title: [Pancreatic pseudocyst: less is more].
abstract: Pancreatic pseudocysts (PQP) are rare in childhood and management tends to be individualized and controversial, and it is a challenge for the pediatric surgeon. The aim of this study is to determine the best management strategies in each patient.
  
  
  METHODS
  Retrospective review of children admitted to our institution with the diagnosis of PQP and review of literature between 1990 and 2007.
  
  
  RESULTS
  We report two children with postraumatic PQP that respond to non-operative management and 284 cases that were reported in literature (76% after blunt abdominal trauma). 26% of these patients had complete resolution of PQP with conservative management and the others patients required surgical intervention: external percutaneous drainage (18.6%), non-percutanueous external drainage drenaje (3.87%), cystogastrostomy (28.87%), cystojejunostomy o pancreaticojejunostomy (9.5%), endoscopic drainage (9.5%) or distal pancreatectomy (3.5%).
  
  
  CONCLUSIONS
  The choice of treatment depends on the surgeon's experience and management of the endoscopic techniques, as well as the availability of interventionist radiology. Asymptomatic PQP in children does no require any specific intervention other than expectant management, especially in patients with trauma-induced PQP. Children with persistent clinical symptoms or those who developed complications may require further intervention.
authors.affiliation: Servicio Cirugía Pediátrica, Hospital Infantil Universitario Miguel Servet, Zaragoza. reyesdelgado@yahoo.es
authors.forename: R
authors.initials: R
authors.lastname: Delgado Alvira
authors.forename: J
authors.initials: J
authors.lastname: Elías Pollina
authors.forename: E
authors.initials: E
authors.lastname: Calleja Aguayo
authors.forename: N González
authors.initials: NG
authors.lastname: Martínez-Pardo
authors.forename: J A
authors.initials: JA
authors.lastname: Esteban Ibarz
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies