Indications for therapeutic intervention of pancreatic pseudocysts.
Complicated pancreatic pseudocysts (one criterion sufficient)
• Compression of large vessels (clinical symptoms or seen on CT scan)
• Gastric or duodenal outlet obstruction
• Stenosis of the common bile duct due to compression
• Infected pancreatic pseudocysts
• Haemorrhage into pancreatic pseudocyst
• Pancreatico-pleural fistula
Symptomatic pancreatic pseudocyst
• Satiety
• Nausea and vomiting
• Pain
• Upper gastrointestinal bleeding (10—20%)
Asymptomatic pancreatic pseudocyst:
• Pseudocysts >5 cm, unchanged in size and morphology for more than 6 weeks
• Diameter cm and extrapancreatic complications in patients with chronic alcoholic pancreatitis
• Suspected malignancy: median 5-year survival rate after resection 56%
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