Journal of the National Medical Association · 2006
Experience with surgical internal drainage of pancreatic pseudocyst.
СтатьяНазвание и аннотация: Перевод в очереди
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Edino Steven T, Yakubu Ahmed A
Аннотация
BACKGROUND: Pancreatic pseudocyst is an uncommon disorder in Nigeria compared with the Caucasian population.
OBJECTIVE: This study was carried out to determine the pattern and outcome of surgical management of the disease in a Nigerian population.
METHODS: The authors reviewed the records of 10 consecutive patients with pancreatic pseudocysts who were surgically managed in Aminu Kano Teaching Hospital, Kano, Nigeria, from November 1998 to October 2005.
RESULTS: There were four males and six females, with a mean age of 19.2 years. The etiological factors included idiopathic acute pancreatitis in a two-year old child and blunt abdominal trauma in two patients. In seven patients, the cause could not be determined. The most common clinical features included epigastric pain, fever, intra-abdominal mass and vomiting. The duration of symptoms ranged from 15-204 days (mean=102 days). Open cystogastrostomy was done in eight patients, and two patients had cystoduodenostomy. The mean duration of hospital stay after surgery was 9.4 days (range = 7-15 days). There was no recurrence in any of the patients after about 3-9 months of follow-up with ultrasonography, and no death was recorded.
CONCLUSION: Open surgical internal drainage is safe and effective with low morbidity and mortality. There is a need for provision of facilities for minimally invasive laparoscopic and endoscopic techniques.
OBJECTIVE: This study was carried out to determine the pattern and outcome of surgical management of the disease in a Nigerian population.
METHODS: The authors reviewed the records of 10 consecutive patients with pancreatic pseudocysts who were surgically managed in Aminu Kano Teaching Hospital, Kano, Nigeria, from November 1998 to October 2005.
RESULTS: There were four males and six females, with a mean age of 19.2 years. The etiological factors included idiopathic acute pancreatitis in a two-year old child and blunt abdominal trauma in two patients. In seven patients, the cause could not be determined. The most common clinical features included epigastric pain, fever, intra-abdominal mass and vomiting. The duration of symptoms ranged from 15-204 days (mean=102 days). Open cystogastrostomy was done in eight patients, and two patients had cystoduodenostomy. The mean duration of hospital stay after surgery was 9.4 days (range = 7-15 days). There was no recurrence in any of the patients after about 3-9 months of follow-up with ultrasonography, and no death was recorded.
CONCLUSION: Open surgical internal drainage is safe and effective with low morbidity and mortality. There is a need for provision of facilities for minimally invasive laparoscopic and endoscopic techniques.