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Reoperations for Pancreatic Pseudocyst
Frank A. Folk, MD;
Robert J. Freeark, MD
AMA Arch Surg. 1970;100(4):430-437.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Pseudocysts of the pancreas usually pose more of a diagnostic than a therapeutic problem. Once recognized, current methods of surgical drainage are generally considered to yield excellent results. Since failures in surgical management are infrequent, it is not surprising that little is known of why they occur or how they may be avoided.
Pancreatic pseudocysts are relatively common on the surgical wards of large municipal hospitals. The majority are drained internally by means of transgastric cystogastrostomy or Roux-en-Y cystojejunostomy. While generally satisfied with these methods, recent experience with the need to reoperate two patients led us to a review and reevaluation of our methods of treatment.
In a recent five-year period seven patients required secondary operations following surgical treatment of a pancreatic pseudocyst. An analysis of these cases has provided valuable insight into what should or should not be done in the surgery of pancreatic pseudocysts.
Material and Methods
We
. . . [Full Text PDF of this Article]
Author Affiliations
Chicago
From Cook County Hospital, Chicago (Drs. Folk and Freeark); Stritch School of Medicine, Loyola University, Maywood, Ill (Dr. Folk); and Northwestern University Medical School, Chicago (Dr. Freeark).
Footnotes
Accepted for publication Dec 10, 1969.
Read before the 77th annual meeting of the Western Surgical Association, Dallas, Nov 21, 1969.
Reprint requests to Cook County Hospital, 1825 W Harrison St, Chicago 60612 (Dr. Freeark).
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