My brother had an acute pancreatitis and CT shows pancreatic pseudocyst formation. Please help.

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When he had the first episode of pancreatitis? What is the size of the cyst by ultrasound? What is serum amylase or lipase levels? Is he a diabetic? Is he an alcoholic? Will you please answer to above questions if possible.

If pseudocyst usually acute means we will wait for four to six weeks for recovery. If it is not recovering with medication or increasing the size in sequential CT scans or it causing any complications (adjoining vessel compression or size > 5 cm or infected or causing bowel obstruction or symptoms of decreased appetite or weight loss) need surgery. Yes, you may undergo laparoscopic pseudocyst gastrostomy or cysto jejunostomy.

For this procedure need experienced hands and long term outcome not known. But less morbidity and success rate. Yes in 15-18% of causes recurrence.

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I undergone all of your reports (attachment removed to protect patient identity). The cyst size is 17 ×11×15 and it is compressing the adjoining structures so need an intervention. It is better to undergo endoscopic surgery to decompress the cyst. So please consult a surgical gastroenterologist near by he will examine and treat you accordingly.