Aktuella behandlingsprinciper vid pseudocystor i pankreas. Ultraljud och datortomografi har revolutionerat handläggningen

Pancreatic pseudocysts often complicate the course of both acute and chronic pancreatitis. The management, if the pseudocysts are symptomatic, still remains a substantial clinical problem. Surgical drainage was prior to the introduction of ultrasound and CT more or less the treatment of choice. A vide variety of other treatments have, however, been described that aim to achieve at least as good short and long-term results as surgery, but with reduced trauma, hospital stay and costs. Etiology, anatomy and patients’ preferences are examples of parameters that influence treatment decision making. Different treatment options, including conservative management, different techniques of percutaneus drainage, endoscopic drainage and open and laparoscopic surgery are reviewed.