Mangaluru, Jun 13: Doctors at KS Hegde Hospital here have performed a rare first of its kind procedure. A young 26 year old man Sripad Naik (name changed) presented to the hospital with severe abdominal pain and progressive abdominal distension for a month. On evaluation he was found to have severe pancreatitis with a large cystic collection adjacent to the pancreas suggestive of pseudo cyst of the pancreas.
He was initially admitted under Dr.B.K.Shetty Dept of surgery and managed conservatively with Medications as he was unfit for any surgical procedure.Over the next few days the cyst continued to grow in size and became 23 cms in size involving the entire length of the abdomen.
Since the cyst had a very this wall surgery was not feasible and percutaneous drainage would
lead to a persistent cutaneous fistula. Hence the medical gastroenterology team was consulted. Dr Chandrashekar Sorake and his team performed a procedure called EUS GUIDED CYSTOGASTROSTOMY and under direct visualisation using endoscopic ultrasound to avoid major blood vessels and other vital structures punctured the cyst and placed two stents from the stomach into the cyst. Within 48 hours the cyst collapsed almost completely and the patient was discharged. He made a complete recovery and now after 2 months is leading a completely normal life.
This procedure highlights the ease and safety with which doctors can manage complicated pancreatic and biliary diseases with the aid of endoscopic ultrasound in a minimally invasive manner providing maximum safety and benefit to the patients.
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