Treatment of Pancreatic Pseudocyst Located in the Uncinate Process with Pancreatic Duct Communication

Clinical Scenario

This protocol addresses a pancreatic pseudocyst situated specifically in the uncinate process of the pancreas, where a communication has been identified between the pseudocyst and the main pancreatic duct. This anatomical configuration requires careful evaluation of the ductal relationship before selecting a management strategy.

Key Anatomical Consideration

When the pseudocyst is located in the uncinate process, the relationship between the pseudocyst and the pancreatic duct must be established. The presence of a duct–pseudocyst communication directly influences the choice of drainage approach and the operative planning.

Treatment Approach (Partial Overview)

Management in this setting involves surgical internal drainage. The specific operative procedure selected depends on the anatomical findings at the time of intervention.

Full procedure selection criteria and the complete evidence-based regimen are available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1097/MD.0000000000000960

When the pancreatic pseudocyst is located in the uncinate process of the pancreas, the relationship between the pseudocyst and the pancreatic duct must be evaluated.

If a communication exists between them, endoscopic drainage via a transpapillary approach can be achieved.

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%).

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