MANAGEMENT AND OUTCOMES OF PSEUDOCYST OF PANCREAS: A TERTIARY CARE CENTRE STUDY

Abstract

Background: Pancreatic pseudocysts may arise as a complication of either acute or chronic pancreatitis. The evolving landscape of pseudocyst comprehension can be attributed to the progress in radiology and the advent of novel treatment approaches. This research aimed to evaluate the clinical characteristics, etiology, and diverse management strategies employed for pseudocysts within a tertiary care hospital setting.

Methods: This is a prospective study involving 80 adult patients conducted over a span of one year. Results: Pseudocysts exhibit a higher prevalence in males, with alcohol identified as the most common associated etiology. Initial radiological assessments consisted of ultrasound, followed by contrast-enhanced computed tomography (CECT) of the abdomen for all patients. Complications linked to pseudocysts included gastric outlet obstruction and ascites. Internal drainage emerged as the predominant intervention. Post-drainage complications, notably infections, were addressed through antibiotic therapy, with endoscopic drainage implemented in cases of recurrence. Pain emerged as a significant post-operative issue. The preference for endoscopic drainage is growing, given its less invasive nature, higher long-term success rate, shorter hospital stay, and enhanced patient comfort. Conclusion: Pancreatic pseudocysts predominantly afflict males, often associated with alcoholism. The clinical presentation varies, with abdominal pain being the most prevalent grievance, followed by nausea and vomiting. Initial intervention involves supportive care, but persistent symptoms and complications may necessitate surgical drainage, the most frequently employed management approach. Emerging treatment modalities, such as endoscopic interventions, offer distinct advantages, including reduced pain, shorter hospital stays, and lower recurrence rates.