Klinisch beeld, diagnostiek en behandeling van patiënten met een pseudocyste van de pancreas

- Twelve patients with pseudocysts of the pancreas are described. Four patients were treated conservatively, of whom three successfully (one disappeared from follow-up). Eight patients underwent surgery. The five patients with acute pseudocysts were treated in three cases with gastric marsupialisation, in one case by a jejunal Roux-en-Y technique, and in one case with external drainage.

This last patient died immediately postoperatively. The other patients remained recurrence-free. One of the two patients with a chronic pseudocyst died following marsupialisation. One patient with normal findings at laparotomy later developed two pseudocysts.

Marsupialisation of the pseudocyst to either stomach or jejunum appears to be a satisfactory treatment of acute pseudocysts of the pancreas.