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Updated: Jul 4, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Endoscopic cystogastrostomy
Sushil Budhiraja1, Ajit Sood, Chiranjiv S Gill
1Pediatric Surgery Unit, Dayanand Medical College and Hospital, 157-H, Bhai Randhir Singh Nagar, Ludhiana, 141001, Punjab, India. sheelbudhiraja@rediffmail.com
Insights
Endoscopic cystoenterostomy is a rare but effective treatment for pediatric pancreatic pseudocysts. This case report details a successful endoscopic cystogastrostomy in a 9-year-old boy, marking a first in Indian literature.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Endoscopic Procedures
Background:
- Pancreatic pseudocysts in children are uncommon, often resulting from trauma.
- Endoscopic cystoenterostomy is an emerging treatment modality with limited pediatric case reports.
- Previous literature documented only ten successful pediatric endoscopic cystoenterostomies.
Observation:
- A 9-year-old male presented with a post-traumatic pancreatic pseudocyst.
- The patient underwent an endoscopic cystogastrostomy procedure.
- The procedure was technically successful and the patient recovered well.
Findings:
- Successful management of a pediatric pancreatic pseudocyst using endoscopic cystogastrostomy.
- This represents the first reported pediatric case of endoscopic cystogastrostomy for pancreatic pseudocyst in Indian literature.
- Highlights the feasibility and efficacy of minimally invasive endoscopic techniques in pediatric surgical care.
Implications:
- Endoscopic cystoenterostomy offers a viable, less invasive alternative for pediatric pancreatic pseudocysts.
- Encourages further research and adoption of endoscopic techniques in pediatric gastroenterology and surgery.
- Expands the treatment options for complex pancreatic pathologies in children.
Abstract:
Endoscopic cystoenterostomy for drainage of pancreatic pseudocyst is a new emerging modality which has rarely been reported in pediatric patients. Only ten successfully performed cases of pediatric endoscopic cystoenterostomy have been reported previously. We report a case of 9 year old male child with post traumatic pseudocyst of pancreas, successfully managed by endoscopic cystogastrostomy. To best of our knowledge, this is the first pediatric case report in Indian literature.
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