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윤용범(Yong Bum Yoon),김정룡(Chung Yong Kim),신건성(Gun Sung Shin),김용태(Yong Tae Kim),김태현(Tae Hun Kim) 대한내과학회 1996 대한내과학회지 Vol.51 No.3
N/A Objectives: Several results of clinical studies on the etiology, clinical manifestation, diagnosis and management of pancreatic pseudocysts were reported in Korea; however they were almost all in concerned with the surgical aspect and little attention was focused on the conservative management of pancreatic pseudocysts. This study was designed to evaluate the efficacy of conservative management of pancreatic pseudocysts in Korean patients. Methods : We reviewed the medical records of 55 patients with pancreatic paseudocysts managed from 1985. 1 to 1993. 12 in Seoul National University Hospital. Results: 1) Pancreatic pseudocysts were usually associated with acute pancreatitis caused abdominal pain, and were frequently located on the head and the tail of the pancreas. 2) Sixy five percent of pancreatic pseudocysts were managed successfully with conservative treatment, and the small pseudocysts associated with pancreatitis were more prone to successful conservative treatment. 3) With respect to decreases in the size of the pseudocysts, 86% of the cases showed some size decrease within 4 weeks after treatment. Conclusion: Conservative treatment alone is effective in 65% of pancreatic pseudocysts and in Korea at least 4 weeks of conservative treatment is necessary for the management of small pseudocysts associated with pancreatitis.
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