Pancreatic pseudocyst:The past,the present,and the future  

作　　者：Jonathan GA Koo Matthias Yi Quan Liau Igor A Kryvoruchko Tamer AAM Habeeb Christopher Chia Vishal G Shelat 

机构地区：[1]Department of General Surgery,Khoo Teck Puat Hospital,Singapore 768828,Singapore [2]Lee Kong Chian School of Medicine,Nanyang Technological University,Singapore 308232,Singapore [3]Department of Surgery No.2,Kharkiv National Medical University,Kharkiv 61022,Ukraine [4]Department of General Surgery,Faculty of Medicine Zagazig University,Sharkia 44511,Egypt [5]Department of Gastroenterology,Woodlands General Hospital,Singapore 737628,Singapore [6]Department of General Surgery,Tan Tock Seng Hospital,Singapore 308433,Singapore

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期1986-2002,共17页世界胃肠外科杂志（英文版）（电子版）

摘　　要：A pancreatic pseudocyst is defined as an encapsulated fluid collection with a welldefined inflammatory wall with minimal or no necrosis.The diagnosis cannot be made prior to 4 wk after the onset of pancreatitis.The clinical presentation is often nonspecific,with abdominal pain being the most common symptom.If a diagnosis is suspected,contrast-enhanced computed tomography and/or magnetic resonance imaging are performed to confirm the diagnosis and assess the characteristics of the pseudocyst.Endoscopic ultrasound with cyst fluid analysis can be performed in cases of diagnostic uncertainty.Pseudocyst of the pancreas can lead to complications such as hemorrhage,infection,and rupture.The management of pancreatic pseudocysts depends on the presence of symptoms and the development of complications,such as biliary or gastric outlet obstruction.Management options include endoscopic or surgical drainage.The aim of this review was to summarize the current literature on pancreatic pseudocysts and discuss the evolution of the definitions,diagnosis,and management of this condition.

关 键 词：Pancreatic pseudocyst Pancreatic fluid collection Cystic pancreatic lesions PANCREATITIS Endoscopic ultrasound 

分 类 号：R576[医药卫生—消化系统]