췌장 가성낭종의 치료

• Published in: The Korean journal of gastroenterology Vol. 33; no. 6; pp. 831 - 836
• Main Authors: 박근태, Geun Tae Park, 전대원, Dae Won Jeon, 유영조, Young Jo Yoo, 최춘식, Choon Shik Choi, 정진웅, Jin Woong Jung, 김진배, Jin Bae Kim, 윤병철, Byoung Chul Yoon, 최호순, Ho Sun Choi, 함준수, Joon Soo Hahm, 박경남, Kyoung Nam Park, 이민호, Min Ho Lee, 이재원, Jae Won Lee
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.1999
• Subjects: Pancreatic pseudocyst
• ISSN: 1598-9992

Background/Aims: Pseudocysts of the pancreas are a localized collection of fluid occurring within pancreatic mass or peripancreatic region and are enclosed by a fibrous tissue wall. The diagnosis and follow-up of the disease has been facilitated with the advent of ultrasound and computed tomographic scanning. In terms of therapy, surgery was the only option available in the past. Recently, new me thods such as percutaneous catheter drainage and endoscopic cystenterostomy are used. The aim o this study was to review the characteristics and results of various therapeutic methods for the management of pancreatic pseudocysts. Methods: We reviewed retrospectively 42 cases of pancreatic pseudocysts admitted at the Kangbuk Samsung Hospital from January, 1985 to December, 1997 Results: Twenty-six patients (61.9%) were managed non-operatively, and the remaining 16 patients were treated operatively. Twenty-seven patients (64.3%) had showed complete resolution of pseudo cysts ultrasonographically or roentgenographically with a mean follow-up period of 8.9 months. One operative and seven underlying disease-related deaths occurred. Conclusions: There are various management methods for pancreatic pseudocysts such as expectant treatment, operation, percutaneous catheter drainage and endoscopic cystoenterostomy. Thus, it is important to choose the appropriate management method considering the status of each individual patient. (Kor J Gastroenterol 1999;33:831 - 836)