Patients with initially successful endotherapy (87%) (n = 75) | Patients with initial surgery (failure of endotherapy) (13%) (n = 11) | |
No (%) | No (%) | |
Overall long-term success | ||
Clinical success | 63 (84) | 8 (73) |
Clinical failure | 12 (16) | 3 (27) |
Clinical characteristics | ||
Recurrent pancreatic pain | 15 (20) | 4 (36) |
Regular use of analgetics | 10 (13) | 4 (36) |
Enzyme therapy | 23 (31) | 8 (73) |
Pre-existing diabetes | 24 (32) | 4 (36) |
Newly developed diabetes | 15 (20) | 3 (27) |
Insulin dependence | 26 (35) | 4 (36) |
Morphology of cavity | ||
Remaining cavity/cyst | 9 (12)* | 0 |
Recurrence of cavity/cyst | 8 (11) | 4 (36) |
Further treatment | ||
Re-hospitalisation total | 15 (20) | 5 (45) |
Endoscopic cyst drainage | 7 (9) | 3 (27) |
Repeat endotherapy | 2 (3) | – |
Pancreatic surgery during follow-up | 3 (4) | – |
Mortality | ||
Total | 7 (9)† | 0 (0) |
Related to pancreatitis | 1 (1) | 0 |
*Of these nine patients, two underwent endotherapy and seven had long-term spontaneous resolution.
†For the patients who died (all but one due to unrelated reasons), clinical information after endotherapy was available; except for one patient who denied further treatment of necrosis and sepsis none of the patients had any symptoms, and they were all classified as having had clinical success.