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How do you treat a pancreatic pseudocyst?

a) Surgical resection of the pancreas
b) Drainage by endoscopic or percutaneous techniques
c) Administration of antibiotics
d) No treatment is necessary; they resolve on their own

1 Answer

7 votes

Final answer:

Pancreatic pseudocysts can be treated in several ways, including observation for small, asymptomatic cysts; drainage through endoscopic or percutaneous techniques; antibiotic administration if infection is present; or surgical intervention for persistent or complicated cases. Diagnostics like ultrasound and CT scans are crucial for guiding treatment decisions.

Step-by-step explanation:

The treatment of a pancreatic pseudocyst often depends on the size of the cyst and the presence of symptoms. The options include:

  • Observation: Small, asymptomatic pseudocysts may not require immediate treatment and can sometimes resolve on their own.
  • Drainage by endoscopic or percutaneous techniques: If the pseudocyst is large or causing symptoms, drainage may be necessary. This can be done through an endoscopic procedure, such as an Endoscopic Retrograde Cholangiopancreatography (ERCP), or through a percutaneous approach under the guidance of imaging.
  • Administration of antibiotics: This is generally if there is evidence of infection associated with the pseudocyst.
  • Surgical resection of the pancreas: This is considered for pseudocysts that do not resolve with other treatments or if complications arise.

Diagnostic tools, such as abdominal ultrasound and Computed tomography (CT) scan with contrast dye, are essential in identifying a pancreatic pseudocyst and guiding the treatment plan. They can show the size and location of the pseudocyst, and help to identify any complications that may influence the choice of treatment.

User Ameet Chaubal
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