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Traumatic pancreatitis and pseudocyst in children: current management
R L Warner1, H B Othersen, C D Smith
1Department of Surgery, Medical University of South Carolina, Charleston 29425.
The Journal of Trauma
|May 1, 1989
Summary
External catheter drainage remains the most effective treatment for pediatric traumatic pancreatitis pseudocysts. This method is preferred over internal drainage unless ductal disruption persists.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Trauma Surgery
Background:
- Traumatic pancreatitis and pseudocysts are serious complications in children.
- Previous studies highlighted management strategies, including external drainage and excision.
Purpose of the Study:
- To re-evaluate the efficacy of external drainage for pediatric post-traumatic pancreatitis pseudocysts.
- To compare current management outcomes with historical data.
Main Methods:
- Retrospective review of nine pediatric cases of post-traumatic pancreatitis over 10 years.
- Analysis of pseudocyst formation and management, focusing on external drainage.
Main Results:
- Seven of nine pediatric pancreatitis cases developed pseudocysts.
- External drainage was used in four cases, excision in one, and two resolved spontaneously.
- External drainage demonstrated continued efficacy in managing these pseudocysts.
Conclusions:
- External catheter drainage is the primary and most effective treatment for pediatric traumatic pancreatitis pseudocysts.
- Internal drainage is typically reserved for cases with persistent ductal disruption.