췌장 가성낭종에 관한 임상적 고찰 = A Clinical Study on Pancreatic Psudocyst췌장 가성낭종에 관한 임상적 고찰

다국어 초록 (Multilingual Abstract)

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다국어 초록 (Multilingual Abstract)

We analyzed 40 cases of pancreatic pseudocysts who were treated in Taejeon Eulji General Hospital from Jan. 1986 to Jan. 1994 in retrospective way about their etiology, diagnostic mo- dalities, clinical course and end results of management. Alcohol was the most common etiolog- ic agent(42.5%). Computed Tomography was the most accurate(93.5%) and frequently used diagnostic tool and endoscopic retrograde cholangiopancreatography was very useful in plan- ning surgical treatment. Spontaneous resolution and complications were related to its size sig- nificantly. All cases of diameter under 5 cm were resolved spontaneously and 11 cases(73.3 %) of diameter over 10cm showed complications such as infection, pleural effusion, and asci- tes etc. Percutaneous needle aspiration(2 cases) and internal drainage(20 cases) provided good end results without severe postoperative complications. In conclusion, large sized (diame- ter over 5cm), older than 6 weeks of duration and symptomatic pancreatic pseudocyst is to be best treated by internal drainage. (Korean J Gasfroenterol 1994; 26: 1002 1009)