Preoperative Investigations and Preparation for the Procedure

History: Vague abdominal or back pain after an attack of acute pancreatitis, nausea, vomiting, and weight loss Fullness or mass in the epigastrium Persistent increase in serum amylase after attack of acute pancreatitis

CT can identify one or more pseudocysts in the pancreas and may help to differentiate a cystic neoplasm from a pseudocyst Rarely used but can differentiate a pseudocyst that communicates with the main pancreatic duct from a cystic neoplasm, which should not occur unless it is an IPMN (intraductal papillary mucinous neoplasm) Preoperative preparation: NPO two to four hours before operation. A perioperative prophylactic I.V. antibiotic is repeated depending on the duration of operation

Clinical:

Laboratory tests: Diagnostic imaging: ERCP

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Dealing With Back Pain

Dealing With Back Pain

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