Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Nabi, Zaheer; Lakhtakia, Sundeep; Basha, Jahangeer; Chavan, Radhika; Gupta, Rajesh; Ramchandani, Mohan; Kalapala, Rakesh; Pal, Partha; Darisetty, Santosh; Rao, Guduru Venkat; Reddy, D. Nageshwar

doi:10.1111/den.12884

Cited by 28 publications

(37 citation statements)

References 33 publications

(69 reference statements)

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“…Complicated or symptomatic pseudocysts should be treated 112 . There are reports of successful EUS-guided drainage of pseudocysts in children 106,109 . medications, smoking, alcohol) ones also can elevate the risk of developing CP.…”

Section: Ap-vii5 What Are the Indications For Intervention In The Pmentioning

confidence: 99%

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

et al. 2018

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Section: Ap-vii5 What Are the Indications For Intervention In The Pmentioning

confidence: 99%

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

et al. 2018

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“…In our study, the PFCs not amenable to endoscopic drainage were managed with percutaneous drainage. Although endoscopic drainage of PFCs is gaining momentum, it may not be feasible in all the cases . The size of endoscopic ultrasound scope may be disproportionate, with a risk of airway compression in small children .…”

Section: Discussionmentioning

confidence: 99%

Outcome of radiological interventions in pediatric gastrointestinal diseases: A large tertiary center experience

et al. 2018

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Background Interventional radiology (IR) is an indispensable component of multidisciplinary care in various gastrointestinal (GI) diseases. The literature on safety and utility of IR is limited in children. Objectives In this study, we aim to analyze the outcomes of IR in various pediatric GI diseases. Methods The data of children (≤18 years) who underwent radiological interventions for GI disorders (2009–2017) were analyzed, retrospectively. The indications for interventions included vascular (Budd Chiari syndrome [BCS], pseudoaneurysm) and nonvascular (pancreatic fluid collections [PFCs], cholangitis and anastomotic biliary strictures). The outcomes of radiological interventions, including success and adverse events, were assessed. Results A total of 93 children (mean age 13.45 ± 4.09 years) underwent radiological interventions for vascular (chronic BCS = 14, pseudoaneurysm = 28) or nonvascular (PFCs = 33, hepaticojejunostomy strictures or leaks = 12, cholangitis = 6) indications. Of 33 children who underwent drainage of PFCs, clinical success was noticed in 32 children during a mean follow‐up of 32.4 ± 21.66 months; 11 children with persistent external pancreatic fistula were managed with endoscopic pancreatic ductal stenting (8 children) and internalization of transgastric drain (3 children). In children who underwent hepatic vein or inferior vena cava stenting for BCS, mean stent patency was 78.57% during a follow‐up of 24.1 ± 13.78 months. In children with pseudoaneurysms, angioembolization was successfully performed in 92.8% patients. Re‐bleeding was noticed in two children, one of whom required reintervention. In children who underwent percutaneous transhepatic biliary drainage, resolution of anastomotic strictures was noticed in all during a follow‐up of 36.1 ± 13.73 months. Conclusion Interventional radiology is safe and effective in the management of various pediatric GI diseases.

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“…The use of interventional EUS has been described for drainage of pancreatic fluid collection [122][123][124][125][126]. In particular, Zaheer Nabi et al described their experience in EUS-guided drainage of walled off necrosis using fully covered self-expanding metallic stents in 21 children with a technical and clinical success rates of 100% and 95%, respectively [127,128]. EUS-guided obliteration of portal venous collaterals with N-butyl-2-cyanoacrylate into feeding varices is possible, and an effective treatment for recurrent bleeding from varices that are not suitable for direct endoscopic treatment [129].…”

Section: Endoscopic Ultrasoundmentioning

confidence: 99%

Pediatric Endoscopy, Update 2020

et al. 2019

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Optimal management of pediatric endoscopy requires a multidisciplinary approach. In most hospitals, endoscopy in pediatric patients is performed by conventional gastroenterologists and only a few centers have specialized pediatric gastroenterologists. This is due to the fact that the number of pediatric gastroenterologists is limited and not all of them are experienced in endoscopic techniques. However, there are also some pediatric centers offering a high-quality and high-volume endoscopy service provided by very experienced pediatric gastroenterologists. Up to now, the literature on pediatric endoscopy is rather sparse. In this article, we describe current knowledge and practice of endoscopic procedures in pediatric patients, which should be relevant for both the adult and pediatric gastroenterologists.

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Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Abstract: EUS-guided drainage using plastic stents is safe and effective in children with PFC. Cystogastric plastic stents can be left safely long term. However, more studies with larger sample sizes are required.

Cited by 28 publications

References 33 publications

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

Outcome of radiological interventions in pediatric gastrointestinal diseases: A large tertiary center experience

Pediatric Endoscopy, Update 2020

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