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Endoscopic management of pancreatic pseudocyst in children-a long-term follow-up
Shyam Sunder Sharma1, Sudhir Maharshi
1Department of Gastroenterology, SMS Medical College, Jaipur 302021, India.
Insights
Endoscopic drainage of pediatric pancreatic pseudocysts is safe and effective, showing excellent long-term outcomes with no recurrence in children. This procedure offers a promising treatment for pediatric pancreatic pseudocysts.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
- Pancreatic Diseases
Background:
- Limited data exists on the long-term results of endoscopic management for pediatric pancreatic pseudocysts.
- This study aims to evaluate the long-term outcomes of endoscopic pseudocyst drainage in children.
Purpose of the Study:
- To report the long-term outcomes of endoscopic drainage for pancreatic pseudocysts in pediatric patients.
- To assess the safety and efficacy of this minimally invasive approach in children.
Main Methods:
- Nine pediatric patients (<15 years) underwent endoscopic pseudocyst drainage (cystogastrostomy or cystoduodenostomy with stenting) between 1994 and 2004.
- Follow-up assessments were conducted at 1 month and 2–10 years post-procedure.
- Endoscopic retrograde cholangiopancreatography (ERCP) was performed at baseline and follow-up in two patients.
Main Results:
- The mean patient age was 9.6 years, with trauma being the most common etiology (8 patients).
- Mean follow-up duration was 5.7 years, with no observed recurrence of pseudocysts.
- Persistent pancreatic duct block was noted in two post-traumatic patients on ERCP, but without apparent clinical significance.
Conclusions:
- Endoscopic drainage of pancreatic pseudocysts in children is a safe procedure with highly favorable long-term outcomes.
- Pancreatic duct blockages identified via ERCP may not have long-term clinical implications in this pediatric population.
Background:
Literature on long-term outcome after endoscopic management of pediatric pancreatic pseudocyst is not available. The aim of the present study is to report long-term outcome after endoscopic drainage of pancreatic pseudocyst in children.
Methods:
Nine patients younger than 15 years, subjected to endoscopic pseudocyst drainage, were included in this study (between 1994 and 2004). Eight patients were subjected to endoscopic cystogastrostomy and stenting, whereas 1 patient was subjected to cystoduodenostomy and stenting. A follow-up of patients was done at 1 month and at 2 to 10 years after drainage. Endoscopic retrograde cholangiopancreatography (ERCP) was done in 2 patients at the time of drainage, and it was repeated in both the patients at the time of final follow-up.
Results:
Mean age of the patients was 9.6 years. Trauma was the most common cause (n = 8). Mean follow-up of these patients was 5.7 years (2-10 years). No recurrence was seen in any patient. Endoscopic retrograde cholangiopancreatography revealed complete pancreatic duct block in prevertebral region in 2 posttraumatic patients, and it was persisting on repeat ERCP at final follow-up.
Conclusions:
Endoscopic drainage of pancreatic pseudocyst is safe in children with a very good long-term outcome. Pancreatic duct block seen on ERCP may not be clinically important on long-term follow-up.
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