Pseudocyst is encapsulated fluid collection that arises in or adjacent to the pancereas, but lacks an epithelial lining. Pseudocyst may develop as a complication of acute pancreatitis, chronic pancreatitis or pancreatic trauma. As new methods of
imaging
provide full information on their incidence and natural history, important differences are emerging between the pseudocyst of acute and chronic pancreatitis.
Traditional surgical approaches to the management of pseudocyst are now being challenged by endoscopic technique and interventional radiology. In the light of these development, the strategies for the modern management of pancreatic pseudocyst
are
neede. The clinical courses of 33 patient with pancreatic pseudocyst were retrospectively reviewed in the department of surgery at Gyeong-sang National University Hospital during the period of 6 years, from October 1988 to Aprill 1994.
@ES The results were as follow;
@EN 1) Age and Sex distribution showed that 12 cases(36.4%) was occurred in 4th decade and the male to femal ratio was 32:1.
2) Pseudocyst were found in the tail of pancreas (48.5%), in body (30.3%), and in head(21.2%).
4) Post operative complication was occurred in seven cases(54%) and mortality is none. But, post PCD complication was occurred in five cases(25%) and mortality rate is five percent(5%).
5) The factors shortening treatment period art the presence of superimposed in fection (average seven days).
6) PCD success rate is eighty percent.
7) PCD was shortened hospital stay than operation(average fourteen days).
In conclusion we propose that PCD is the firstline treatment modality for pancreatic pseudocyst other then surgical procedures.
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