MCN - (Mother cyst) >95% in pre-menopausal women Mostly in body and tail of pancreas Thick-walled cyst, lined by Ovarian type stroma. Cyst contains mucinous / hemorrhagic material. Does not communicate with PD (unlike IPMN) 10-20% have in-dwelling cancer One review found - no dysplasia in cysts <3 cm in size LN mets is rare. Distal pancreatectomy usually suffices. Doesnt result in metachronous lesions. Surveillance isnt really necessary SCA - (Grandmother cyst) 75% of SCAs seen in post-menopausal women Can be anywhere in pancreas Honeycombing, with tiny cysts containing clear fluid distributed around central scarring. Central scarring may bear calcification in 30% cases Microcystic SCAs can undergo degeneration and become macrocystic variants zero risk of malignancy, but they can continue to grow and cause obstructive symptoms SPN - (daughter lesion) - Solid Pseudopapillary Neoplasm 90% of lesion occur in young women, in teens / twenties Anywhere in pancreas Sol...
Source- UTD https://www.jtcvs.org/action/showPdf?pii=S0022-5223%2818%2931859-2 Endoscopic Sphincterotomy - Risk of bleeding persist for upto 3 to 5 days after sphincterotomy Low to Mod risk of Thrombosis: Delay attaining therapeutic anticoagulation for 3 to 5 days after For eg: Re-start Warfarin at day 3 / Restart DOAC at day 5 High risk of Thrombosis: Re-start Warfarin on the evening of procedure / LMWH 48H after / DOAC day 5 - UFH 24-48H post. Mechanical Heart valves: Mechanical Mitral / Pulmonary vaalve - HIGHEST risk Mechanical Aortic valve - low to moderate ri...
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