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Pancreatic pseudocyst should be treated by surgical drainage

Pancreatic pseudocyst should be treated by surgical drainage
Pancreatic pseudocyst should be treated by surgical drainage

This debate reviews the arguments in favour of surgical or non-surgical techniques for the management of pancreatic pseudocysts. Surgery provides definitive management and has a low risk of recurrence; pancreatic resection may be required to achieve this. Surgical treatment of pancreatic pseudocyst is safe, with little morbidity and low mortality, and surgical drainage allows biopsy of the cyst wall to exclude a cystic neoplasm of the pancreas. Percutaneous techniques have the advantage of low morbidity and mortality, with less discomfort to the patient than a surgical incision. In selected patients, a good result can be anticipated. The balance of the evidence suggests that both approaches are useful in different patients. Pseudocyst management should be tailored to each individual case.

Acute pancreatitis, Pancreas, Pseudocyst
0035-8843
54-58
Moran, B.
da171343-f5fe-4850-a9c6-e5dfa25e9e11
Rew, D.A.
36dcc3ad-2379-4b61-a468-5c623d796887
Johnson, C.D.
e50aa9cd-8c61-4fe3-a0b3-f51cc3a6c74a
Moran, B.
da171343-f5fe-4850-a9c6-e5dfa25e9e11
Rew, D.A.
36dcc3ad-2379-4b61-a468-5c623d796887
Johnson, C.D.
e50aa9cd-8c61-4fe3-a0b3-f51cc3a6c74a

Moran, B., Rew, D.A. and Johnson, C.D. (1994) Pancreatic pseudocyst should be treated by surgical drainage. Annals of The Royal College of Surgeons of England, 76 (1), 54-58.

Record type: Review

Abstract

This debate reviews the arguments in favour of surgical or non-surgical techniques for the management of pancreatic pseudocysts. Surgery provides definitive management and has a low risk of recurrence; pancreatic resection may be required to achieve this. Surgical treatment of pancreatic pseudocyst is safe, with little morbidity and low mortality, and surgical drainage allows biopsy of the cyst wall to exclude a cystic neoplasm of the pancreas. Percutaneous techniques have the advantage of low morbidity and mortality, with less discomfort to the patient than a surgical incision. In selected patients, a good result can be anticipated. The balance of the evidence suggests that both approaches are useful in different patients. Pseudocyst management should be tailored to each individual case.

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More information

Published date: January 1994
Keywords: Acute pancreatitis, Pancreas, Pseudocyst

Identifiers

Local EPrints ID: 447570
URI: http://eprints.soton.ac.uk/id/eprint/447570
ISSN: 0035-8843
PURE UUID: 7f14c605-c923-4fdf-9fae-3e4f8e835475
ORCID for D.A. Rew: ORCID iD orcid.org/0000-0002-4518-2667

Catalogue record

Date deposited: 16 Mar 2021 17:33
Last modified: 17 Mar 2024 03:56

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Contributors

Author: B. Moran
Author: D.A. Rew ORCID iD
Author: C.D. Johnson

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