Overview
How are pancreatic pseudocysts defined?
What are the signs and symptoms of pancreatic pseudocysts?
Which physical findings suggest pancreatic pseudocysts?
Which lab tests are performed in the workup of pancreatic pseudocysts?
Which imaging studies are performed in the workup of pancreatic pseudocysts?
When is drainage indicated in the treatment of pancreatic pseudocysts?
What are the drainage options for pancreatic pseudocysts?
What is the role of drug treatment for pancreatic pseudocysts?
What are pancreatic pseudocysts?
What is the pathophysiology of pancreatic pseudocysts?
Which patient groups have the highest prevalence of pancreatic pseudocysts?
What is the prognosis of pancreatic pseudocysts?
What are the possible complications of pancreatic pseudocysts?
What is included in patient education about pancreatic pseudocysts?
Presentation
Which clinical history findings are characteristic of pancreatic pseudocysts?
What is the clinical presentation of pancreatic pseudocysts?
How is bleeding managed in pancreatic pseudocysts?
How is infection treated in pancreatic pseudocysts?
What are the possible GI complications of pancreatic pseudocysts?
DDX
Which conditions should be included in the differential diagnoses of pancreatic pseudocysts?
What are the differential diagnoses for Pancreatic Pseudocysts?
Workup
What is the role of lab tests in the workup of pancreatic pseudocysts?
What is the role of EUS in the workup of pancreatic pseudocysts?
What is the role of abdominal ultrasonography in the workup of pancreatic pseudocysts?
What is the role of CT scanning in the workup of pancreatic pseudocysts?
What is the role of ERCP in the workup of pancreatic pseudocysts?
What is the role of MRI in the workup of pancreatic pseudocysts?
Which histologic findings are characteristic of pancreatic pseudocysts?
Treatment
How are pancreatic pseudocysts treated?
Which specialist consultations are beneficial to patients with pancreatic pseudocysts?
Which dietary and activity modifications are used in the treatment of pancreatic pseudocysts?
What is included in long-term monitoring of patients with pancreatic pseudocysts?
What is the role of endoscopic transpapillary drainage in the treatment of pancreatic pseudocysts?
What is the role of catheter drainage in the treatment of pancreatic pseudocysts?
What is the role of endoscopic drainage in the treatment of pancreatic pseudocysts?
What is the role of endoscopic transmural drainage in the treatment of pancreatic pseudocysts?
What is the role of surgical drainage in the treatment of pancreatic pseudocysts?
Medications
Which medications are used in the treatment of pancreatic pseudocysts?
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Three views of a pancreatic pseudocyst noted during endoscopic ultrasound. The concentric rings in the center of the images are produced by the ultrasound transducer in the stomach. The cyst is observed as the large hypoechoic structure adjacent to the transducer.
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These photographs show the endoscopic view of transpapillary pseudocyst drainage in a patient with pancreas divisum and a pseudocyst that communicates with the pancreatic duct. The image on the left shows the ampullary area. The middle image shows a wire placed in the minor papilla into the dorsal pancreatic duct. The right image shows a stent in place in the minor papilla.