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Introduction
Introduction
• A chronic collection of pancreatic fluid
surrounded by a nonepithelialized wall of
granulation tissue and fibrosis is referred to
as a pseudocyst. Pseudocysts occur in up to
10% of patients with acute pancreatitis, and
in 20 to 38% of patients with chronic
pancreatitis, and thus they comprise the
most common complication of chronic
pancreatitis.
Clinical Features
Clinical Features
• Tender abdomen
• Palpable mass in the abdomen
• Peritoneal signs suggesting rupture of the
cyst or infection
• Fever
• Icterus
• Pleural effusion
Diagnostic Studies
Diagnostic Studies
• Laboratory Tests
• Imaging
– X-ray
– USG
– CT
Management
Management
• Most pseudocysts resolve without
interference and only require supportive
care. For some, drainage is indicated.
Indications for drainage include the
following:
• Complications
• Symptoms
• Concern about possible malignancy
Non Operative Therapy
Non Operative Therapy
Drainage options are as follows:
• Percutaneous catheter drainage – The
procedure of choice for infected
pseudocysts; although recurrence and
failure rates are high, it may be a good
temporizing measure
• Endoscopic drainage, either transpapillary
(via ERCP) or transmural .
Operative Therapy
Operative Therapy
• Surgical drainage –
– Cystogastrostomy
– Cystoenterostomy
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Pancreatic pseudocyst.pptx

  • 1. Tips on using my ppt. 1. You can freely download, edit, modify and put your name etc. 2. Don’t be concerned about number of slides. Half the slides are blanks except for the title. 3. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. 4. At the end rerun the show – show blank> ask questions > show next slide. 5. This will be an ACTIVE LEARNING SESSION x three revisions. 6. Good for self study also. 7. See notes for bibliography.
  • 3. Introduction • A chronic collection of pancreatic fluid surrounded by a nonepithelialized wall of granulation tissue and fibrosis is referred to as a pseudocyst. Pseudocysts occur in up to 10% of patients with acute pancreatitis, and in 20 to 38% of patients with chronic pancreatitis, and thus they comprise the most common complication of chronic pancreatitis.
  • 5. Clinical Features • Tender abdomen • Palpable mass in the abdomen • Peritoneal signs suggesting rupture of the cyst or infection • Fever • Icterus • Pleural effusion
  • 7. Diagnostic Studies • Laboratory Tests • Imaging – X-ray – USG – CT
  • 9. Management • Most pseudocysts resolve without interference and only require supportive care. For some, drainage is indicated. Indications for drainage include the following: • Complications • Symptoms • Concern about possible malignancy
  • 11. Non Operative Therapy Drainage options are as follows: • Percutaneous catheter drainage – The procedure of choice for infected pseudocysts; although recurrence and failure rates are high, it may be a good temporizing measure • Endoscopic drainage, either transpapillary (via ERCP) or transmural .
  • 13. Operative Therapy • Surgical drainage – – Cystogastrostomy – Cystoenterostomy
  • 14. Get this ppt in mobile 1. Download Microsoft PowerPoint from play store. 2. Open Google assistant 3. Open Google lens. 4. Scan qr code from next slide.
  • 15. Get this ppt in mobile
  • 16. Get my ppt collection • https://www.slideshare.net/drpradeeppande/ edit_my_uploads • https://www.dropbox.com/sh/x600md3cvj8 5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl =0 • https://www.facebook.com/doctorpradeeppa nde/?ref=pages_you_manage

Editor's Notes

  1. drpradeeppande@gmail.com 7697305442