Cyst-Gastrostomy (1 of 5)

Surgical internal drainage due to pseudocyst of the pancreas. A 50 year-old male that had an acute attack of pancreatitis, and developed pancreatic pseudocyst. The surgeon drained the pseudocyst. We present a endoscopic image of this case at the anterior wall of the gastric body. Most surgeons have adopted internal drainage technique whenever is possible. This possibility is determined by the location of the pseudocyst. Cyst-gastrostomy or cyst-duodenostomy is available if the pseudocyst is adherent to the stomach or the duodenum. Cyst-jejunostomy can be performed if the anatomy is different. A pseudocyst in the tail of the pancreas can be removed by resection of the tail; splenectomy is often required in these cases.