Low trauma treatment of chronic pancreatitis complicated by isolated pseudocysts of the pancreas

The present research aims at a retrospective evaluation of the intraskin and endoscopic chronic pancreatitis treatment methods complicated by pseudocysts of the pancreas. In the period between 2008 until August 2018 Botkin city clinical hospital admitted 481 patients with chronic pancreatitis. The progression of the pancreatitis in 124 (32.6 %) patients was complicated by appearance of postnecrotic pseudocysts of the pancreas. Intraskin method of treatment was applied for 29 patients. Endoscopic invasions (making cystogastro/cystoduodenostomosis under endosonographic guidance) were performed for 45 patients. Dynamic watch was maintained for 14 patients with symptomless pseudocysts of the pancreas less than 5 cm in size. The remaining 36 patients underwent different resecting and draining procedures. Throughout the period a recurrence of a pseudocyst was recorded in three patients after performing cystogastroanastomosis under endosonographic guidance, and in 7 - after intraskin drainings. The analysis of short-term and long-term treatment results alongside with evaluation of the patients life quality allows us to conclude that internal draining of the pseudocysts of the pancreas using endoscopic low trauma method under endosonographic guidance may be an operation of choice for the chronic pancreatitis patients complicated by pseudocysts of the pancreas.