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Pancreatic surgery in children

E P Tagge¹, J G Hill, D U Tagge

¹Department of Surgery, Medical University of South Carolina, Charleston 29425, USA.

Current Opinion in Pediatrics

|June 1, 1995

Summary

Pediatric pancreatic surgery, though uncommon, benefits from advanced techniques like endoscopic retrograde cholangiopancreatography. This review covers congenital anomalies, trauma, and tumors, noting areas lacking consensus in pediatric surgical care.

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Area of Science:

Pediatric Surgery
Gastroenterology
Surgical Oncology

Background:

Pancreatic surgery in children is infrequent, posing risks due to unfamiliarity.
Endoscopic retrograde cholangiopancreatography (ERCP) is now a successful tool in pediatric pancreatic interventions.
Accurate pancreatic duct anatomy visualization is crucial for diagnosis and surgical treatment.

Purpose of the Study:

To review current literature on pediatric pancreatic surgery.
To highlight areas of existing consensus and disagreement in the field.
To discuss the role of ERCP in managing pediatric pancreatic diseases.

Main Methods:

Review of recent scientific literature on pediatric pancreatic surgery.
Analysis of diagnostic and therapeutic approaches for pancreatic disorders in children.

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Focus on congenital anomalies, trauma, and tumors requiring surgical intervention.

Main Results:

ERCP demonstrates success rates comparable to adults in pediatric patients.
Key areas of pediatric pancreatic disease include congenital ductal anomalies, trauma, and tumors.
Significant variations in opinion and lack of consensus exist in several aspects of pediatric pancreatic surgery.

Conclusions:

Pediatric pancreatic surgery requires specialized knowledge, with ERCP enhancing diagnostic and therapeutic capabilities.
Management strategies for congenital anomalies, trauma, and tumors are evolving.
Further research and consensus-building are needed for optimal pediatric pancreatic surgical outcomes.