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.

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