Pseudocysts of pancreas in children

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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

P P Wasadikar1, A V Dawle, A Kulkarni

  • 1Swami Ramanand Teerth Rural (S.R.T.R.) Medical College, Ambajogai.

Indian Journal of Medical Sciences
|April 1, 1996
PubMed

Insights

Pediatric pseudopancreatic cysts were successfully managed using transgastric cystogastrostomy in 7 children. This surgical approach showed no deaths or recurrences, indicating outcomes similar to adult cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Outcomes

Background:

  • Pseudopancreatic cysts are rare in children, with trauma being an identified cause in some cases.
  • Management strategies for pediatric pseudopancreatic cysts are less established compared to adult populations.
  • Understanding the efficacy of surgical interventions in pediatric pseudocyst cases is crucial.

Purpose of the Study:

  • To evaluate the outcomes of transgastric cystogastrostomy for managing pseudopancreatic cysts in children.
  • To determine the safety and efficacy of this surgical technique in a pediatric cohort.
  • To compare pediatric pseudocyst surgical outcomes with those reported in adult literature.

Main Methods:

  • A retrospective review of 7 pediatric patients diagnosed with pseudopancreatic cysts over a 5-year period.
  • All patients underwent transgastric cystogastrostomy as the primary surgical intervention.
  • Data collection included etiologic factors, surgical procedure details, and follow-up outcomes.

Main Results:

  • Seven pediatric patients with pseudopancreatic cysts were managed, with trauma identified in one case.
  • Transgastric cystogastrostomy was performed on all patients, with no intraoperative or postoperative complications reported.
  • Mean follow-up of 30 months revealed no instances of mortality or cyst recurrence.

Conclusions:

  • Transgastric cystogastrostomy is a safe and effective treatment for pediatric pseudopancreatic cysts.
  • The surgical outcomes in children appear comparable to those observed in adult patients.
  • Further research may validate these findings in larger pediatric cohorts.

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