| Autor: |
Aranha, Gerard V., Prinz, Richard A., Freeark, Robert J., Kruss, Daniel M., Greenlee, Herbert B. |
| Zdroj: |
Archives of Surgery; May 1982, Vol. 117 Issue: 5 p717-721, 5p |
| Abstrakt: |
• A review of 81 patients with pancreatic pseudocyst was conducted to assess the value of different treatment modalities. Resection was associated with 18% mortality (two of 11 patients) and 36% morbidity. In three of nine patients undergoing external drainage a recurrent pseudocyst developed, and in one additional patient, a pancreatic fistula persisted. Internal drainage by cystogastrostomy (21 patients) resulted in 9.5% mortality and 9.5% morbidity, whereas cystojejunostomy (33 patients) was associated with a 6% mortality and 6% morbidity. Endoscopic drainage through the posterior wall of the stomach was unsuccessful in the two patients in which it was used. Internal drainage into the stomach, duodenum, or jejunum is a safe and effective approach for most pseudocysts. Persistent symptoms following surgical treatment were primarily related to failure to recognize multiple cysts and/or pancreatic duct obstruction and dilation characteristic of chronic pancreatitis.(Arch Surg 1982;117:717-721) |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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