Pancreatic pseudocysts causing compression symptoms.

Abstract

The authors survey the surgical treatment of duodenal or choledochal stenosis which were detected during the operation of 991 pancreatic pseudocysts in the period of 5 years, from 1987 to 1992, at 850 patients. They found that in the case of common occurrence of mechanical jaundice and pancreatic pseudocyst in 40% of cases the drainage or resection of pseudocyst was enough to ensure the free biliary passage. In case of combined operation the stenosis of choledochus was solved in 64% of cases with sphincteroplasty. In case of common occurrence of duodenal stenosis and pancreatic pseudocyst the drainage of pseudocyst was enough in 69% of cases to ensure the free gastroduodenal passage and at 31% was necessary the combined operation.