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First Report of Treatment with Pancreas-Sparing Duodenectomy in a Child with Primary Intestinal Lymphangiectasia
Tugba Acer-Demir1, Ibrahim Ötgün1, Figen Özçay2
1Department of Pediatric Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey.
Insights
Pancreas-sparing duodenectomy (PSD) is a safe surgical option for children with duodenal issues. This technique was successfully used in a pediatric patient with intestinal lymphangiectasia, marking its first use in childhood.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- Pancreas-sparing duodenectomy (PSD) is an established procedure for adult duodenal pathologies.
- Intestinal lymphangiectasia is a rare condition affecting the small intestine's lymphatic system.
Observation:
- A 3-year-old female patient with intestinal lymphangiectasia was treated surgically.
- The patient underwent a pancreas-sparing duodenectomy (PSD).
Findings:
- This case represents the first documented use of PSD in a pediatric patient.
- The surgical outcome was successful, demonstrating feasibility in childhood.
Implications:
- Pancreas-sparing duodenectomy (PSD) may be a viable option for benign pediatric duodenal pathologies.
- Preserving the ampulla as a duodenal patch may negate the need for common bile duct and pancreatic duct stenting.
Abstract:
Pancreas-sparing duodenectomy (PSD) is a known surgical technique used in patients with duodenal pathologies in the adult age group. We present a 3-year-old female patient with intestinal lymphangiectasia who underwent PSD. This is the first case in which this surgical technique was used in childhood. We believe that PSD can be used in the pediatric age group for benign pathologies. Introducing a stent to the common bile duct and the main pancreatic duct is not a requirement, especially if the ampulla is preserved as a "button" duodenal patch.
