scholarly journals Procena stepena maturacije zida pseudociste pankreasa u odnosu na izbor operativne procedure

2005 ◽  
Vol 52 (1) ◽  
pp. 33-39
Author(s):  
Z. Djordjevic ◽  
S. Knezevic ◽  
M. Ceranic ◽  
P. Bulajic ◽  
S. Ostojic ◽  
...  

The aim of this study is to present our experience in the diagnosis and treatment of pancreatic pseudocysts. A pancreatic pseudocyst is an incapsulated collection of pancreatic juice, enclosed by nonepithelial elements, containing a high concentration of pancreatic enzymes, bicarbonates and necrotic detritus. It is a common complication of acute pancreatitis and trauma of the pancreas. In the period between 1996 and 2001, 53 surgical procedures were performed for pancreatic pseudocyst at the Institute for Digestive Diseases (First Surgical University Hospital), 35 male patients (67%) and 17 female patients (33%) underwent surgery. In 39 (75%) patients the method of choice was cystojejunostomy by Roux. In 4 cases distal pancreatectomy for pseudocysts localized within the pancreatic tail was performed, complete pseudocyst excision only was performed in one case and complete pseudocyst excision combined with cystojejunostomy was also performed in one case. Cystogastrostomy and drainage in one case and partial cystectomy and drainage also in one case. Surgical internal drainage is the method of choice for the treatment of pancreatic pseudocysts, involving low morbidity and mortality rates.

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Ricardo Rocha ◽  
Rui Marinho ◽  
António Gomes ◽  
Marta Sousa ◽  
Nuno Pignatelli ◽  
...  

Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst’s natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality.Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions.Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.


2020 ◽  
Vol 7 (12) ◽  
pp. 4161
Author(s):  
Daniel Page ◽  
Suresh Munugani

Pancreatic pseudocysts are a common complication of pancreatitis affecting up to 40% of chronic cases. Typically, they are located within or abutting the pancreas and are self-limiting with the majority been smaller than 6cm, asymptomatic and resolving with conservative management. Here we present an unusual multiloculated giant pancreatic pseudocyst that originated at the pancreatic tail and extended through the lateral thoracoabdominal walls into the subcutaneous plane in a male with chronic alcohol pancreatitis. A literature search revealed no previous documented cases of this specific complication.


2019 ◽  
Vol 26 (07) ◽  
pp. 1027-1031
Author(s):  
Shafaatullah . ◽  
Sadaf Iqbal ◽  
Bilal Suria

Introduction: Hypospadias is a congenital defect with various presentations. It is diagnosed clinically. Hormonal therapy can be used but is not curative. The Snodgrass intervention is the better one to get result oriented outcomes. Objectives: To find out the advantages of Snodgrass repair in distal as well as proximal types of hypospadias. Study Design: Cross sectional study. Setting: Baqai university hospital Karachi. Period: January 2015 to December 2017. Material and Method: Total 40 male patients were included in this study. They were admitted through OPD. Age of patients was from 4 years to 22 years. Patients were prepared and Snodgrass repair was done to all patients. Results: In our study, of 40, 19 (47.5%) patients presented between age 04 to 10 years. Most common Subcoronal type was found in 16 (40%). Catheter blockage was in 4 (10%) patients that was a common complication in our study. Conclusion: To sum up, Snodgrass method is the good one with good cosmetic results and least complication rate. 


Author(s):  
Yu. G. Starkov ◽  
R. D. Zamolodchikov ◽  
S. V. Dzhantukhanova ◽  
M. I. Vyborniy ◽  
K. V. Lukich ◽  
...  

Aim.To compare immediate and long-term results of internal drainage of pancreatic pseudocyst by using of endosonography-assisted and open surgical approaches.Material and methods.EUS-assisted internal drainage of pancreatic pseudocyst was performed in 32 patients in 2011–2016. Open drainage procedures were carried out on the other 32 patients.Results.In the group of endoscopic drainage, technical success rate, clinical success rate and complication rate were 97%, 85% and 26%, respectively. There were no recurrent pseudocysts in long-term period. Comparison with open surgery confirmed advantages of endoscopic technique regarding time of operation (p< 0.01), intraoperative blood loss (p< 0.01) and length of hospital-stay (p< 0.01).Conclusion.EUS-assisted internal drainage of pancreatic pseudocysts in the treatment of chronic pancreatitis is characterized by high rate of technical and clinical success, small postoperative morbidity and low incidence of longterm recurrences.


