Author(s): Dr. Syed Mujtaba Ibrahim, Dr. Atif Abdul Samee and Dr. Mohammed Abdul Hadi

Abstract: Background: Pancreatic pseudocysts are the most common cystic lesions of the pancreas. Surgical drainage remains the principal method of treating pseudocysts; its pre-eminance has recently been challenged. The introduction of innovative procedures both by the interventional radiologists and therapeutic endoscopists offer the (attractive) ability to drain pancreatic fluid collections non-operatively. Aim: To study the various treatment modalities and overall morbidity and mortality of pancreatic pseudocysts. Methodology: It was a prospective observational study. A study of 20 cases of pseudocysts of pancreas, who were subjected to various procedures, has been carried out between September 2010 to August 2012 at Deccan College of Medical Sciences, Hyderabad. Results: It is predominantly a disease of the elderly men with male to female incidence ratio 4:1. The commonest cause of pseudocysts of the pancreas in this study is chronic pancreatitis with prevalence of 60%. The commonest presentation is upper abdominal pain with upper abdominal mass. Serum amylase levels are not much of value either in diagnosis or in follow-up treatment. The commonest site is lesser sac and common cause in this situation being chronic pancreatitis. In all the cases it was confirmed that the cysts wall is deficient of epithelium by HPE. Cystogastrostomy was the commonest procedure done and the results were very good. Infection was the commonest complication. Mortality was nil. Conclusion: To conclude the in the present study, it was observed that the commonest cause was chronic pancreatitis and the commonest procedure done with good post-operative results was cystogastrostomy.

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