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KMID : 0870420000040010131
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000 Volume.4 No. 1 p.131 ~ p.138
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Early percutaneous external drainage procedure in treatment of pancreatic pseudocyst
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Jun Myoung-Jin
Kim Hae-Young
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Abstract
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Background: Pancreatic pseudocyst is the most common cystic lesion of pancreas, which is formed with leakage of pancreatic juice by pancreatic duct injury, surrounded by around intraperitoneal organs and tissue.
Methods: The study subjects consist of 18 patients who undergone primarily percutaneous catheter drainage(PCD) from January of 1995 to December of 1998 at Pusan National University Hospital.
Results: The peak incidence was in the age group of 20 to 40 years and male gender was somewhat dominant. The cause of pancreatic pseudocyst was mainly trauma(61.1%), the most common location of injury site was body of pancreas. The initial diameter of pancreatic pseudocyst was above 6 cm(72.2%) and the size was reduced in 13 cases(72.2%) of 18 cases during treatment. Mostly the amount of drainage through PCD was below 100mL(55.6%) and the amount was decreased in 13 cases during treatment. Spontaneous resolution of pancreatic pseudocyst was occurred in 11 cases, among them 3 cases were recurred. Persistent or recurred cases were undergone secondary procedure, internal drainage in 6 cases, retrial of PCD in 2 cases, distal pancreatectomy in 1 case, zther in 1 case.
Conclusion: The percutaneous catheter drainage performed within initial 6 weeks for spontaneous resolution of pancreatic pseudocyst or maturation of cystic wall is considered as alternative treatment of pancreatic pseudocyst.
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KEYWORD
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Pancreatic pseudocyst, Percutaneous catheter drainage
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