Cyst-gastrostomy & Necrosectomy
A pancreas fluid collection is a build-up of fluid in or around the pancreas, a gland located behind the stomach that produces hormones and enzymes that help with digestion. Fluid collections in the pancreas can occur for a variety of reasons, including pancreatitis (inflammation of the pancreas), injury, or pancreatic cancer.
Symptoms of a pancreas fluid collection may include abdominal pain, nausea, vomiting, and loss of appetite. Treatment for a pancreas fluid collection may include medications to control symptoms and prevent infection, as well as drainage of the fluid collection to remove excess fluid. In some cases, surgery may be needed to remove the fluid collection or treat the underlying cause.
It is important to seek medical attention if you have symptoms that may be caused by a pancreas fluid collection. Early diagnosis and treatment can help prevent complications and improve the chances of a successful outcome.
Pancreatic Necrosis
Pancreatic necrosis is a serious condition that occurs when the tissue in the pancreas dies. The pancreas is an organ located behind the stomach that produces enzymes that help with digestion and hormones that help regulate blood sugar. Pancreatic necrosis can be caused by a variety of factors, including pancreatitis, injury to the pancreas, or an infection.
Symptoms of pancreatic necrosis may include severe abdominal pain, nausea and vomiting, fever, and jaundice. The condition can be life-threatening if not treated promptly. Treatment may include hospitalization, supportive care (such as fluids and pain management), and procedures or surgery to remove the dead tissue. In severe cases, it may be necessary to remove part or all of the pancreas.
If you are experiencing severe abdominal pain or other symptoms that may be related to pancreatic necrosis, it is important to seek medical attention as soon as possible.
Cyst-gastrostomy
Cystgastrostomy is an endoscopic procedure in which a cyst is connected to the stomach to allow the cyst contents to drain into the stomach. It involves making a puncture of the stomach wall into the cyst cavity, leaving a stent across the punctured site to keep it open. The most common way to make this puncture involves a device called the Axios stent, a medical device which is inserted through an endoscope under ultrasound guidance. The Axios stent is usually left in place for a few weeks to months, after which it is removed during a follow-up procedure
Endoscopic Necrosectomy
Endoscopic necrosectomy is an endoscopic procedure that is used to remove dead tissue (necrosectomy) from the pancreas through the use of an endoscope. Endoscopic necrosectomy is typically used to treat patients with pancreatic necrosis, which is a serious condition that occurs when the tissue in the pancreas dies. Pancreatic necrosis can be caused by a variety of factors, including pancreatitis, injury to the pancreas, or an infection.
The procedure is typically performed under general anesthesia, and may involve the use of specialized instruments to remove the dead tissue. It may also involve the placement of a stent or other device to help drain fluids from the area. Endoscopic necrosectomy is a complex procedure and is typically only performed by highly trained endoscopists with experience in this type of procedure.
Benefits & Risks
As with any medical procedure, there are risks and benefits associated with endoscopic cystogastrostomy. It is important to discuss these with your doctor to determine if the procedure is appropriate for you.
Benefits:
- Minimally invasive procedure that can be performed using an endoscope.
- Avoid surgery and surgical risks, especially, the prolonged recovery period associated with surgery for this condition
Risks:
- Bleeding and infection after the procedure.
- Adverse reactions to the anesthesia used during the procedure.
- In rare cases, the procedure may cause injury to the stomach or intestines..
FAQs
A cystgastrostomy is a surgical procedure in which a cyst is connected to the stomach.
An Axios stent is a medical device that is used to hold open the connection between the cyst and the stomach. It is typically made of a material such as nitinol or silicone, and is inserted through an endoscope.
The stent is usually left in place for a few weeks to months, after which it is removed during a follow-up procedure.
A cyst is a closed sac that contains fluid or other material. Cysts can occur anywhere in the body and can be caused by a variety of factors, including infections, inflammation, and abnormal growths.
A cystgastrostomy is typically performed using an endoscope, which is a flexible tube with a light and camera on the end. The surgeon will make a small incision in the stomach and insert the endoscope through the incision. The surgeon will then create a connection between the cyst and the stomach and place the Axios stent to hold the connection open.
As with any surgical procedure, there are risks associated with a cystgastrostomy. These may include infection, bleeding, and reaction to the anesthesia. There is also a risk that the connection between the cyst and the stomach may close or become blocked, requiring additional surgery
A necrosectomy is a surgical procedure that involves the removal of dead tissue.
An endoscopic necrosectomy is a surgical procedure that is used to remove dead tissue from the pancreas through the use of an endoscope.
Pancreatic necrosis is a serious condition that occurs when the tissue in the pancreas dies. It can be caused by a variety of factors, including pancreatitis, injury to the pancreas, or an infection.
The specific details of a necrosectomy will depend on the location and extent of the dead tissue that needs to be removed. In general, the procedure may be performed through an open incision or with the use of an endoscope. The surgeon will remove the dead tissue and may also place a drain or stent to help drain fluids from the area.
As with any surgical procedure, there are risks associated with a necrosectomy. These may include infection, bleeding, and reaction to the anesthesia. There is also a risk of damage to nearby organs or structures during the procedure. In some cases, it may be necessary to remove part or all of the pancreas, which can have significant consequences for a person’s health.
The recovery time after a necrosectomy will depend on the extent of the procedure and the individual’s overall health. It may take several weeks or months for a person to fully recover. During this time, it is important to follow the instructions of the medical team and take any prescribed medications as directed.