Abstract

Background: Since the first surgical internal drainage in 1921 1, surgery remained until recently the cornerstone in the management of PP. Pancreatic pseudocysts may arise as a complication of either acute or chronic pancreatitis. The evolving landscape of pseudocyst comprehension can be attributed to the progress in radiology and the advent of novel treatment approaches. This research aimed to evaluate the clinical characteristics, etiology, and diverse management strategies employed for pseudocysts within a tertiary care hospital setting. Materials and Methods:This is a prospective study involving 82 adult patients conducted over a span of one year, in the Department of surgery, Government Medical College, Orai, Jalaun, India. Results and Observations:Pseudocysts exhibit a higher prevalence in males, with alcohol identified as the most common associated etiology. Initial radiological assessments consisted of ultrasound, followed by contrast-enhanced computed tomography (CECT) of the abdomen for all patients. Complications linked to pseudocysts included gastric outlet obstruction and ascites. Internal drainage emerged as the predominant intervention. Post-drainage complications, notably infections, were addressed through antibiotic therapy, with endoscopic drainage implemented in cases of recurrence. Pain emerged as a significant post-operative issue. The preference for endoscopic drainage is growing, given its less invasive nature, higher long-term success rate, shorter hospital stay, and enhanced patient comfort.

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