Operative Management of Chronic Pancreatitis in Children

Management of chronic pancreatitis in the pediatric patient: endoscopic retrograde cholangiopancreatography vs operative therapy

“…However, recent reports of small series of patients have demonstrated successful outcomes with surgical intervention [12][13][14][15]. In addition, the role of endoscopic therapy, specifically endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound, has significantly impacted diagnostic evaluation of this disease and offers less invasive therapeutic tools [16][17][18][19].…”

Pancreatic Lesions in Children: Our Experience in the Surgical Ward

“…8 Operations performed include drainage (lateral pancreaticojejunostomyPuestow procedure) or resectional procedures of varying degree. ERCP has a definite role in the management of this illness as the findings direct further management strategies.…”

“…However mimicking results in the adult population, the performance of this procedure in the absence of consistent ductal dilatation gives unsatisfactory results. 11 A resectional procedure may be useful if a Puestow procedure fails to ameliorate pain, 8 with as many as 75% of patients having a reasonable lifestyle after pancreatic resection. 12,13 Among resectional procedures, total pancreatectomy has the highest 30-day mortality (5%) and morbidity (47%) and should be avoided.…”

Tailored resective pancreatic surgery for pediatric patients with chronic pancreatitis

“…In fact, there is a lack of prospective randomized trials comparing different treatment modalities in this age group. Most of publications are case series of pediatric patients treated with drainage procedures such as longitudinal pancreaticojejunostomy (LPJ, modified Puestow procedure) [6][7][8] or distal pancreatectomy with or without caudal pancreaticojejunostomy (PJ) (Duval procedure) [9]. The goal of these operative interventions is to decompress the obstructed and dilated pancreatic duct, thus facilitating drainage of pancreatic fluid and prevention of complications such as pseudocyst formation and pancreatic insufficiency.…”

“…The goal of these operative interventions is to decompress the obstructed and dilated pancreatic duct, thus facilitating drainage of pancreatic fluid and prevention of complications such as pseudocyst formation and pancreatic insufficiency. Postoperative outcome in terms of pain control and exocrine function were reported to be fairly good [8,9]. However, for adult patients, long-term follow-up results after drainage procedures showed that early good results decreased over time [10][11][12][13].…”