Title: Results of Repeated Aspiration in Pancreatic Ascitis – A Study in 11 Cases
Authors: Dr Debananda Tudu, Dr Bana Bihari Mishra, Dr Bhupesh Kumar Nayak
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.18
Abstract
Pancreatic ascitis is a rare entity. Usually it is seen in alcoholics without any history of severe pain abdomen but with all the features of malnutrition and progressive ascitis which makes the diagnosis difficult. The diagnosis is settled by peritoneal fluid analysis for amylase, lipase and protein contents. The cause is usually established by ERCP. Most of the time the cause is trauma, rupture of pseudopancreatic cyst and ductal disruption in chronic pancreatitis. The conventional treatment includes repeated paracentesis, TPN, Octreotides, ERCP & stenting. Surgery may be needed in terms of cystogastrostomy, cystoduodenostomy, cystojejunostomy or distal pancreatectomy. Majority of the patients improved with conservative treatment for nearly 4 weeks and if no improvement planned for ERCP/Surgery. 11 cases of pancreatic ascitis were studied over a span of 3 years in the Dept. of General Surgery, VIMSAR, Burla from December 2014 to November 2017.
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