1.9K Reviews | 4.7 Star Rating | 20+ years of experience | 72k+ Patients Treated
Pancreatic Pseudocyst
At GastroDoxs in Houston, Dr. Nghia Nguyen specializes in diagnosing and treating pancreatic pseudocysts—fluid-filled sacs developing after pancreatitis or injury. With personalized care plans, advanced imaging, and minimally invasive options, he helps patients manage symptoms, heal quickly, and restore health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Common Causes and Risk Factors
Acute or chronic pancreatitis
Injury or surgery on the pancreas
Gallstones or heavy alcohol use
Smoking
High triglycerides
Blocked pancreatic duct
Signs and Symptoms
Pain or pressure in the upper abdomen
Nausea and vomiting
Bloating after meals
Unexplained weight loss
Fever or chills if infection occurs
How Dr. Nghia Nguyen Diagnoses Pancreatic Pseudocyst?
Dr. Nguyen uses a step-by-step approach:
Medical History and Physical Exam
He reviews your pain history, onset and location of epigastric discomfort, past episodes of pancreatitis or abdominal injury, alcohol use, and other risk factors.
Blood Tests
We check pancreatic enzymes (amylase, lipase), markers of inflammation (CRP, WBC), liver function tests, and triglyceride levels to look for underlying causes or complications.
Imaging Studies
CT Scan - Provides detailed images of pseudocyst size, location, and relationship to surrounding organs.
MRI or Endoscopic Ultrasound (EUS) - Offers high-resolution detail, helps plan minimally invasive drainage if needed.
Advanced Testing (if needed)
In select cases, Dr. Nguyen may recommend endoscopic retrograde cholangiopancreatography (ERCP) to evaluate ductal anatomy or fine-needle aspiration under EUS guidance to rule out infection or hemorrhage.
Treatment
Our Team offers a full range of care for pancreatic pseudocysts.
1. Lifestyle and Diet Tips
Eat small, low-fat meals
Drink plenty of water
Avoid alcohol and tobacco
Choose lean proteins, vegetables, and fruits
2. Medications
Pain relief to reduce discomfort
Digestive enzymes to aid food breakdown
Antibiotics if there's an infection
3. Minimally Invasive and Surgical Treatments
Endoscopic drainage - camera-guided stent placement to drain fluid
Percutaneous catheter drainage - tube drainage under CT or ultrasound guidance
Surgery - reserved for very large or complicated pseudocysts
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What is a pancreatic pseudocyst?
It's a fluid-filled sac that forms near or on the pancreas, usually after pancreatitis or abdominal injury.
Can it go away without treatment?
Yes. Many small pseudocysts resolve on their own within 4-6 weeks with observation and supportive care.
How is it diagnosed?
We use imaging tests such as CT scan, abdominal ultrasound, MRI, or endoscopic ultrasound to visualize the cyst and assess its contents.
Is endoscopic drainage painful?
No. The procedure is performed under sedation and local anesthesia to ensure you remain comfortable.
When should I see a doctor in Houston?
Contact us if you experience persistent upper-abdominal pain, bloating, unexplained weight loss, fever, or signs of infection.
Do I need to follow a special diet after treatment?
Yes. A low-fat, balanced diet with small, frequent meals helps your pancreas heal and reduces symptoms.
What is the ICD-10 code for my medical record?
We use code K86.3 to document pancreatic pseudocyst for tracking and insurance purposes.
