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Internal Drainage of Pseudocysts of the Pancreas

Internal Drainage of Pseudocysts of the Pancreas Abstract THE TREATMENT of pancreatic pseudocysts has undergone considerable evolution since the first attempts at surgical treatment by Le Dentu19 in 1862 (aspiration) and by Lücke and Klebs20 in 1866 (external drainage), both of which ended fatally. Bozeman1 successfully removed a cyst weighing 20½ lb from the tail of the pancreas without ligating a blood vessel in 1882, a remarkable feat even now. Excision is no longer the treatment of choice. The inflammatory nature, lack of a true capsule, adherence to vital structures, and frequent location of the pseudocyst in the head of the pancreas preclude successful excision most of the time. Meyer and associates23 and Murphy and Hinkamp26 reported a total of 66 cases of pseudocysts; in five of these, treatment was by excision. In a review of the literature between 1945 and 1958, Warren and co-workers38 found 48 cases (10%) in which excision References 1. Bozeman, N.: Removal of Cyst of Pancreas Weighing 20½ Pounds , Med Rec 21:46-47 ( (Jan 14) ) 1882. 2. Brilhart, K.B., and Priestley, J.T.: Pseudocysts of Pancreas , Amer J Surg 81:151-160 ( (Feb) ) 1951.Crossref 3. Carter, R.F., and Slattery, L.R.: Factors Influencing Management of Pancreatic Cysts , Surg Clin N Amer 27:411-416 ( (April) ) 1947. 4. Chollet, H.A., and James, P.M.: Massive Hemorrhage Following Cystogastrostomy for Pancreatic Cyst, With Case Report , Ann Surg 154:931-933 ( (Dec) ) 1961. 5. Covington, A.M.: Pseudocyst of Pancreas in Childhood , Amer Surg 25:965-966 ( (Dec) ) 1959. 6. Doubilet, H., and Mulholland, J.H.: Pancreatic Cysts: Principles of Treatment , Surg Gynec Obstet 96:683-692 ( (June) ) 1953. 7. Erb, W.H., and Grimes, E.L.: Pseudocysts of Pancreas: Report of 17 Cases , Amer J Surg 100:30-37 ( (July) ) 1960.Crossref 8. Grey, E.G.: Diversion of Pancreatic Juice From Duodenum Into Stomach: Its Effects Upon Level of Gastric Acidity and Upon Pancreas , J Exp Med 26:825-840 ( (Dec 1) ) 1917.Crossref 9. Gussenbauer, C., cited by Warren, Marsh, and Sandusky.38 10. Hahn, O., cited by Warren. Marsh, and Sandusky.38 11. Hanna, W.A.: Rupture of Pancreatic Cysts: Report of Case and Review of Literature , Brit J Surg 47:495-498 ( (March) ) 1960.Crossref 12. Henle, and Hahn, O., cited by Warren, Marsh, and Sandusky.38 13. Jedlicka, R., cited by Warren, Marsh, and Sandusky.38 14. Johnston, L.B., in discussion on Rosi, P.A.: Internal Drainage of Pancreatic Cyst by Means of a Roux-Y Anastomosis to the Jejunum , Arch Surg 63:126-127 ( (July) ) 1951. 