Treatment of pancreatic pseudocyst in the head, neck, or body — no ductal communication, GI wall distance <1 cm

This protocol covers a defined anatomical presentation of pancreatic pseudocyst: lesion situated in the head, neck, or body of the pancreas, without communication to the pancreatic duct, and positioned less than 1 cm from the gastrointestinal wall.

Clinical scenario

The pseudocyst lies in the head, neck, or body of the pancreas, has no ductal communication, and is within 1 cm of the gastrointestinal wall. This proximity is a key factor in determining the drainage strategy chosen for this presentation.

Treatment approach

This protocol involves surgical internal drainage — the specific operative procedure is selected according to the anatomy and clinical context of the individual case.

The complete protocol specifies operative options, selection criteria, and the full decision algorithm. Access it below.

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References

If the distance between the pseudocyst and the gastrointestinal wall is <1 cm, endoscopic drainage via cystogastrostomy or cystoduodenostomy should be performed.
The operative procedures performed were Roux-en-Y cystojejunostomy in 21 patients (42.9%), cystoduodenostomy in 15 patients (30.6%), cystogastrostomy in 7 patients (14.3%), and distal pancreatectomy in 6 patients (12.2%).

DOI: 10.1097/MD.0000000000000960

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