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We encountered 31 cases of pancreatic cysts in the past 13 years. They were calssified and clinically analysed and the literature reviewed. The cysts consisted of 13 pseudocysts, 15 retentions cysts, 2 cystadenomas and 1 cystadenocarcinoma. The pseudocysts originated from pancreatitis in 11 patients and from trauma in 2 patients. Abdominal pain was experienced by all the patients except two patients of 1 cystadenoma and 1 cystadenocarcinoma. Many patients presented with abdominal mass and elevated serum amylase. For difinitive diagnosis, we used to use intraoperative pancreatography but recently the diagnosis is made by such imaging modalities as ERP, CT-scanning and ultrasonography. Thirty patients received surgery; nine patients had direct operation on the cysts and 13 received pancreatic jejunostormy. Good results were obtained in these patients similarly to those who received cystectomy.
財団法人日本消化器病学会の論文