1.9K Reviews | 4.7 Star Rating | 20+ years of experience | 72k+ Patients Treated
Pancreatic Pseudocyst
At GastroDoxs in Houston, Dr. Scott specializes in diagnosing and treating pancreatic pseudocysts-fluid-filled pockets often arising from pancreatitis or trauma. With advanced imaging, minimally invasive techniques, personalized diet plans, patients benefit from exceptional care, rapid relief, and improved digestive health.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is a Pancreatic Pseudocyst?
A pancreatic pseudocyst is a fluid-filled sac that forms in the abdomen, usually after inflammation of the pancreas (pancreatitis). It contains digestive enzymes, tissue debris, and blood. While some pseudocysts resolve on their own, others may grow large, cause pain, infection, or press on nearby organs. Symptoms may include bloating, nausea, vomiting, and abdominal discomfort. Treatment depends on the size and symptoms, and may involve monitoring, drainage, or surgery.
Common Causes and Risk Factors
Pancreatitis (acute or chronic)
Abdominal injury or prior pancreatic surgery
Gallstones or blocked bile ducts
Heavy alcohol use
Smoking
Signs and Symptoms
Upper abdominal pain or a feeling of pressure
Nausea and vomiting
Bloating or early fullness when eating
Fever or chills (if the cyst is infected)
Unexplained weight loss
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your pattern of epigastric pain, history of pancreatitis or abdominal injury, alcohol use, gallstone risk, and past surgeries.
Blood Tests
We check pancreatic enzymes (amylase, lipase), complete blood count, inflammatory markers, and metabolic panels.
Imaging Studies
Abdominal ultrasound to detect fluid collections adjacent to the pancreas.
Contrast-enhanced CT scan (confirms ICD-10 K86.3) to assess cyst size, wall thickness, and complications.
MRI/MRCP to visualize pancreatic ducts, identify blockages, and characterize fluid content.
Endoscopic ultrasound (EUS) for high-resolution imaging and to guide therapeutic drainage if needed.
Advanced Testing (if needed)
Endoscopic retrograde cholangiopancreatography (ERCP) can evaluate ductal leaks, obtain cyst fluid samples, or place stents for internal drainage.
Treatment
Our Team offers a full range of care for pancreatic pseudocysts.
1. Lifestyle and Diet Modifications
Small, low-fat meals to minimize pancreatic stimulation
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What causes a pancreatic pseudocyst?
Pancreatitis (acute or chronic), gallstones or bile duct blockages, abdominal injury or surgery, heavy drinking, and smoking can all lead to pseudocyst formation.
How long does a pseudocyst last?
Many small pancreatic pseudocysts resolve on their own within 4-6 weeks under close monitoring.
When is drainage required?
Drainage is recommended if the cyst enlarges, causes significant pain or pressure, leads to digestive issues, or becomes infected.
Will I need surgery to treat my pseudocyst?
Most patients avoid open surgery. Minimally invasive endoscopic or laparoscopic drainage procedures usually suffice.
What is the ICD-10 code for a pancreatic pseudocyst?
The ICD-10 code for a pancreatic pseudocyst is K86.3.
Can diet help prevent a pseudocyst?
Yes. Eating small, low-fat meals and avoiding alcohol and smoking can reduce your risk of developing a pseudocyst.
