Surgical drainage procedures for paediatric chronic pancreatitis: a scoping review

Boam, Tristan; Gabriel, Melissa; Rogoyski, Bethan G.; Ram, Ashok Daya; Awan, Altaf

doi:10.1007/s00383-022-05242-8

Cited by 2 publications

(4 citation statements)

References 39 publications

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“…This, however, suffered from anastomotic stricture and poor drainage. Nowadays, an extension of the concept of retrograde pancreatic duct drainage, usually referred to as the longitudinal pancreatojejunostomy (LPJ) or the modified Puestow procedure, is the most performed procedure in paediatric CP [2]. Charles Puestow (1902Puestow ( -1973 originally described a splenectomy, distal pancreatectomy, and invagination of the opened duct in the body and tail of the pancreas into a Roux loop and used this principally for alcohol-induced CP in adults [66].…”

Section: Endoscopic Retrograde Cholangiopancreatography (Ercp)mentioning

confidence: 99%

“…The main complications of an LPJ is an early anastomotic leak or the future development of an anastomotic stricture. A recent systematic review identified five such cases of anastomotic strictures after an LPJ in over 150 paediatric PJ procedures [2]. The incidence is likely much higher than this, but long-term follow-up sufficient to reliably inform outcomes has not been achieved.…”

Section: Surgical Intervention In Children Withmentioning

confidence: 99%

“…The incidence is likely much higher than this, but long-term follow-up sufficient to reliably inform outcomes has not been achieved. Further reported complications included prolonged paralytic ileus, respiratory complications, and acute pancreatitis [2,60,61,80].…”

Section: Surgical Intervention In Children Withmentioning

confidence: 99%

“…Chronic pancreatitis (CP) is a recurrent and progressive inflammatory process that leads, if untreated, to pancreatic atrophy and loss of exocrine and endocrine pancreatic function. It presents clinically with recurrent bouts of abdominal pain, and it poses additional risks to the children that may manifest with failure to thrive, time off education, and an added hazard of opioid dependence [1,2]. There is clearly an overlap with recurrent acute pancreatitis (RAP), and many individuals with CP start this way.…”

Section: Introductionmentioning

confidence: 99%

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Surgical and Endoscopic Intervention for Chronic Pancreatitis in Children: The Kings College Hospital Experience

Jeropoulos,

Joshi,

Aldeiri

et al. 2024

Children

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Paediatric chronic pancreatitis (CP) is a rare and debilitating pathology that often requires invasive diagnostics and therapeutic interventions either to address a primary cause such as a pancreaticobiliary malunion or to deal with secondary complications such as chronic pain. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are two endoscopic modalities that have an established diagnostic role in paediatric CP, and their therapeutic utilisation is increasing in popularity. Surgical decompression of the obstructed and dilated pancreatic duct plays a role in alleviating pancreatic duct hypertension, a common association in CP. Surgery equally has a role in certain anatomical abnormalities of the pancreaticobiliary draining system, or occasionally in some CP complications such as drainage of a symptomatic pancreatic pseudocyst.

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Section: Endoscopic Retrograde Cholangiopancreatography (Ercp)mentioning

confidence: 99%

Section: Surgical Intervention In Children Withmentioning

confidence: 99%

Section: Surgical Intervention In Children Withmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical and Endoscopic Intervention for Chronic Pancreatitis in Children: The Kings College Hospital Experience

Jeropoulos,

Joshi,

Aldeiri

et al. 2024

Children

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Laparoscopic Internal Drainage for Pediatric Pancreatic Pseudocysts

Xiong,

Qiu,

et al. 2024

Preprint

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Background: Pancreatic pseudocysts are rare in the pediatric population. Currently, internal drainage surgery is considered the ideal treatment for this disease. However, there have been few reports on laparoscopic pediatric pancreatic pseudocyst jejunal Roux-en-Y anastomosis surgery. Therefore, this study aimed to investigate the efficacy and safety of laparoscopic pancreatic pseudocyst jejunal Roux-en-Y anastomosis surgery in the treatment of pancreatic pseudocysts in children. Methods: A retrospective analysis was conducted on clinical data from three pediatric pancreatic pseudocyst cases admitted to the department of Pediatric Surgery of Sun Yat-sen Memorial Hospital, Sun Yat-sen University from April 2021 to September 2023. All patients were received CT or MR scan to evaluate the location and size of the lesions. The dynamic changes in blood leukocyte analysis, serum amylase, and liver function were also checked before and after surgery. The inclusion criteria for surgical treatment were ineffective drug treatment, a cyst diameter greater than 6 cm, and patients with cysts present for more than 6 weeks. General clinical data, blood test results, surgical time, intraoperative blood loss, and postoperative complications were collected and statistically analyzed. All patients were followed up for 2-12 months, with an average follow-up time of 8.33 months. Results: There were 1 male and 2 female patients, aged between 7 and 14 years with an average age of 9.66 years. All patients had a body mass index (BMI) <15, classified as severely underweight. The diagnosis of pancreatic pseudocysts was made based on clinical manifestations, hematological test results, and CT/MR imaging. Two patients underwent laparoscopic pancreatic pseudocyst jejunal Roux-en-Y anastomosis surgery, while one patient received drug therapy. The intraoperative blood loss for the two surgical patients was 20 ml each, with no blood transfusions required intraoperatively. On the 4th postoperative day, bowel movements resumed, and on the 5th postoperative day, oral intake resumed. The abdominal drainage tube was removed within 1 week postoperatively, and a CT scan performed 1 week after surgery showed a significant reduction in the size of the pancreatic pseudocyst with unobstructed internal drainage. No complications such as fever, bleeding, pancreatic leakage, intestinal leakage, anastomotic stenosis, intestinal obstruction, or fistula formation occurred postoperatively. Blood leukocyte count, serum amylase, and transaminase levels transiently increased on the 1st postoperative day and subsequently decreased to normal levels within 1 week, stabilizing within the normal range. The serum amylase levels gradually decreased to normal in the patient receiving drug therapy, with blood leukocyte count and transaminase levels remaining within the normal range. All patients recovered well, and no recurrence or progression of pancreatic pseudocysts was observed. Conclusion:Laparoscopic pancreatic pseudocyst jejunal Roux-en-Y anastomosis surgery is safe and effective in the treatment of pancreatic pseudocysts in children and deserves to be promoted.

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Surgical drainage procedures for paediatric chronic pancreatitis: a scoping review

Cited by 2 publications

References 39 publications

Surgical and Endoscopic Intervention for Chronic Pancreatitis in Children: The Kings College Hospital Experience

Surgical and Endoscopic Intervention for Chronic Pancreatitis in Children: The Kings College Hospital Experience

Laparoscopic Internal Drainage for Pediatric Pancreatic Pseudocysts

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