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Article
December 1966

Pseudocysts Treated by CystogastrostomyAssessment by Catheter Contrast Visualization

Author Affiliations

PHILADELPHIA
From the Department of Surgery, Hahnemann Medical College and Hospital, Philadelphia, and the Hahnemann Surgical Section, Philadelphia General Hospital.

Arch Surg. 1966;93(6):996-1001. doi:10.1001/archsurg.1966.01330060140020
Abstract

INTERNAL drainage of pancreatic pseudocysts has gradually replaced all other forms of surgical drainage procedures for this condition. Cystogastrostomy is selected for internal drainage when the operative findings indicate that the pseudocyst lies in an advantageous position such that drainage into the stomach will effectively empty the cyst. Though clinical impression has suggested that cystogastrostomy properly selected and performed is an effective surgical treatment for pancreatic pseudocyst, it has always been of interest to ascertain the surgical result. Typically, routine postoperative roentgenograms of the stomach fail to demonstrate reflux radiopaque material through the cystogastrostomy into the cyst, although such visualization may occasionally occur. Recently, the stoma of a cystogastrostomy has been visualized by gastroscopy in the postoperative period.1

In 1931, Jurasz, a German surgeon, described transgastric catheter drainage of a pancreatic pseudocyst2 and 13 years later Dos Santos3 agreed that this was an ingenious way to follow

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