{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T04:58:34Z","timestamp":1696913914407},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p>RACIONAL: Os pseudocistos pancre\u00e1ticos s\u00e3o complica\u00e7\u00f5es relativamente comuns em pacientes adultos com pancreatite. OBJETIVO: Avaliar os resultados a longo prazo da drenagem endosc\u00f3pica transmural, estabelecendo seu papel no manejo do pseudocisto pancre\u00e1tico. M\u00c9TODOS: Foram estudados 14 pacientes com pseudocisto de p\u00e2ncreas, cuja principal queixa \u00e0 apresenta\u00e7\u00e3o foi dor no andar superior do abdome e massa abdominal palp\u00e1vel, submetidos a cistogastrostomia (n = 12) e cistoduodenostomia (n = 2), acompanhados clinicamente e com tomografia computadorizada de abdome por at\u00e9 51 meses. A colangiopancreatografia endosc\u00f3pica retr\u00f3grada era tentada em todos os casos para estudo do ducto pancre\u00e1tico e classifica\u00e7\u00e3o dos cistos. RESULTADOS: A pancreatite cr\u00f4nica alco\u00f3lica agudizada foi respons\u00e1vel por 10 casos (71,5%) e a biliar por 4 (28,5%). As duas formas de drenagens (cistogastrostomia e cistoduodenostomia) endosc\u00f3picas foram efetivas. N\u00e3o houve mudan\u00e7a na conduta terap\u00eautica proposta; em dois pacientes a migra\u00e7\u00e3o da \u00f3rtese para o interior do pseudocisto, no momento da inser\u00e7\u00e3o, foi a principal complica\u00e7\u00e3o, sendo poss\u00edvel sua retirada no mesmo ato, com o uso da cesta de Dormia, sob o aux\u00edlio de fluoroscopia. N\u00e3o houve mortalidade, nem recidiva at\u00e9 o momento. O tempo m\u00e9dio de perman\u00eancia hospitalar foi de 3 dias. CONCLUS\u00c3O: A drenagem endosc\u00f3pica transmural se apresentou como terap\u00eautica eficaz, com baixo \u00edndice de complica\u00e7\u00f5es, mortalidade nula e pequeno tempo de interna\u00e7\u00e3o hospitalar.<\/jats:p>","DOI":"10.1590\/s0004-28032007000100007","type":"journal-article","created":{"date-parts":[[2007,9,28]],"date-time":"2007-09-28T01:58:08Z","timestamp":1190944688000},"page":"29-34","source":"Crossref","is-referenced-by-count":1,"title":["Drenagem endosc\u00f3pica transmural de pseudocisto pancre\u00e1tico: resultados a longo prazo"],"prefix":"10.1590","volume":"44","author":[{"given":"Rone Ant\u00f4nio Alves de","family":"Abreu","sequence":"first","affiliation":[{"name":"Conjunto Hospitalar do Mandaqui"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquim Alves","family":"Carvalho Jr.","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filinto Anibal Alagia","family":"Vaz","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Hirotoshi","family":"Ota","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manlio Bas\u00edlio","family":"Speranzini","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina do ABC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1067\/mge.2003.175","article-title":"Endoscopic drainage of a pancreatic pseudocyst in a symptomatic patient with subtotal gastrectomy and Roux-en-Y anastomosis","volume":"57","author":"Adler DG","year":"2003","journal-title":"Gastrointest 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