2011 ◽  
Vol 35 (1) ◽  
pp. 61
Author(s):  
Asril Zahari ◽  
Fahmi Fahmi

AbstrakPseudokista Pankreas merupakan penumpukan cairan yang terlokalisir yang kaya amilase dan enzim pankreas lainnya, yang memiliki dinding yang tidak berepitel. Ukuran bervariasi 2-30 cm. Sekitar sepertiga dari pseudokista terjadi pada caput pankreas, dan dua pertiga muncul di bagian ekor. Patogenesis pseudokista pankreas berasal dari gangguan saluran pankreas akibat pankreatitis dan ekstravasasi bahan enzimatik. Pada anak-anak, pseudokista pankreas sering berhubungan dengan trauma.Dilaporkan seorang pasien laki- laki umur 21 tahun dengan benjolan di perut. Pasien dengan riwayat trauma diperut 2 bulan sebelum masuk rumah sakit, kemudian muncul benjolan diperut yang makin lama-makin membesar. Pasien juga mengeluh sering mual dan penurunan nafsu makan. Pada perabaan dijumpai benjolan kistik fluktuatif dan terfikisir dengan ukuran ±30x20 cm, dan nyeri. Pada pemeriksaan scaning dijumpai gambaran rongga kista disekitar pankreas. Pasien didiagnosa dengan pseudokista pankreas. Pada pasien dilakukan drainase interna kista-yeyunostomi, yeyuno-yeyunostomi side to side dan brown anastomose. Dari pemeriksaan patologi anatomi didapatkan kesan suatu pseudokista pankreas.Follow up sampai 2 bulan post operasi tidak dijumpai komplikasi.Drainase interna kista-yeyunostomi, yeyuno-yeyunostomi side to side dan brown anastomose pada pseudokista pancreas memberikan hasil yang baik.Kata kunci : Pseudokista, Trauma, pankreatitisAbstractPancreatic Pseudocysts well defined as a local accumulation of fluid that rich in amylase and other pancreatic enzymes, that has nonepithelialized wall. Size varies from 2-30 cm. About one third of pseudocysts manifest in the head of the gland, and two thirds appear in the tail. Pathogenesis of pancreatic pseudocysts seems to stem from disruption of the pancreatic duct due to pancreatitis and extravasation of enzymatic material. In children, pancreatic pseudocysts are often associated with trauma.A male patient, 21 year old with a lump in the abdomen. Patient with a history of abdominal trauma 2 months before entering the hospital, then a lump appeared at the abdomen and continues to expand. Patient also complain of frequent nausea and decreased appetite. A pain cystic fluctuative and immobile lump that ± 30x20 cm in size was found in palpability. From abdominal scaning images, a cyst cavity around the pancreatic was found. Patient was diagnosed with pancreaticLAPORAN KASUS62pseudocyst. Patient underwent internal drainage of the cyst-yeyunostomi, yeyuno-yeyunostomi side to side and brown anastomose. From pathology anatomy the conclusion is a pancreatic pseudocyst.Follow-up to 2 months postoperative, no complications was found.The internal drainage of the cyst-yeyunostomi, yeyuno-yeyunostomi side to side and brown anastomose on pancreatic pseudocyst give a good results.Key word : Pseudocyst, Trauma, Pancreatitis


2021 ◽  
Vol 8 (7) ◽  
pp. 2180
Author(s):  
Suresh G. ◽  
Ramchandar Ramanan ◽  
Sureshkumar Ayyappan

Pancreatic pseudocyst is rather a common complication following pancreatitis and chronic alcoholism related. Only few cases of giant pseudocyst measuring more than 10 cm of size or more in widest diameter has been reported in the literature. Possible attributable factors for less reported cases may be due to discripancies in sizing classification, in several studies the term 'large' or 'huge' were used instead of 'giant' when cyst measuring 10 cm or larger in its widest diameter. Pancreatic pseudocyst is usually sterile but when get secondarily infected may lead to life threatening complications such as pancreatc abscess which becomes very difficult to treat. Hence proper and timely intervention of giant pancreatic pseudocyst would probably reduce the risk of developing such dangerous complications. In the treatment of pancreatic pseudocyst to prevent recurrence and especially in protection of endocrine function of pancreas internal drainage is found to be more beneficial when compared to other modalities. This case demonstrates the successful use of Roux en Y cystojejunostomy to surgically drain a giant pancreatic pseudocyst at an unusual location.


ORL ◽  
2021 ◽  
pp. 1-9
Author(s):  
Carlos M. Chiesa-Estomba ◽  
Maria Soriano-Reixach ◽  
Izaskun Thomas-Arrizabalaga ◽  
Jon A. Sistiaga-Suarez ◽  
Jose A. González-García ◽  
...  

<b><i>Introduction:</i></b> Functional neck dissection (FND) represents a surgical procedure usually associated with less morbidity. <b><i>Methods:</i></b> An observational, retrospective, analysis of patients diagnosed with any type of head and neck malignancy was designed to summarize and report the incidence of postoperative complications in patients undergoing FND including just those levels described for selective neck dissections in a tertiary university hospital between June 2016 and June 2019. <b><i>Results:</i></b> 131 patients met the inclusion criteria. The total number of sides studied was 200. 40.5% of the patients suffer a complication in the postoperative period, being the spinal accessory nerve (SAN) injury the most common complication (10%). We did not find any statistical ­correlation between the previous organ-preservation treatments and surgical complications (<i>p</i> = 0.207). An advanced T stage (<i>p</i> = 0.009) and the need of bilateral FND (<i>p</i> = 0.034) were significantly correlated with a higher risk of surgical complications. <b><i>Conclusion:</i></b> FND represents a useful technique. In this study, 40.5% of the patients suffer a complication in the postoperative period, being the SAN injury the most common complication. However, these data contribute to increasing our knowledge about surgical complications related to FND.


HPB ◽  
1999 ◽  
Vol 1 (1) ◽  
pp. 39-42
Author(s):  
D. Al-Musawi ◽  
R.C.N. Williamson

2002 ◽  
Vol 13 (6) ◽  
pp. 370-372 ◽  
Author(s):  
A M Halsos ◽  
K Edgardh

During 1999 and 2000, an outbreak of syphilis occurred in Norway: 93 cases were reported to the National Institute of Public Health. This report summarizes a retrospective investigation of the medical records of 60 patients with primary, secondary and early latent syphilis treated during 1999–2000 at the Department of STD at the Ullevål University Hospital in Oslo. Five women and 55 men were treated, mean age 38.6 and 44.9 years, respectively. Of the 60 cases, 14 (23.3%) had primary, 39 (65.0) secondary and seven (11.7%) early latent syphilis. Men who have sex with men (MSM) constituted 78.2% (43/55) of the male patients. Transmission among MSM was related to casual sexual contacts in bathhouses in Oslo. Two cases occurred among men with previously diagnosed HIV infection. Two new cases of HIV were reported. Condom use was inconsistent, and seldom used for oral sex.


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