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Pancreatic pseudocyst: The past, the present, and the future
Jonathan Ga Koo1, Matthias Yi Quan Liau2, Igor A Kryvoruchko3
1Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore.
World Journal of Gastrointestinal Surgery
|August 1, 2024
Summary
Pancreatic pseudocysts are fluid collections diagnosed 4 weeks after pancreatitis. Management depends on symptoms and complications, with endoscopic or surgical drainage as options.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- A pancreatic pseudocyst is a post-pancreatitis encapsulated fluid collection with an inflammatory wall.
- Diagnosis typically occurs at least 4 weeks after pancreatitis onset, often presenting with nonspecific abdominal pain.
Purpose of the Study:
- To review current literature on pancreatic pseudocysts.
- To discuss the evolution of definitions, diagnosis, and management strategies for pancreatic pseudocysts.
Main Methods:
- Literature review of pancreatic pseudocyst management.
- Analysis of diagnostic imaging techniques including CT and MRI.
- Evaluation of endoscopic ultrasound (EUS) for diagnostic uncertainty.
Main Results:
- Pancreatic pseudocysts require a minimum of 4 weeks post-pancreatitis for diagnosis.
- Contrast-enhanced CT and MRI are primary diagnostic tools.
- Endoscopic ultrasound aids in uncertain cases, and complications include hemorrhage, infection, and obstruction.
Conclusions:
- Management is guided by symptoms and complications like obstruction.
- Endoscopic or surgical drainage are the primary treatment modalities.
- The review highlights the evolving landscape of pancreatic pseudocyst care.
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