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Duodenal obstruction: A rare complication of severe acute pancreatitis in children

Olivier Leclercq1, Laurie Lecomte2, Xavier Stephenne3

  • 1Department of Pediatrics Cliniques Universitaires Saint-Luc Brussels Belgium.

JPGN Reports
|March 28, 2024
PubMed

Insights

Duodenal obstruction (DO) is a rare complication of pancreatitis, not previously reported in children. Conservative management led to full recovery in two pediatric patients with acute necrotizing pancreatitis and DO.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Duodenal obstruction (DO) is an infrequent complication of pancreatitis, documented in adults but not previously in pediatric cases.
  • Existing guidelines for pancreatitis complications do not address DO.
  • Acute necrotizing pancreatitis can lead to severe complications, including walled-off necrosis and DO.

Observation:

  • This report details two pediatric patients with acute necrotizing pancreatitis who developed DO.
  • Adult DO management typically involves nutritional support or surgical intervention like gastroenterostomy.
  • Both pediatric patients were successfully treated with conservative management.

Findings:

  • Conservative treatment for duodenal obstruction in pediatric acute necrotizing pancreatitis can be effective.
  • Recovery was achieved within two months of DO diagnosis in the reported cases.
  • Prolonged conservative management is a viable option for pediatric DO, even in severe pancreatitis cases.

Implications:

  • This study highlights the potential for duodenal obstruction in pediatric acute pancreatitis.
  • Conservative management should be considered for pediatric duodenal obstruction.
  • Further research is needed to establish definitive guidelines for pediatric DO management.

Keywords:
acute pancreatitiscomplicationconservative treatmentduodenal obstruction

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