**6.3 Development of a pseudocyst**

The choice of surgical procedure is dictated by the location of the pseudocyst and its proximity to a section of bowel suitable for drainage. Cyst-gastrostomy, cyst-duodenostomy and cyst-jejunostomy may all be employed depending on individual patient characteristics. Distal pancreatectomy may be employed for segmental disease within the body/tail together with an associated pseudocyst (Bornman PC S Afr Med J 2010). Surgery for pancreatic fistulae / ascites entails either a roux-en-Y jejunostomy to the fistula tract or an appropriate resection.
