Indications for therapeutic intervention of pancreatic pseudocysts.

Complicated pancreatic pseudocysts (one criterion sufficient)

 • Compression of large vessels (clinical symptoms or seen on CT scan)

 • Gastric or duodenal outlet obstruction

 • Stenosis of the common bile duct due to compression

 • Infected pancreatic pseudocysts

 • Haemorrhage into pancreatic pseudocyst

 • Pancreatico-pleural fistula

Symptomatic pancreatic pseudocyst

 • Satiety

 • Nausea and vomiting

 • Pain

 • Upper gastrointestinal bleeding (10—20%)

Asymptomatic pancreatic pseudocyst:

 • Pseudocysts >5 cm, unchanged in size and morphology for more than 6 weeks

 • Diameter cm and extrapancreatic complications in patients with chronic alcoholic pancreatitis

 • Suspected malignancy: median 5-year survival rate after resection 56%



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