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Management of pancreatic pseudocyst in childhood: an increasing role for percutaneous external drainage
M T Corbally1, N S Blake, E J Guiney
1Department of Surgery, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
Insights
Percutaneous pigtail catheter drainage effectively treated major pancreatic pseudocysts in four pediatric patients. This minimally invasive approach led to complete pseudocyst resolution without complications, offering a viable first-line therapy option.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Interventional Radiology
Background:
- Pancreatic pseudocysts are a significant complication in children, often requiring intervention.
- Traditional treatments can be invasive and carry risks.
- Minimally invasive techniques are increasingly explored for pediatric conditions.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous pigtail catheter drainage for major pancreatic pseudocysts in children.
- To assess the outcomes of this minimally invasive approach as a first-line therapy.
Main Methods:
- A retrospective review of four pediatric patients with major pancreatic pseudocysts.
- Treatment involved percutaneous insertion of pigtail catheters for drainage.
- Monitoring included clinical recovery and pseudocyst resolution.
Main Results:
- Complete resolution of pancreatic pseudocysts was achieved in all four patients.
- No complications were reported related to catheter insertion or drainage.
- Average hospital stay was 56 days, with 21 days of catheter drainage and 35 days of total parenteral nutrition.
Conclusions:
- Percutaneous pigtail catheter drainage is a safe and effective first-line treatment for pediatric pancreatic pseudocysts.
- This method offers a minimally invasive alternative to more complex surgical interventions.
- Successful outcomes support its use in managing non-resolving or enlarging pseudocysts in children.
Abstract:
A total of four patients with a major pancreatic pseudocyst were treated by percutaneous pigtail catheter drainage. All patients recovered with complete resolution of the pseudocyst. There were no complications in relation to catheter insertion. Mean(s.d.) hospital stay was 56(15) days with a mean(s.d.) duration of catheter drainage and total parenteral nutrition of 21(14) and 35(9) days respectively. Percutaneous drainage is an appropriate method of first line therapy for non-resolving or enlarging pancreatic pseudocyst in children.