Pancreatic pseudocysts following acute pancreatitis: Risk factors influencing therapeutic outcomes

Paolo Soliani, Christian Franzini, Stefanie Ziegler, Paolo Del Rio, Paolo Dell'Abate, Davide Piccolo, Gioacchino Giovanni Japichino, Giulia Martina Cavestro, Francesco Di Mario, Mario Sianesi

Research output: Contribution to journalArticle

Abstract

Context: The natural history of pancreatic pseudocysts has become well known in recent years, but the choice of a proper treatment still remains controversial. Objective: This study aims at establishing whether perdictive factors influencing therapeutic outcomes exist. Setting: Patients with pancreatic pseudocysts following an episode of acute pancreatitis treated from January 1980 to December 2001 at the Department of General Surgery and Organ Transplantation of the University of Parma, Italy. Patients: Seventy-four patients were studied: 12 had a spontaneous resolution, 37 patients were treated surgically, 15 were treated endoscopically and in 10, percutaneous drainage was used. Main outcome measures: Epidemiological, clinical and pathological characteristics of patients with pancreatic pseudocysts were related to morbidity, recurrence rates and hospital stay. Results: At univariate logistic regression, our data reveal a significant increase in morbidity related to age (P=0.013), etiology (alcoholic vs. biliary, P=0.024), Ranson score of previous pancreatitis (P=0.006), nutritional assessment (P=0.001), residual necrosis (P

Original languageEnglish
Pages (from-to)338-347
Number of pages10
JournalJournal of the Pancreas
Volume5
Issue number5
Publication statusPublished - Sep 2004

Keywords

  • Nutritional status
  • Pancreatic pseudocyst
  • Pancreatitis, acute necrotizing/etiology
  • Treatment outcome

ASJC Scopus subject areas

  • Endocrinology
  • Gastroenterology

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    Soliani, P., Franzini, C., Ziegler, S., Del Rio, P., Dell'Abate, P., Piccolo, D., Japichino, G. G., Cavestro, G. M., Di Mario, F., & Sianesi, M. (2004). Pancreatic pseudocysts following acute pancreatitis: Risk factors influencing therapeutic outcomes. Journal of the Pancreas, 5(5), 338-347.