Nonoperative Management of Chronic Pancreatic Pseudocysts

  • F. W. Henriksen
  • S. Hancke
Conference paper


It is generally agreed that patients with chronic pancreatic pseudocysts run a high risk of developing complications such as rupture, hemorrhage, and obstruction of the common bile duct and duodenum. Whereas cysts occurring after acute pancreatitis often resolve spontaneously, this rarely happens in chronic pancreatitis, and therefore operative treatment is widely recommended [1–5]. Operative treatment usually consists of an internal drainage procedure (cystogastrostomy, cystoduodenostomy or Roux-en-Y cystojejunostomy) or resection of the affected part of the pancreas with the cyst. The use of external surgical drainage is not recommended, as it results in complication rates between 37% and 50% [8–10] and a lethality rate up to 28% [8]. Internal surgical drainage shows much more favorable results, with a complication rate between 6.4% and 29% and lethalities from 0% to 8.6% [8–10].


Acute Pancreatitis Common Bile Duct Chronic Pancreatitis Nonoperative Management Pancreatic Pseudocysts 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • F. W. Henriksen
  • S. Hancke
    • 1
  1. 1.Department of Surgical Gastroenterology D and the Ultrasonic LaboratoryGentofte University HospitalCopenhagenDenmark

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