MD

    更新日期:2002-04-01 00:00:00

  • Factors affecting false-negative breast sentinel node biopsy in Chinese patients.

    abstract:BACKGROUND:The objective of the research was to validate our results on sentinel lymph node biopsy (SLNB) and to determine factors affecting false-negative (FN) rates of SLNB in Chinese patients with invasive breast cancers. METHODS:A retrospective study of patients with clinically node-negative invasive breast cancer...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04260.x

    authors: Chok KS,Suen DT,Lim FM,Li GK,Kwong A

    更新日期:2007-10-01 00:00:00

  • Carotid redo surgery: both safe and durable.

    abstract:AIM:To examine the outcomes and complications of surgery for recurrent carotid stenosis. METHODS:From 1974 to 2000, 1922 carotid endarterectomies were performed in our unit. A retrospective cohort analysis of these records identified 24 patients (1.2%) who underwent surgery for recurrent stenosis. RESULTS:There were ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-8-.x

    authors: Harris RA,Stow N,Fisher CM,Neale ML,Appleberg M

    更新日期:2003-12-01 00:00:00

  • Short-term outcomes of pancreaticoduodenectomy in the state of Victoria: hospital resources are more important than volume.

    abstract:BACKGROUND:Pancreaticoduodenectomy (PD) is a high-risk procedure. Australian hospitals perform a relatively low volume of PD. This study sought to gain an understanding of hospital volume and short-term outcomes of the procedure in the Australian state of Victoria. METHODS:The Dr Foster Quality Investigator tool was u...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15298

    authors: Stevens CL,Watters DAK

    更新日期:2019-12-01 00:00:00

  • Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy.

    abstract:BACKGROUND:The use of a percutaneous cholecystostomy (PC) in the management of severe acute cholecystitis is a well recognized alternative to acute cholecystectomy. The need for definitive surgical management remains controversial. METHODS:A retrospective analysis of hospital records at Nambour General Hospital betwee...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14251

    authors: Cooper S,Donovan M,Grieve DA

    更新日期:2018-07-01 00:00:00

  • Update on indications for lateral lymph node dissection in the management of lower rectal cancer.

    abstract::The presence of lateral lymph node (LLN) metastasis was associated with higher local recurrence risk in patients with lower rectal cancer. The role of LLN dissection has not been fully determined despite prolonged debate that last for few decades. The practical difference between Japan and the West was the main culpri...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15691

    authors: Fung DTL,Lee PJM

    更新日期:2020-07-01 00:00:00