Review Articles On Pancreatic Pseudocyst

 Throughout pancreatic surgery history, the term pancreatic pseudocyst (PP) has been a field of debate between surgeons, gastroenterologists and radiologists, regarding their origin, evolution and management. Nowadays, PPs are considered as fluid collections within the peripancreatic tissue, which occasionally are often found partly or totally inside the pancreatic parenchyma. Imaging of PP shows fluid surrounded by a well-defined wall containing no solid material . However, the rather rare appearance of pseudocysts, along side the shortage of solid guidelines regarding their treatment, continues to boost new dilemmas and questions on their optimal management. Since the primary surgical internal drainage in 1921, surgery remained until recently the cornerstone within the management of PP. within the recent years, minimally invasive techniques, including laparoscopic procedures, endoscopic and radiology-guided interventions, have increased the available options within the treatment of PP. However, inconsistence of definitions but mainly the shortage of huge series of patients, have limited the quantity of randomized control trials about diagnosis and treatment of PP. Consequently, absence of level A evidence cannot provide safe conclusions on the optimal method of treatment, during this sometime difficult to know and treat pancreatic entity. The aim of this review is to supply the newest evidence found within the literature, regarding the management of PPs. a brief review on the classification, etiology and diagnosis, which could aid the treatment algorithm, are going to be presented. Moreover, available surgical techniques and results are going to be described, along side the novel techniques in terms of endoscopic and percutaneous management. Finally, all available treatment strategies are going to be compared so as to seek out the optimal treatment or combination of treatment methods.