Author/Editor		Pleskovič, Alojz; Pajek, Jernej
Title		Psevdociste trebušne slinavke
Translated title		Pancreatic pseudocysts
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. 2
Publication year		2000
Volume		str. 183-9
Language		slo
Abstract		Pancreatic pseudocysts, which develop as a complication of acute and chronic inflammation and pancreatic trauma, are a collection of pancreatic secretory products surrounded by a fibrous sac. It is important to differentiate these pseudocysts from acute fluid collections and other benign and malignant cystic lesions of the pancreas. Patients with a history of pancreatitis and developing pseudocyst present with a variety of signs and symptoms. Pseudocysts can cause a number of complications, the most dangerous one being acute haemorrhage into the pseudocyst, which requires immediate surgical intervention. Ultrasonography and computed tomography are essential to an accurate diagnosis of pancreatic pseudocysts. Patients with stable pseudocysts and no symptoms or complications are well taken care of by regular follow-ups. Surgical treatment with internal drainage is the therapy of choice in well-developed uncomplicated pseudocysts. Standard and alternative therapeutic approaches are described.
Summary		Psevdociste trebušne slinavke nastopajo kot zaplet akutnega in kroničnega vnetja ter poškodbe trebušne slinavke. So zbirki soka trebušne slinavke, obdani z vezivno-vnetno steno, in jih moramo ločiti od akutnih zbirkov tekočine in drugih benignih in malignih cističnih tvorb trebušne slinavke. Na razvoj psevdociste pri bolniku s pankreatitisom v anamnezi opozarjajo različni simptomi in znaki. Psevdocista lahko povzroči tudi različne zaplete, med katerimi je najnevarnejša akutna krvavitev v psevdocisto, ki terja takojšnje ukrepanje. Bistveni metodi za diagnozo psevdocist sta prikaz z ultrazvočnim pregledom ali računalniško tomografijo. Če je bolnik brez simptomov in zapletov in če psevdocista ne raste, bolnika le redno spremljamo. Najprimernejša metoda za zdravljenje dobro razvitih psevdocist brez zapletov je kirurška notranja drenaža. Poleg standardnega zdravljenja so predstavljene tudi alternativne metode zdravljenja.
Descriptors		PANCREATIC PSEUDOCYST DIAGNOSIS, DIFFERENTIAL