A male patient presents 8 weeks after an episode of acute pancreatitis. He reports vague abdominal pain and difficulty eating. His vital signs and laboratory values are normal, but his examination is notable for epigastric tenderness. A computed tomography scan shows a 10-cm pancreatic pseudocyst adjacent to the stomach. Which is the next best step?
A. Discharge to home with antibiotics
B. Percutaneous aspiration
C. Percutaneous drainage
D. Endoscopic drainage
E. Operative drainage
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A 38-year-old woman has chronic pancreatitis that requires surgical intervention because of chronic pain interfering with her quality of life. She undergoes an intraoperative ultrasound to help guide surgical management. Her main pancreatic duct is 8 mm in diameter, with multiple strictures seen in the duct, but more than 2 cm away from the papilla. Which procedure is most appropriate for this patient?
A. Whipple
B. Modified Puestow procedure
C. Frey procedure
D. Total
E. Beger procedure
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