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January 1965

Cyst-Gastrostomy Stomal Closure: Observations with the Fiberscope

Author Affiliations

From the Departments of Medicine and Surgery, University of Louisville School of Medicine and Louisville General Hospital.

Arch Surg. 1965;90(1):1-4. doi:10.1001/archsurg.1965.01320070003001

Pseudocyst of the pancreas is a relatively uncommon lesion. Jordan1 collected only 151 cases of pseudocyst in 2,142,631 hospital admissions for an incidence rate of 0.007%. One of the largest series of cases from a single institution is that of Waugh and Lynn,2 who reported 58 cases of pancreatic pseudocyst at the Mayo Clinic from 1948 to 1954. Hoxworth and associates3 from the University of Cincinnati have recently reported a series of 32 patients with pancreatic pseudocysts treated by internal drainage since 1950.

Pseudocysts of the pancreas have been managed successfully by excision and by drainage, either external or internal. Most authors agree that large pseudocysts are difficult to excise and that drainage is the safest procedure. However, external drainage, even by marsupialization, has been attended frequently by prolonged morbidity or by a persistent pancreatic fistula and has a higher recurrence rate than internal drainage procedures.1

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