Diagnosis and Treatment of Pancreatic Pseudocysts in Chronic Pancreatitis

  title={Diagnosis and Treatment of Pancreatic Pseudocysts in Chronic Pancreatitis},
  author={Ali A. Aghdassi and Julia Mayerle and Matthias Kraft and Andreas Wilhelm Sielenk{\"a}mper and Claus Dieter Heidecke and Markus M. Lerch},
Abstract Pancreatic pseudocysts are a well-known complication of acute or chronic pancreatitis, with a higher incidence in the latter. Diagnosis is accomplished most often by computed tomographic scanning, by endoscopic retrograde cholangiopancreatography, or by ultrasound, and a rapid progress in the improvement of diagnostic tools enables detection with high sensitivity and specificity. Different strategies contribute to the treatment of pancreatic pseudocysts: endoscopic transpapillary or… 

Minimally invasive treatment of pancreatic pseudocysts.

This article reviews and evaluates the minimally invasive approaches in the management of pancreatic pseudocyst (PPC) and suggests the endoscopic approach is suitable because most PPCs lie adjacent to the stomach.

Bacterial etiology of acute exacerbations of chronic obstructive pulmonary disease in hospitalized patients

The fluid collected by percutaneous puncture contained high levels of amylase and lipase, confirming that the intrahepatic cystic lesion was an intra hepatic pseudocyst, and the result was good and the case was reported with a review of the literature.

Endoscopic Treatment in Chronic Pancreatitis

Various endoscopic procedures available in treating patients with chronic pancreatitis, namely endoscopic sphincterotomy, stricture dilatation, stenting, stone extraction, endoscopic ultrasound-guided pseudocyst drainage and celiac plexus block are reviewed.

Classification and Management of Pancreatic Pseudocysts

Evaluated the treatment modalities used in 893 patients diagnosed with pancreatic pseudocysts according to the revision of the Atlanta classification between 2001 and 2010, finding endoscopic drainage should be considered the optimal management strategy for pancreatic Pseudocysts.

Endoscopic transmural drainage of pseudocysts associated with pancreatic resections or pancreatitis: a comparative study

Transmural endoscopic treatment of pancreatic pseudocysts is feasible and has a technical success rate of 78.2%, without differences related to the pseudocyst etiology, and it is recommended that endoscopic drainage be performed in a tertiary-care center with specific expertise in pancreatic surgery.

EUS-guided drainage of pancreatic pseudocysts offers similar success and complications compared to surgical treatment but with a lower cost

Endoscopic treatment of PPC offers the same clinical success, recurrence, complication and mortality rate as surgical treatment but with a shorter hospital stay and lower costs.

A wayward cyst.

In the setting of pancreatitis, intrahepatic pancreatic pseudocyst should be considered in the differential diagnosis of cystic lesion of the liver.

Endoscopic management of complications of acute pancreatitis: an update on the field

Endoscopic treatment strategies for endoscopic therapy of pancreatic pseudocysts, walled-off pancreatic necrosis (WON), and disconnected pancreatic duct syndrome (DPDS) are discussed, and the efficacy and safety of plastic and metal stents are compared.

Pancreatic Pseudocyst-Portal Vein Fistula: Serial Imaging and Clinical Follow-up from Pseudocyst to Fistula

A case of pancreatic pseudocyst-portal vein fistula through clinical and radiological evaluation is presented and it is shown that this complication is exceedingly rare and has been previously reported only 18 cases in medical literature written in English.

Pancreatic Pseudocyst with Colonic Perforation Complication

A 38-year-old male with complaints of abdominal pain, fatigue, nausea and vomiting containing undigested food and yellow liquid is presented, a case report of pancreatic pseudocyst with acute complication of colonic perforation.



Pancreatic Pseudocyst in Chronic Pancreatitis: Endoscopic and Surgical Treatment

With better knowledge of the disease and with technical advances the indications, timing and methods to treat pancreatic pseudocysts haveundergone a marked evolutionary change.

The impact of technology on the management of pancreatic pseudocyst. Fifth annual Samuel Jason Mixter Lecture.

Differences between pancreatic pseudocysts associated with acute pancreatitis in contrast with chronic pancreatitis, and the complications of obstruction, hemorrhage, rupture, pancreatic ascites, infection, and jaundice can now be more rationally treated.

Timing of Surgical Drainage for Pancreatic Pseudocyst: Clinical and Chemical Criteria

It is concluded that prolonged waiting is expensive and unnecessary for pseudocysts in chronic pancreatitis when there has been no recent acute attack and pseudocyst wall has achieved sufficient maturity to allow safe internal anastomosis.

Minimally Invasive Approaches to the Management of Pancreatic Pseudocysts: Review of the Literature

A randomized controlled trial that compares laparoscopic and endoscopic drainage techniques of retrogastric pseudocysts of chronic pancreatitis is required.

Approaches to the drainage of pancreatic pseudocysts

  • W. Brugge
  • Medicine
    Current opinion in gastroenterology
  • 2004
Of the three methods for the drainage of a pancreatic pseudocyst, only the endoscopic approach can provide minimally invasive internal drainage.

Percutaneous Drainage for Treatment of Infected Pancreatic Pseudocysts

PCD is a safe and effective front-line treatment for patients with infected pancreatic pseudocysts and no complications related to the procedure occurred in this series.

Pancreatic pseudocysts: A proposed classification and its management implications

Pancreatic pseudocysts in 83 patients were classified according to clinical and radiographic criteria to help the surgeon to choose the most appropriate form of treatment.

Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts.

Outcome differences after attempted endoscopic drainage of pancreatic fluid collections classified as pancreatic necrosis, acute pseudocyst, and chronic pseudocysts differ depending on the type of pancreasic fluid collection drained.