Pancreatic Pseudo-cysts

Paper Summary:

This paper identifies the different surgical treatments for pancreatic pseudo-cysts and attempts to determine which is the best option among these treatments. The paper explains that the three main surgical treatments available for the treatment of pancreatic pseudo-cysts are internal drainage, pancreatic resections and external drainage. The paper further explains its findings that, contrary to common medical acceptance, drainage is not the best surgical option for pancreatic pseudo-cysts. Rather, the paper explains, that most cases resolve spontaneously and patients do well without intervention and that sometimes patients can even develop complications or get worse when subjected to drainage.

From the Paper:

"A pancreatic pseudocyst is a localized collection of pancreatic-enzyme-rich fluid, originating from or near the pancreas and is enclosed in a wall of granulation and/or fibrous tissue, which lacks epithelial lining (Rossoa 2003). The incidence of chronic pancreatitis has been increasing and pancreatic pseudocyst is a common complication. Advances in radiological techniques have led to increased diagnosis of pseudocyst and better understanding of associated complications and the natural history of pseudocysts. New modes of treating the ailment have also increased surgical options. Statistics reveal that two-thirds of all pancreatic cystic lesions are pseudocysts, which complicate pancreatitis in 20-40% of patients, and that pseudocysts develop in 10-20% of acute pancreatitis patients. Furthermore, 14 or 14% of 102 consecutive patients with acute pancreatitis developed a pseudocyst within 72 hours from admission (Rossoa)."

More papers on Pancreatic Pseudo-cysts:

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