Table 1: Complications of Chronic Pancreatitis

Table 1:
Complications of Chronic Pancreatitis
Complication	Signs and Symptoms	Treatment
Pseudocyst	Increased pain Vomiting Mild elevation in amylase and lipase	Drainage for large or symptomatic pseudocysts: Endoscopic drainage (transmural or transpapillary) Surgical drainage (cyst-gastrostomy or cyst-jejunostomy)
Biliary obstruction	Jaundice	Drainage of obstructing pseudocyst Endoscopic decompression Surgical decompression
Gastric outlet obstruction	Abdominal pain Early satiety Nausea and vomiting	Drainage of pseudocyst Surgical gastrojejunostomy
Pancreatic adenocarcinoma	Increased pain Weight loss	Consider surgical resection Palliation
Pancreatic ascites	Increased abdominal girth High amylase ascites	Endoscopic stent placement Total parenteral nutrition
Pleural effusion	Shortness of breath High amylase pleural fluid	Therapeutic thoracentesis Endoscopic stent placement Total parenteral nutrition
Splenic vein thrombosis	Bleeding from gastric varices	Splenectomy