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Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage in Children: A Case Series
Ajay Kumar Jain1, Sumit K Singh2, Suchita Jain3
1Department of Gastroenterology, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India.
Insights
Endoscopic ultrasound (EUS)-guided drainage is a safe and effective treatment for pediatric pancreatic pseudocysts. This minimally invasive approach using plastic stents offers a viable alternative to surgery in children.
Area of Science:
- Gastroenterology
- Pediatric Endoscopy
- Interventional Radiology
Background:
- Endoscopic ultrasound (EUS)-guided drainage is increasingly preferred for adult pancreatic pseudocysts over traditional methods.
- Data on EUS-guided pseudocyst treatment in pediatric populations is limited, primarily consisting of case reports and small series.
Observation:
- This study details four pediatric cases of pancreatic pseudocysts successfully treated with EUS-guided cysto-gastrostomy.
- All procedures utilized plastic stents for drainage.
Findings:
- EUS-guided drainage via cysto-gastrostomy was technically successful in all four pediatric patients.
- No major complications were observed during or after the procedures.
- None of the patients required further endoscopic or surgical intervention post-drainage.
Implications:
- EUS-guided cysto-gastrostomy presents a safe and effective alternative to surgical intervention for pediatric pancreatic pseudocysts.
- This technique may reduce the need for more invasive procedures in children with this condition.
Abstract:
Over the last one-decade, endoscopic ultrasound (EUS)-guided drainage has evolved as a preferred modality for treating pseudocyst over conventional surgical or radiological procedures among adults using plastic stents or lumen opposing stents; however, studies on EUS-guided pancreatic of pseudocyst among children are mainly in the form of case reports or small case series. Therefore, we aimed to describe four pediatric cases of the pseudo-pancreatic cyst treated successfully with EUS-guided cysto-gastrostomy using plastic stents. In all four cases, EUS-guided drainage was successful using plastic stent with no major complications, and none of them required any follow-up endoscopic or surgical intervention. EUS-guided cysto-gastrostomy offers an excellent and safe alternative to surgery for treating pancreatic pseudocysts in children.
