Related Experiment Videos
Surgical management of the pancreatic pseudocyst in children: a long-term evaluation
G Karagüzel1, M E Senocak, N Büyükpamukçu
1Departament of Pediatric Surgery, Hacettepe University, School of Medicine, Ankara, Turkey.
Insights
Transgastric cystogastrostomy is the preferred surgical treatment for pediatric pancreatic pseudocysts (PP). This internal drainage method showed successful outcomes in a retrospective study of 10 children, with most patients recovering well.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Oncology
Background:
- Pancreatic pseudocysts (PP) are rare in children.
- Surgical intervention is sometimes necessary for pediatric PP.
Purpose of the Study:
- To evaluate the efficacy of different surgical treatments for pediatric pancreatic pseudocysts.
- To determine the optimal surgical approach for PP in children.
Main Methods:
- Retrospective review of 10 pediatric patients with PP treated surgically between 1977 and 1990.
- Surgical procedures included transgastric cystogastrostomy, total excision, and external drainage.
- Follow-up included clinical assessment, biochemical tests, abdominal ultrasonography, and barium meals.
Main Results:
- Transgastric cystogastrostomy was performed in 8 patients with successful outcomes.
- One patient underwent total excision, and another had external drainage.
- Nine out of ten patients recovered without complications after surgery.
Conclusions:
- Transgastric cystogastrostomy is a safe and effective treatment for pediatric pancreatic pseudocysts.
- Internal drainage via cystogastrostomy should be favored over other surgical methods for PP in children.
- Despite advancements in percutaneous techniques, surgical internal drainage remains a primary option.
Abstract:
Pseudocyst of the pancreas is an uncommon disorder in children. During the period of 1977 to 1990, the authors reviewed the records of 10 consecutive patients with pancreatic pseudocyst (PP) who were surgically treated in our institution. In 8 patients, the surgical procedure that was used was transgastric cystogastrostomy, and in 1 patient it was total excision of the pseudocyst. The remaining 1 patient underwent external drainage. After an average follow-up of previous operation except the 1 patient who was treated with external drainage. Biochemical tests, abdominal ultrasonographies, and barium meals were also normal in 9 patients. The analysis of the results indicates that despite new percutaneous therapeutic modalities, it is still an internal drainage through transgastric cystogastrostomy that should be favored in treatment of PP in children.