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Pseudocysts of the pancreas in children in Morocco
M Kisra1, F Ettayebi, M Benhammou
1Department of Pediatric Surgery, Rabat University Children's Hospital, Morocco.
Insights
Traumatic pancreatic pseudocysts in children can be managed with ultrasound-guided drainage or cystogastrostomy. Surgical intervention led to successful outcomes with no recurrences observed in this pediatric cohort.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Pancreatic pseudocysts are a known complication, particularly following trauma.
- Four out of five pediatric cases reviewed had a traumatic origin.
Purpose of the Study:
- To evaluate treatment outcomes for pediatric pancreatic pseudocysts.
- To assess the efficacy of minimally invasive drainage techniques.
Main Methods:
- Ultrasound-guided drainage was the initial treatment modality for all five children.
- External drainage duration varied from 1 to 10 days.
- Internal drainage via cystogastrostomy was employed in two cases.
Main Results:
- Ultrasound-guided drainage achieved successful resolution in three cases.
- One case developed a cystogastric fistula during external drainage.
- Two cases required cystogastrostomy, with one needing repeat drainage.
- No pseudocyst recurrences were noted post-treatment.
- Surgically treated children had a 7-10 day recovery period.
Conclusions:
- Minimally invasive approaches, including ultrasound-guided drainage and cystogastrostomy, are effective for pediatric pancreatic pseudocysts.
- Prompt surgical intervention can lead to favorable outcomes and rapid recovery.
- Management strategies should consider the pseudocyst's origin and characteristics.
Background/Purpose:
Five children with pancreatic pseudocyst were treated from 1986 to 1998, 4 of these pseudocysts have a traumatic origin. Medical therapy reduces the pancreatic stimulation and favors the resolution or the maturation of the pseudocyst.
Methods:
First, all the children were treated with ultrasound-guided drainage. The duration of this drainage varied from 1 to 10 days with successful results in 3 cases. The internal drainage by cystogastrostomy was used in 2 cases.
Results:
The first showed a cystogastric fistula in the fifth day of the external drainage, the second was drained 2 times without success. There were no pseudocyst recurrences, and children treated surgically were discharged home within 7 to 10 days after operation.