[Surgical treatment of XXXX ].

@entity1 @entity788 @entity548 @entity660 @entity1689 @entity532 @entity281 @entity292 @entity490 @entity9007
BACKGROUND: A @entity9007 is the collection of pancreatic secretions surrounded by fibrous tissue caused by @entity660 that affects the pancreatic duct. Clinical presentation is variable. Management includes percutaneous, endoscopic or surgical drainage and resection. MATERIAL AND METHODS: Review of a cohort of @entity1 with @entity9007 in a third level hospital. An analysis was performed on the demographic data, aetiology, clinical presentation, radiological and laboratory findings, type of surgical procedure, complications, recurrence and mortality. The statistical analysis was performed using Chi squared and Student t tests, with a p<0.05. RESULTS: A total of 139 @entity1 were included, of whom 58% were @entity1 and 42% were @entity1 , with median age of 44.5 years. @entity1689 was the most common aetiology, present in 74 @entity1 (53%). The main complaint was @entity490 in 73% of @entity1 . Median size was 18cm (range 7-29) and the most frequent location was body and tail of the pancreas. Internal surgical drainage was selected in 111 (80%) @entity1 , of whom 96 were cystojejunostomy, 20 (14%) had external surgical drainage, and 8 (6%) resection. Complications were, pancreatic @entity292 (12%), @entity548 (4%), @entity281 (4%), and other @entity532 (4%). Complication rate was higher if the cause was chronic @entity788 or if the management was external surgical drainage. Recurrence rate was 6%, and a mortality rate of 1%. CONCLUSION: Surgical management is a viable option for the management of @entity9007 with a low complication and recurrence rate.
