instruction: hello doctor my brother is 43 years old he had an episode of acute pancreatitis last year gas and indigestion persisted since then a recent it scan has shown a possibility of pancreatic pseudocyst formation the doctor has advised to remove the same by the procedure my query regarding this is whether the pseudocyst can be treated by medicines or a procedure is recommended and if yes whether a laparoscopic procedure can be opted what are the advantages and disadvantages if there is a chance of the pseudocyst being formed again after the procedure I am currently on towa aony prankeeatoflat sompray vic and thelma am
output: hello 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 it scans or it causing any complications adjoining vessel compression or size am or infected or causing bowel obstruction or symptoms of decreased appetite or weight loss need surgery yes you may undergo laparoscopic pseudocyst gastrostomy or cyst 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