What is management of pancreatic pseudocysts?
Pancreatic pseudocyst have been treated using surgery for over a decade and this is still frequently used as a treatment option. The surgical treatment of pancreatic pseudocyst entails internal drainage into the stomach, duodenum and jejunum, external drainage and resection.
When do you drain pancreatic pseudocyst?
Indications for drainage are presence of symptoms, enlargement of cyst, complications (infection, hemorrhage, rupture, and obstruction), and suspicion of malignancy. The available forms of therapy include percutaneous drainage, transendoscopic approach, and surgery.
Can pancreatic pseudocyst be fatal?
A pancreatic pseudocyst isn’t usually dangerous unless it ruptures. A ruptured pancreatic pseudocyst is a life-threatening condition.
When should you intervene for pseudocyst?
Indications for therapeutic intervention of pancreatic pseudocysts. Asymptomatic pancreatic pseudocyst: Pseudocysts >5 cm, unchanged in size and morphology for more than 6 weeks. Diameter >4 cm and extrapancreatic complications in patients with chronic alcoholic pancreatitis.
How serious is fluid in the pancreas?
Pancreatic fluid collections result from many causes, including damage to the pancreas or premalignant or malignant conditions. Fluid collections can be large and cause symptoms such as pain and fevers, although most are smaller and asymptomatic.
How long can pancreatic stents be left in?
Pancreatic stents have been left in place for six months and long-term therapy requires multiple stent exchange. However, the duration of a single stent placement depends on the stent diameter: the larger the diameter, the longer the stent can be left in place.
How do you manage pseudocyst?
Treatments of pancreatic pseudocysts include conservative treatment (watchful monitoring), surgical drainage, which can be performed through a standard cut (open surgical drainage) or by key-hole surgery (laparoscopic surgical drainage), or endoscopic drainage.
What is Cystogastrostomy surgery?
Cystogastrostomy is a surgery to create an opening between a pancreatic pseudocyst and the stomach when the cyst is in a suitable position to be drained into the stomach. This conserves pancreatic juices that would otherwise be lost.
What are the indications for a cystogastrostomy?
Indications. Symptomatic pancreatic pseudocysts are an indication a cystogastrostomy needs to be performed. Pancreatic pseudocysts are chronic collections of pancreatic fluid encased by a wall of nonepithelialized granulation tissue and fibrosis. They can be caused by leakage of the pancreatic duct, or as a result of inflammatory pancreatitis.
Is Cystogastrostomy a valid option for treating pancreatic pseudocysts of children?
Cystogastrostomy: a valid option for treating pancreatic pseudocysts of children in developing countries Twelve children with pancreatic pseudocysts were managed for over 10 years at our institute that is a tertiary referral center of our country.
What are the possible complications of Cystogastrostomy?
Cystogastrostomy can lead to pancreatic abscess and pancreatic duct leak. Stents can become blocked, leading to infection of the pseudocyst. Other complications include those normally associated with surgery and anesthesia, including bleeding.