Controversies in the management of pancreatic pseudocysts

Richard Mullins, Mark A. Malangoni, Thomas M. Bergamini, Joseph M. Casey, J. David Richardson

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Review of the diagnosis and treatment of patientswith pancreatic pseudocysts over the past 8 years has led us to three conclusions regarding controversial aspects of their treatment. We found that patients who present with chronic pseudocysts can be identified with the help of computerized axial tomography and promptly undergo successful internal drainage, whereas patients with acute peripancreatic fluid secondary to pancreatitis can be observed expectantly with a 43 percent frequency of spontaneous resolution. Patients with infected pancreatic pseudocysts can be safely drained internally. The most common cause of extrahepatic biliary obstruction in this group of patients with pancreatic pseudocysts was stricture due to pancreatitis and fibrosis, not extrinsic compression.

Original languageEnglish (US)
Pages (from-to)165-172
Number of pages8
JournalThe American Journal of Surgery
Volume155
Issue number1
DOIs
StatePublished - 1988
Externally publishedYes

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Pancreatic Pseudocyst
Pancreatitis
Drainage
Pathologic Constriction
Fibrosis
Tomography
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Mullins, R., Malangoni, M. A., Bergamini, T. M., Casey, J. M., & Richardson, J. D. (1988). Controversies in the management of pancreatic pseudocysts. The American Journal of Surgery, 155(1), 165-172. https://doi.org/10.1016/S0002-9610(88)80275-7

Controversies in the management of pancreatic pseudocysts. / Mullins, Richard; Malangoni, Mark A.; Bergamini, Thomas M.; Casey, Joseph M.; Richardson, J. David.

In: The American Journal of Surgery, Vol. 155, No. 1, 1988, p. 165-172.

Research output: Contribution to journalArticle

Mullins, R, Malangoni, MA, Bergamini, TM, Casey, JM & Richardson, JD 1988, 'Controversies in the management of pancreatic pseudocysts', The American Journal of Surgery, vol. 155, no. 1, pp. 165-172. https://doi.org/10.1016/S0002-9610(88)80275-7
Mullins, Richard ; Malangoni, Mark A. ; Bergamini, Thomas M. ; Casey, Joseph M. ; Richardson, J. David. / Controversies in the management of pancreatic pseudocysts. In: The American Journal of Surgery. 1988 ; Vol. 155, No. 1. pp. 165-172.
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