PANCREATIC PSEUDOCYSTS : When and How Should Drainage Be Performed? - 08/09/11
Résumé |
Single or multiple fluid collections giving the appearance of cysts on pancreatic imaging within or in the anatomic neighborhood of the pancreas are often seen during or after an episode of acute pancreatitis. The frequency with which cystic lesions are seen today with computed tomography (CT) scans performed in the evaluation of patients with pancreatitis or abdominal pain is many times that noted in the pre–CT scan ultrasound era, when only cysts big enough to cause morphologic abnormalities in adjacent viscera were detected by barium studies.97 The number of new cystic collections found currently with sensitive radiologic studies and elucidation of their natural histories have raised the question of which of these need treatment. Advances in technology have considerably increased the therapeutic options. Surgical management, the time-tested standard, has been challenged by interventional radiologists and endoscopists. This raises the second question as to how drainage should be performed.
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| Address reprint requests to C. S. Pitchumoni, MD, FRCP(C), MPH, Director of Medicine, Our Lady of Mercy Medical Center, 600 East 233rd Street, Bronx, NY 10466 |
Vol 28 - N° 3
P. 615-639 - septembre 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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