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Pseudocysts of pancreas in children
P P Wasadikar1, A V Dawle, A Kulkarni
1Swami Ramanand Teerth Rural (S.R.T.R.) Medical College, Ambajogai.
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.
Abstract:
A total of 7 patients of pseudopancreatic cysts was managed in children over a period of 5 years Trauma was responsible for the development of pseudocyst in one while in rest of the patients no etiologic factor could be identified. All the patients underwent transgastric cystogastrostomy. With a mean follow-up of 30 months, no death and no recurrence was found. It seems that surgical experience of pseudopancreatic cysts in children is similar to that seen in adults.