Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: Acute pancreatitis

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Pancreas


I am currently recuperating from an severe attack of acute pancreatitis. I was hospitalized for 3 weeks. What can you tell me about pancreatic pseudocysts? These cysts were found on CT-scan during my second week in the hospital. Can these cysts be left alone and be reabsorbed or do they have to be drained? If the cysts have to be drained, can you tell me about the different ways they can be drained? Also, can you tell me how long it takes to get over a severe attack of pancreatitis? I still get nauseated and have some discomfort (controlled by meds) after I eat. Is it possible that these cysts are causing problems? Thanks for your time in answering my questions. BTW, my doctor's don't know what caused this severe attack.

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dear linda,
pseudocysts are one of the complications of pancreatitis. They are collecti0ons of pancreatic secretion and necrotic debris surrounded by a fibrous capsule. Most pseudocysts occur after pancreatitis ( independent of cause) when the symptoms of pain recur. the diagnosis is made by ultrasound or CT scan.

Pseudocysts often resorb without treatment. The duration of the cyst is directly related to size- bigger cysts take longer to disappear. IF the cyst persists, there are several options to consider. Resting the pancreas by providing all nutrition intravenously may be helpful. Alternatively, the cyst can be drained internally via the endoscope, drained surgically or drained by the radiologist placing a drin in the cyst. The choice of treament is often based on local experience.

This information is presented for educational purposes only. Ask specific questions to your personal physician.

HFHSM.D.-rf
*keywords: pancreatitis, pseudocyst
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