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Abstract
Multiple pseudocysts exist in 5% to 10% of all patients with pancreatic pseudocysts.
No procedural recommendations have been previously offered for the elective treatment
of coexisting mature pseudocysts. In 10 patients with large (>5 cm in diameter) adjacent
pseudocysts, a segment of the common wall was removed (internal cystocystostomy) to
create a common chamber, which was then drained by an appropriate cystogastrostomy
or cystojejunostomy Roux-en-Y. No recurrences have been observed during an average
follow-up of almost 2 years. In each of two patients with two large pseudocysts that
were not contiguous, both pseudocysts were drained into a single Roux-en- Y limb (double
cystojejunostomy Roux-en- Y). Operative cystography was performed on all small pseudocysts
(<5 cm in diameter). Simple operative aspiration was employed on five occasions when
the small pseudocyst did not communicate with the pancreatic duct. The principle of
internal cystocystostomy combined with internal drainage appears useful in the management
of large contiguous pseudocysts. For noncontiguous large pseudocysts, multiple cystojejunostomy
deserves wider trial, as does operative aspiration of small pseudocysts demonstrated
not to be in continuity with the pancreatic ducts.
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References
- Pseudocysts of the pancreas.Surg Gynecol Obstet. 1968; 127: 744
- The natural history of pancreatic pseudocysts: A unified concept of management.Am J Surg. 1979; 137: 135
- Pancreatic pseudocyst—Operative strategy.Ann Surg. 1978; 188: 652
- Percutaneous puncture of pancreatic pseudocysts guided by ultrasound.Surg Gynecol Obstet. 1976; 142: 551
- Pancreatic pseudocyst: Management by ultrasonically guided aspiration.Gastrointest Radiol. 1980; 5: 255
- The natural and unnatural history of pancreatic pseudocysts.Br J Surg. 1975; 62: 37
- Surgical treatment of pancreatic pseudocysts. Analysis of 119 cases.Ann Surg. 1979; 189: 386
- Therapeutic percutaneous aspiration of pancreatic pseudocysts.Gastroenterology. 1979; 76: 1250
- Surgical treatment of pancreatic cysts: Review of 183 cases.Ann Surg. 1966; 163: 886
Article info
Publication history
Accepted:
March 23,
1982
Identification
Copyright
© 1982 Published by Elsevier Inc.
