Surgical Review: International Journal
of Surgery Trauma and Orthopedics
2020 Volume 6 Number 6 November-December
E-ISSN:2455-5436
P-ISSN:2456-9518
RNI:MPENG/2017/70870
Research Article
Prospective
Publisher
www.medresearch.in
Clinicopathological features of Pseudocyst Pancreas and its
Management: A Prospective and Retrospective Study
Koshariya M.
1
, Sharma A.
2*
, Gupta B.
3
, Suroshe T.
4
, Singour J.
5
, Songra M C.
6
DOI: https://doi.org/10.17511/ijoso.2020.i06.01
1
Mahim Koshariya, Professor, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
2*
Agam Sharma, Senior Resident, Department of Surgery, Government Medical College, Shivpuri, Madhya Pradesh, India.
3
Brahmanand Gupta, Senior Resident, Department of Surgery, Government Medical College, Shivpuri, Madhya Pradesh, India.
4
Tushar Suroshe, Senior Resident, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
5
Jaiprakash Singour, Senior Resident, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
6
Songra M C, Professor and Head of Department, Senior Resident, Department of Surgery, Gandhi Medical College, Bhopal, Madhya
Pradesh, India.
Background: Revised Atlanta Classification has veered a change in our understanding of
pseudocyst pancreas which mandates renewed inquiry into pseudocysts defined as per new criteria.
The present study provides an overview of experience with Pseudocyst Pancreas for over a decade.
Methodology: 100 cases of pseudocysts diagnosed over the last 10 years at GMC, Bhopal,
conforming to the present definition were reviewed. Cysts with the inhomogeneous collection,
debris, necrosis, or any other non-liquid component, specifically in those diagnosed before 2012
were excluded . Relevant data were analyzed. Results: The majority were male (85%) in the age
group of 40-50 years with alcohol-induced chronic pancreatitis (77%) being the most frequent
etiology. Abdominal pain (40%), lump (30%), and abdominal tenderness (59%) were common at
presentation. 58% were in the Head of the pancreas, 29% in the Neck and Body, and 13% in the
Tail and surrounding areas. Mean cyst diameter was 8.6cm and volume 252cc. 85% were managed
surgically and 40% of those managed conservatively also needed surgical intervention eventually
due to complications. History of chronic alcoholic pancreatitis, the large size of the cyst (≥6cm and
≥60cc), and communication with the main pancreatic duct were highly predictive of surgical
intervention. Conclusion: Radiological characteristics along with the clinical picture may suggest
appropriate intervention. Surgery remains the principal modality of treatment, with high success
rates.
Keywords: Pseudocyst, Pancreas, Pancreatitis
Corresponding Author How to Cite this Article To Browse
Agam Sharma, Senior Resident, Department of
Surgery, Government Medical College, Shivpuri,
Madhya Pradesh, India.
Email:
Koshariya M, Sharma A, Gupta B, Suroshe T, Singour
J, Songra M C. Clinicopathological features of
Pseudocyst Pancreas and its Management: A
Prospective and Retrospective Study. Surgical Rev
Int J Surg Trauma Orthoped. 2020;6(6):338-346.
Available From
https://surgical.medresearch.in/index.php/ijoso/artic
le/view/200
Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2020-08-26 2020-11-03 2020-11-19 2020-12-12
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
No Nil Yes 6%
© 2020 by Mahim Koshariya, Agam Sharma, Brahmanand Gupta, Tushar Suroshe, Jaiprakash Singour, Songra M C and
Published by Siddharth Health Research and Social Welfare Society. This is an Open Access article licensed under a Creative
Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].
Surgical Review: International Journal of Surgery Trauma and Orthopedics 2020 ;6 (6 ) 338