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Previous Volume 344:140-142 January 11, 2001 Number 2 Next

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To the Editor: In his discussion of Case 26-2000 (Aug. 24 issue),¹ Dr. Wanebo states that "pancreatic pseudocysts should be treated by surgical internal drainage if they communicate with the pancreatic duct or if the duct is obstructed." Wanebo cites a study by Ahearne et al.² from 1992, in which only three patients were treated endoscopically.

More recent data show that endoscopic retrograde cholangiopancreatography (ERCP) is a good alternative to surgery for the treatment of pancreatic pseudocysts, particularly those that communicate with the pancreatic duct. Four studies in 1995 described patients with pancreatic pseudocysts that communicated with the pancreatic duct . . . [Full Text of this Article]

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