Linked Life Data

1631688

Source:http://linkedlifedata.com/resource/pubmed/id/1631688

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1992-8-14
pubmed:abstractText
Diagnosis and management of pseudocysts of the pancreas often present difficult clinical problems. We reviewed our 18 patients with pancreatic pseudocysts treated between January 1985 and October 1989 to identify criteria for operative and nonoperative management based on size of the lesion on computerized tomography. Diagnostic modalities, etiology, management, and concurrent medical problems were also evaluated. Alcohol (72%) was the most common etiologic agent. Hypertension (39%), peptic ulcer disease (28%), and chronic obstructive pulmonary disease (22%) were the most common associated medical problems. CT scan was the most frequently used (100%) and most accurate (100%) preoperative diagnostic tool. Preoperative ERCP modified the treatment plan in only one patient. All pseudocysts smaller than 3 cm on CT scan were managed nonoperatively, without recurrence (mean follow-up of 3 months). The most commonly performed surgical procedure was cystogastrostomy. External drainage procedures had a higher complication rate (100% vs 14%) and higher recurrence rate (33% vs 0%) than internal drainage procedures. Attempted percutaneous drainage in one patient resulted in recurrence. Pancreatic pseudocysts less than 3 cm in diameter can be safely managed nonoperatively. CT scan remains the diagnostic tool of choice. Preoperative ERCP evaluation is of limited utility and needs further evaluation. Internal drainage procedures provide the best surgical results.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0038-4348
pubmed:author
pubmed:issnType
Print
pubmed:volume
85
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
729-34
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
Pancreatic pseudocyst: diagnosis and management.
pubmed:affiliation
Department of Surgery, West Virginia University School of Medicine, Morgantown.
pubmed:publicationType
Journal Article