Backgrounds/Aims:
@EN Although surgical procedures remain the principal method of treating pancreatic pseudocysts, it has recently been challenged. The objective of this study is to evaluate the outcomes of surgical and nonsurgical treatment, in order to recognize
the
necessity for changing guideline to treatment option of pancreatic pseudocysts.
@ES Methods:
@EN We analysed retrospectively clinical characteristics, classification, treatment modalities and its success, complication rate and mortality rate of 48 patients with pancreatic pseudocysts from January 1988 to Febrary 1994.
@ES Results:
@EN Acute pseudocysts were 34, chronic pseudocysts 14 cases. According to D'Egidio and Schein, type I, II, or III pseudocysts were 30, 17 and 1 cases, respectively. Percutaneous catheter drainage, surgical treatment and conservative treatment
were
applied in 45.8%, 25.0% and 29.2%, respectively and the success rates were 81.8%, 91.7% and 50.0%, respectively. The complication rate of percutaneous catheter drainage and surgical treatment were 36.9% and 33.0%, respectively, but the mortality
rate
was 0%.
@ES Conclusion:
@EN Percutaneous catheter drainage as well as surgical treatment were effective and safe in the treatment of pancreatic pseudocyst. Thus we recognized the necessity for considerating nonsurgical treatment based on classification of pseudocyst and
changing guideline to treatment of pseudocyst. (Korean J Gastroenterol 1995; 27: 719-727)
|