Pancreas pseudocysts Flashcards
1
Q
Pathophysiology
A
through chronic or acute inflammation of pancreas or peripancreatic tissue
2
Q
Careful to
A
differentiate between pseudocysts and neoplastic cysts
3
Q
Work up
A
CT and US
4
Q
Indications to operate (5)
A
Compression Fistula Infection Bleeding Unclear dignity
5
Q
Type of operation
A
External or internal drainage
Very seldom : resection
Nost common : open drainage.
6
Q
Endoscopic
A
Possible if cyst is close to stomach or duodenum
Stents that stay 4-6 weeks to build a fistula
Recurrence in 20% of cases
Internal inside pancreatic duct also possible although difficult (no stone, requires small stents with incomplete drainage)
7
Q
Surgical
A
Zystoenterostomie
Through the stomach if behind posterior wall
Also possible laparoscopic