15. Judd, E.S.; Mattson, H.; and Mahorner, H.R.: Pancreatic Cysts: Report of 47 Cases , Arch Surg 22:838-849 ( (May) ) 1931.Crossref 16. Jurasz, A., cited by Warren, Marsh, and Sandusky.38 17. Kerschner, F., cited by Maxeiner, S.R., Jr., and Maxeiner, S.R.21 18. König, E., cited by Warren, Marsh, and Sandusky.38 19. Le Dentu, M., cited by Judd, Mattson, and Mahorner.1 20. Lücke, A., and Klebs, E., cited by Judd, Mattson, and Mahorner.15 21. Maxeiner, S.R., Jr., and Maxeiner, S.R.: Pancreatic Cystgastrostomy: Discussion and Report of Case , Surgery 27:919-921 ( (June) ) 1950. 22. Menguy, R., and Blalock, J.C.: Retrograde Transductal Internal Drainage of Pancreatic Pseudocyst , Surgery 50:877-880 ( (Dec) ) 1961. 23. Meyer, K.A.; Sheridan, A.I.; and Murphy, R.F.: Pseudocysts of Pancreas: Report of 31 Cases , Surg Gynec Obstet 88:219-229 ( (Feb) ) 1949. 24. Miller, J.M.; Ginsberg, M.; and Surmonte, J.A.: Treatment of Pseudocysts of Pancreas , Amer J Gastroenterol 28:605-614 ( (Dec) ) 1957. 25. Mithoefer, J.: Pseudocyst of Pancreas in Childhood , Pediatrics 8:534-541 ( (Oct) ) 1951. 26. Murphy, R.F., and Hinkamp, J.F.: Pancreatic Pseudocysts: Report of 35 Cases , Arch Surg 81:564-568 ( (Oct) ) 1960.Crossref 27. Murray, E.T.: Spontaneous Intra-Gastric Rupture of Pseudocyst of Pancreas , Postgrad Med J 34:446-449 ( (Aug) ) 1958.Crossref 28. Neuffer, H., cited by Warren, Marsh, and Sandusky.38 29. Oeconomopoulos, C.T., and Lee, CM., Jr.: Pseudocysts of Pancreas in Infants and Young Children , Surgery 47:836-845 ( (May) ) 1960. 30. Ombrédanne, L., cited by Sinclair.35 31. Piper, CE., Jr.; ReMine, W.H.; and Priestley, J.T.: Pancreatic Cystadenomata: Report of 20 Cases , JAMA 180:648-652 ( (May 26) ) 1962.Crossref 32. Rienhoff, W.F., III: Evaluation of Pancreatic Cysts Treated at Johns Hopkins Hospital , Surgery 47:188-194 ( (Feb) ) 1960. 33. Shore, S.: Postpancreatic Pseudocyst in Adolescence: Internal Drainage Utilizing Roux Principle , Amer J Surg 95:147-149 ( (Jan) ) 1958.Crossref 34. Shumacker, H.B., Jr.: Management of Pancreatic Pseudocysts , editorial, Surgery 37:478 ( (March) ) 1955. 35. Sinclair, I.S.R.: Treatment of Pancreatic Cysts by Internal Drainage , Brit J Surg 42:367-377 ( (Jan) ) 1955.Crossref 36. Walzel, P., cited by Warren, Marsh, and Sandusky.38 37. Warren, K.W., and Baker, A.L., Jr.: Choice of Surgical Procedures in Treatment of Pancreatic Cysts , Surg Clin N Amer 38:815-829 ( (June) ) 1958. 38. Warren, W.D.; Marsh, W.H.; and Sandusky, W.R.: Appraisal of Surgical Procedures for Pancreatic Pseudocyst , Ann Surg 147:903-919 ( (June) ) 1958. 39. Waugh, J.M., and Lynn, T.E.: Clinical and Surgical Aspects of Pancreatic Pseudocyst: Analysis of 58 Cases , Arch Surg 77:47-54 ( (July) ) 1958.Crossref 40. Zaoussis, A.L.: Pancreatic Cysts: Surgical Treatment Especially by Use of Internal Drainage, With Report on Six Cases , Ann Surg 138:13-23 ( (July) ) 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Internal Drainage of Pseudocysts of the Pancreas

