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Pancreatic Pseudocyst

Struggling with abdominal pain or facing a fluid-filled pancreatic pseudocyst? At GastroDoxs in Houston, Dr. Bharat Pothuri provides personalized care, advanced endoscopic drainage techniques, and lifestyle guidance. Trust our expert team for support and effective treatment tailored to you.

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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

What Is a Pancreatic Pseudocyst?

A pancreatic pseudocyst is a fluid-filled sac that forms adjacent to the pancreas. Unlike true cysts, it lacks a cellular lining and contains digestive juices plus tissue debris. Pseudocysts most often develop after an episode of acute or chronic pancreatitis (ICD-10: K86.3).

Common Causes and Risk Factors

  • Acute or chronic pancreatitis
  • Heavy alcohol consumption
  • Gallstones
  • Abdominal trauma
  • Pancreatic surgery or endoscopic procedures

Signs and Symptoms

  • Upper abdominal pain or discomfort
  • A tender lump or swelling under the ribs
  • Nausea and vomiting
  • Feeling full quickly after meals
  • Poor appetite or unexplained weight loss
  • Fever (if the pseudocyst becomes infected)

Expert Treatment for Pancreatic Pseudocyst by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Exam

He reviews your history of epigastric pain, prior pancreatitis or gallstones, alcohol use, recent abdominal surgery, and any signs of fullness or swelling.

Blood Tests

Laboratory studies include pancreatic enzymes (amylase, lipase), liver function tests, complete blood count to look for infection, and inflammatory markers.

Imaging Studies

  • CT scan of the abdomen -gold standard for visualizing pseudocyst size, location, and relation to nearby structures.
  • MRI/MRCP -detailed view of the pancreatic ductal system and cyst characteristics without radiation.
  • Endoscopic ultrasound (EUS) -high-resolution images and opportunity for guided fluid sampling if needed.

Advanced Testing (if needed)

If there's concern for infection or hemorrhage, fluid from the pseudocyst can be aspirated under EUS or CT guidance for analysis of amylase levels, cultures, and cytology.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for pancreatic pseudocysts.

1. Lifestyle and Diet Modifications

  • Avoid alcohol and fatty foods
  • Eat small, low-fat meals
  • Stay well hydrated

2. Medications

  • Pain relievers to manage discomfort
  • Digestive enzyme supplements to aid food absorption
  • Antibiotics if the pseudocyst becomes infected

3. Minimally Invasive or Surgical Options

  • Endoscopic drainage for precise, image-guided fluid removal
  • Percutaneous drainage using a needle under CT or ultrasound guidance
  • Surgical intervention when less invasive methods are not sufficient
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How long does it take to heal?

Small pancreatic pseudocysts may resolve on their own within 4-6 weeks. Larger pseudocysts or those causing symptoms often require drainage or extended monitoring with imaging.

Is a pancreatic pseudocyst cancer?

No. A pancreatic pseudocyst is a fluid collection without a true cellular lining. It's not cancerous, but it can lead to complications if left untreated.

Will I need more than one CT scan?

Typically, you'll have an initial CT scan to confirm the pseudocyst and follow-up imaging every few weeks or months to track its size and healing. Dr. Pothuri will recommend the optimal schedule for you.

Are there risks with drainage?

Minimally invasive drainage carries low risks-such as bleeding, infection, or leakage. Dr. Pothuri uses advanced endoscopic and image-guided techniques to minimize these complications.

Can I prevent a pseudocyst?

While not all pseudocysts can be prevented, you can reduce your risk by managing pancreatitis triggers: avoid excessive alcohol, treat gallstones promptly, and follow your physician's guidance on pancreatic health.

What treatments do you offer at GastroDoxs?

We provide comprehensive care-including dietary guidance, medication management, endoscopic drainage, percutaneous catheter drainage, and surgery when necessary-all tailored to your condition.

Do I need to fast before tests?

Yes. Fasting for 6-8 hours is usually required before CT scans or endoscopic procedures. Our team will give you clear, step-by-step instructions before your appointment.

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