Reoperations for Pancreatic Pseudocyst

Folk, Frank A.

doi:10.1001/archsurg.1970.01340220106019

Cited by 30 publications

(11 citation statements)

References 9 publications

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“…The 2 recurrences in this series are of interest. One at 6 years was thought to be due to further attacks of pancreatitis (Folk and Freeark, 1970;Warshaw, 1974) and the other to a cystadenocarcinoma, which was first treated by intra-arterial chemotherapy followed by an excision operation 5 months later. The possibility that a cyst may be neoplastic should always be borne in mind, especially where the cause is obscure.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic pseudocysts

Karatzas

1976

Journal of British Surgery

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Twenty-seven patients with 32 pancreatic pseudocysts have been seen during the past 10 years at St George's Hospital, London. Two of the pseudocysts were found in unusual positions--one in the right inguinal canal and the other one in the porta hepatis. Approximately half of the pseudocysts in this series followed biliary-induced pancreatitis. The various clinical presentations are reported and the surgical treatment is discussed. Internal drainage is the most effective treatment and in the majority of cases transgastric cystogastrostomy via a tube is the procedure of choice. One death occurred, an overall mortality rate of 3-1 per cent.

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Section: Discussionmentioning

confidence: 99%

Pancreatic pseudocysts

Karatzas

1976

Journal of British Surgery

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“…Μικρές ψευδοκύστεις μπορεί να είναι ασυμπτωματικές. Τα συχνότερα συμπτώματα με τα οποία εμφανίζονται είναι: δυσφορία και αίσθημα βάρους στην άνω κοιλία [76,132,152,445,562], επιγαστρικό άλγος [76,132,445,582] (ποσοστό 70-93% [24,36,117,165,276,339,392,434,479,487,562]), ναυτία και έμετος [152,165] (ποσοστό 40-65% [36,117,276,339,392,487,562]), διαταραχές της κινητικότητας του πεπτικού σωλήνα [582] (δυσπεπτικά φαινόμενα [76,445], διάρροια [276,339,445,487,582], αίσθημα ταχείας πλήρωσης του στομάχου [445]), ανορεξία [152,175,282], μη ανοχή ποικιλίας τροφών [445], απώλεια βάρους (25-59%) [36,276,339,…”

Section: κλινική εικόναunclassified

“…[36,300,618]. Η "επεμβατική" και "αιματηρή" φύση της ταλαιπωρεί τον ασθενή και δεν προσφέρεται για επανάληψη [36,175,300]. Σήμερα βρίσκεται στο περιθώριο.…”

Section: κλινική εικόναunclassified

“…Οφείλεται στη δράση του γαστρικού οξέος ή των ενζύμων [125] πάνω στο φλεγμονώδες τοίχωμα της κύστης και τη συνεπαγόμενη διάβρω ση αγγείων (σπληνικής, γαστροδωδεκαδακτυλικής, κάτω παγκρεατοδωδεκαδακτυλικής αρτ. ή κλάδων τους) [32,91,175,246,282,399] ή ρήξη ψευδοανευρυσμάτων των παραπάνω αγγείων [399]. Μπορεί να είναι αιφ νίδια και μαζική ή διαλείπουσα ("stop and go" [175]).…”

Section: επιπλοκέςunclassified

“…ή κλάδων τους) [32,91,175,246,282,399] ή ρήξη ψευδοανευρυσμάτων των παραπάνω αγγείων [399]. Μπορεί να είναι αιφ νίδια και μαζική ή διαλείπουσα ("stop and go" [175]). Στις μισές περιπτώ σεις η πηγή της είναι επίσημο αγγείο και στις άλλες μισές υπάρχουν πολλαπλές εστίες [251].…”

Section: επιπλοκέςunclassified

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Τραυματα Παγκρεατος Σε Κλειστη Κοιλιακη Κακωση

Καλαβρουζιωτησ¹

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Traumatic Pseudocysts of the Pancreas

Tucker¹

1972

Arch Intern Med

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Traumatic injuries to the pancreas have frequently been overlooked in considering causes of intra-abdominal disease. This report presents experience gained in the diagnosis and management of ten patients with traumatic pseudocysts of the pancreas. Eight of the patients had blunt trauma to the pancreas while two had penetrating wounds with pancreatic injury as a secondary complication. All of the patients presented difficult problems in diagnosis. Three of the patients demonstrated marked ascites. X-ray films of the upper-gastrointestinal tract were most helpful in directing attention toward the pancreas. Diagnosis was usually established when measurements of serum and ascitic fluid amylase were performed. When the nature of the illness was recognized and appropriate therapy initiated, the patients usually recovered rapidly.All too frequently trauma to the . pancreas has been unsuspected because (1) the pancreas was rarely injured; (2) the severity of trauma frequently seemed insufficient to ac-count for injury to the pancreas; and (3) onset of complaints frequently followed injury by weeks. Trauma caused one third of pancreatic pseudocysts seen at the Medical College of Georgia, Augusta, during the past ten years. Our experience suggests that the physician's ability to diagnose and treat traumatic pancreatic pseudocyst depends upon his awareness of the diverse ways of presentation. When pseudocyst was suspected, the diagnosis was readily made; conversely, when a pseudocyst was not suspected, diagnosis was delayed.This report presents brief case histories of two patients and pertinent clinical information and experience gained in ten patients with pancreatic pseudocyst secondary to trauma. Patient SummariesPatient 1 (ETMH 035-559).\p=m-\Thispatient, an 8-year-old boy, was hospitalized for abdominal pain, nausea, and vomiting which developed after he was pinned between a car trailer and a house. The vomiting and pain subsided and the patient was discharged. Abdominal distention developed during the following month. A laparotomy was performed which revealed as-cites and an "injured but healing pancreas." The patient rapidly recovered following surgery and was discharged from the hospital; however, because of reaccumulation of ascites and progressive weight loss, he was referred to Eugene Talmadge Memorial Hospital (ETMH) four months following the accident. A diagnostic paracentesis revealed peritoneal fluid containing 1.3 gm/100 ml protein and 35,000 units amylase. Serum amylase value expressed in Somogyi units was 1,372 (normal serum values: 50 to 150 units). A series of x-ray films of the upper\x=req-\ gastrointestinal tract demonstrated a mass displacing the stomach to the right and anteriorly.A second laparotomy was performed and a pancreatic pseudocyst containing 5,300 ml of straw-colored fluid was identified and drained through a cystgastrostomy. Four days postoperatively the serum amylase level was 274 units. The patient recovered from surgery and was well two years later.Comment.\p=m-\Admittingdiagnoses incl...

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Reoperations for Pancreatic Pseudocyst

Cited by 30 publications

References 9 publications

Pancreatic pseudocysts

Pancreatic pseudocysts

Τραυματα Παγκρεατος Σε Κλειστη Κοιλιακη Κακωση

Traumatic Pseudocysts of the Pancreas

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