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320150110020
Publisher site
See Article on Publisher Site

Abstract

Abstract THE TREATMENT of pancreatic pseudocysts has undergone considerable evolution since the first attempts at surgical treatment by Le Dentu19 in 1862 (aspiration) and by Lücke and Klebs20 in 1866 (external drainage), both of which ended fatally. Bozeman1 successfully removed a cyst weighing 20½ lb from the tail of the pancreas without ligating a blood vessel in 1882, a remarkable feat even now. Excision is no longer the treatment of choice. The inflammatory nature, lack of a true capsule, adherence to vital structures, and frequent location of the pseudocyst in the head of the pancreas preclude successful excision most of the time. Meyer and associates23 and Murphy and Hinkamp26 reported a total of 66 cases of pseudocysts; in five of these, treatment was by excision. In a review of the literature between 1945 and 1958, Warren and co-workers38 found 48 cases (10%) in which excision References 1. Bozeman, N.: Removal of Cyst of Pancreas Weighing 20½ Pounds , Med Rec 21:46-47 ( (Jan 14) ) 1882. 2. Brilhart, K.B., and Priestley, J.T.: Pseudocysts of Pancreas , Amer J Surg 81:151-160 ( (Feb) ) 1951.Crossref 3. Carter, R.F., and Slattery, L.R.: Factors Influencing Management of Pancreatic Cysts , Surg Clin N Amer 27:411-416 ( (April) ) 1947. 4. Chollet, H.A., and James, P.M.: Massive Hemorrhage Following Cystogastrostomy for Pancreatic Cyst, With Case Report , Ann Surg 154:931-933 ( (Dec) ) 1961. 5. Covington, A.M.: Pseudocyst of Pancreas in Childhood , Amer Surg 25:965-966 ( (Dec) ) 1959. 6. Doubilet, H., and Mulholland, J.H.: Pancreatic Cysts: Principles of Treatment , Surg Gynec Obstet 96:683-692 ( (June) ) 1953. 7. Erb, W.H., and Grimes, E.L.: Pseudocysts of Pancreas: Report of 17 Cases , Amer J Surg 100:30-37 ( (July) ) 1960.Crossref 8. Grey, E.G.: Diversion of Pancreatic Juice From Duodenum Into Stomach: Its Effects Upon Level of Gastric Acidity and Upon Pancreas , J Exp Med 26:825-840 ( (Dec 1) ) 1917.Crossref 9. Gussenbauer, C., cited by Warren, Marsh, and Sandusky.38 10. Hahn, O., cited by Warren. Marsh, and Sandusky.38 11. Hanna, W.A.: Rupture of Pancreatic Cysts: Report of Case and Review of Literature , Brit J Surg 47:495-498 ( (March) ) 1960.Crossref 12. Henle, and Hahn, O., cited by Warren, Marsh, and Sandusky.38 13. Jedlicka, R., cited by Warren, Marsh, and Sandusky.38 14. Johnston, L.B., in discussion on Rosi, P.A.: Internal Drainage of Pancreatic Cyst by Means of a Roux-Y Anastomosis to the Jejunum , Arch Surg 63:126-127 ( (July) ) 1951. 15. Judd, E.S.; Mattson, H.; and Mahorner, H.R.: Pancreatic Cysts: Report of 47 Cases , Arch Surg 22:838-849 ( (May) ) 1931.Crossref 16. Jurasz, A., cited by Warren, Marsh, and Sandusky.38 17. Kerschner, F., cited by Maxeiner, S.R., Jr., and Maxeiner, S.R.21 18. König, E., cited by Warren, Marsh, and Sandusky.38 19. Le Dentu, M., cited by Judd, Mattson, and Mahorner.1 20. Lücke, A., and Klebs, E., cited by Judd, Mattson, and Mahorner.15 21. Maxeiner, S.R., Jr., and Maxeiner, S.R.: Pancreatic Cystgastrostomy: Discussion and Report of Case , Surgery 27:919-921 ( (June) ) 1950. 22. Menguy, R., and Blalock, J.C.: Retrograde Transductal Internal Drainage of Pancreatic Pseudocyst , Surgery 50:877-880 ( (Dec) ) 1961. 23. Meyer, K.A.; Sheridan, A.I.; and Murphy, R.F.: Pseudocysts of Pancreas: Report of 31 Cases , Surg Gynec Obstet 88:219-229 ( (Feb) ) 1949. 24. Miller, J.M.; Ginsberg, M.; and Surmonte, J.A.: Treatment of Pseudocysts of Pancreas , Amer J Gastroenterol 28:605-614 ( (Dec) ) 1957. 25. Mithoefer, J.: Pseudocyst of Pancreas in Childhood , Pediatrics 8:534-541 ( (Oct) ) 1951. 26. Murphy, R.F., and Hinkamp, J.F.: Pancreatic Pseudocysts: Report of 35 Cases , Arch Surg 81:564-568 ( (Oct) ) 1960.Crossref 27. Murray, E.T.: Spontaneous Intra-Gastric Rupture of Pseudocyst of Pancreas , Postgrad Med J 34:446-449 ( (Aug) ) 1958.Crossref 28. Neuffer, H., cited by Warren, Marsh, and Sandusky.38 29. Oeconomopoulos, C.T., and Lee, CM., Jr.: Pseudocysts of Pancreas in Infants and Young Children , Surgery 47:836-845 ( (May) ) 1960. 30. Ombrédanne, L., cited by Sinclair.35 31. Piper, CE., Jr.; ReMine, W.H.; and Priestley, J.T.: Pancreatic Cystadenomata: Report of 20 Cases , JAMA 180:648-652 ( (May 26) ) 1962.Crossref 32. Rienhoff, W.F., III: Evaluation of Pancreatic Cysts Treated at Johns Hopkins Hospital , Surgery 47:188-194 ( (Feb) ) 1960. 33. Shore, S.: Postpancreatic Pseudocyst in Adolescence: Internal Drainage Utilizing Roux Principle , Amer J Surg 95:147-149 ( (Jan) ) 1958.Crossref 34. Shumacker, H.B., Jr.: Management of Pancreatic Pseudocysts , editorial, Surgery 37:478 ( (March) ) 1955. 35. Sinclair, I.S.R.: Treatment of Pancreatic Cysts by Internal Drainage , Brit J Surg 42:367-377 ( (Jan) ) 1955.Crossref 36. Walzel, P., cited by Warren, Marsh, and Sandusky.38 37. Warren, K.W., and Baker, A.L., Jr.: Choice of Surgical Procedures in Treatment of Pancreatic Cysts , Surg Clin N Amer 38:815-829 ( (June) ) 1958. 38. Warren, W.D.; Marsh, W.H.; and Sandusky, W.R.: Appraisal of Surgical Procedures for Pancreatic Pseudocyst , Ann Surg 147:903-919 ( (June) ) 1958. 39. Waugh, J.M., and Lynn, T.E.: Clinical and Surgical Aspects of Pancreatic Pseudocyst: Analysis of 58 Cases , Arch Surg 77:47-54 ( (July) ) 1958.Crossref 40. Zaoussis, A.L.: Pancreatic Cysts: Surgical Treatment Especially by Use of Internal Drainage, With Report on Six Cases , Ann Surg 138:13-23 ( (July) ) 1953.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1965

References