A pancreatic pseudocyst is an extravasated collection of exocrine pancreatic fluid, encased by a wall of granulation tissues characteristically lacking of an epithelium.
The management of pancreatic pseudocysts is one of the complex and prolonged groblems that face the general surgeon, especially considerable ambiguity exists regarding both the incidence for surgery and the timing of operative intervention in
patients
with pancreatic pseudodence for surgery and the timing of operative intervention in patients with pancreatic pseudocyst.
The clinical courses of 54 patients with pancreatic pseudocyst were retrospectively reviewed in the department of surgery at Catholic University Medical College during the period of 5 years, from January 1987 to December 1991. History, physical
examination, laboratory findings, radiographic data, method of treatment and its result were analyzed.
@ES The results were as follow:
@EN 1) The pancreatic peudocyst was most prevalent in 3rd and 4th decade(36%) of age. And the sex ratio was 2: 1in male vs female.
2) Alcoholic pancreatitis was most frequently associated with pancreatic pseudocst(48.1%).
3) The frequent symptoms or signs of patietns of pancreatic pseudocyst were abdominal pain(88.9%) and abdominal masses(22.2%) or nausea and vomiting(22.2%).
4) Valuable laboratory data in pancreatic pseudocyst were serum amylase level(above 200 S.U in 50%). Blood WBC count (above 10,000 in 25.9%), serum sugar level(above 120% in 24.1%).
5) Valuable diagnostic radiologic methods were abdominal sonography(68.5%), abdominal CT (57.4%) UGIS(11.1%), ERCP(12.0%).
6) The frequently aplied surgical methods were cystogastrostomy(40.6% of all surgical cases), cystojejunostomy(25%), pseudocytst resection or distal pancreatectomy(21.8%) and external drainage(12.5%).
The present review was undertaken to examine the current status of surgery for pancreatic pseudocysts with regard to the following factors; the presentation of patients with ppancreatic pseudocyts, the incidence and complications of emergent
pseudocyst
drainage and the timing of sugical intervention.
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