Treatment of Pancreatic Pseudocyst Located in the Head, Neck, or Body Without Ductal Communication
This protocol addresses pancreatic pseudocysts situated in the head, neck, or body of the pancreas that have no communication with the pancreatic duct and where the distance between the pseudocyst and the gastrointestinal wall is not less than 1 cm.
Clinical Scenario
The pseudocyst is located in the head, neck, or body of the pancreas. There is no ductal communication, and the pseudocyst is not sufficiently close to the gastrointestinal wall to permit an endoscopic approach — ruling out endoscopic drainage as the primary option.
Treatment Approach
In this setting, management involves surgical internal drainage. The choice among the available surgical procedures depends on the specific location and anatomical relationship of the pseudocyst.
Complete procedural selection criteria and the full structured regimen are available via the link below.
References
DOI: 10.1097/MD.0000000000000960
If neither of the abovementioned conditions exist, patients should be treated with surgical internal drainage.
cystogastrostomy was performed for pancreatic pseudocysts directly adherent to the posterior wall of the stomach.
Cystoduodenostomy was performed when the cyst was located in the head and uncinate of the pancreas.
Roux-en-Y cystojejunostomy was performed for all types of cysts.
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