Surgical management of a pancreaticopleural fistula in a child with chronic pancreatitis

Ranuh, Reza Gunadi; Ditchfield, Michael; Clarnette, Tom; Auldist, A. W.; Oliver, Mark

doi:10.1016/j.jpedsurg.2005.07.002

Cited by 11 publications

(14 citation statements)

References 9 publications

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“…Internal pancreatic fistulae following chronic pancreatitis is therefore not a commonly reported condition in children. The child presents with pancreatic ascites (pancreatico-peritoneal fistula) and/ or pancreatic pleural effusion (pancreatico-pleural fistula) [9,10]. Internal pancreatic fistulae are caused by disruption of the pancreatic duct.…”

Section: Discussionmentioning

confidence: 99%

The leaking pancreatic duct in childhood chronic pancreatitis

et al. 2006

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The leaking pancreatic duct in childhood chronic pancreatitis presents with ascites and pleural effusion and is a potentially lethal condition. Seven children with this condition were seen in the period 2003-2006. The correct diagnosis was not entertained till a raised serum amylase was discovered. The diagnosis was confirmed by very high levels of amylase in the aspirated abdominal or pleural fluid. Computerized tomogram was the most useful imaging study and demonstrated a dilated pancreatic duct. All children were operated within 6 days of diagnosis by a Puestow's procedure in six and peripancreatic drainage in one. Six children made a prompt and lasting recovery after a Puestow's procedure while one child, also suffering from metastatic neuroblastoma, died in the immediate post operative period after peripancreatic drainage. We recommend prompt and definitive surgical management of this potentially lethal condition.

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Section: Discussionmentioning

confidence: 99%

The leaking pancreatic duct in childhood chronic pancreatitis

et al. 2006

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“…Таким образом, результаты хирургического лечения пациентов со СПЖ в нашей клинике перекликаются с данными мировой литературы. При высокой его эффективности, достигающей 85-90%, частота осложнений и особенно летальных исходов существенно превосходит таковые показатели при эндоскопическом подходе к коррекции панкреатических свищей и составляет 15-26 и 6-10% соответственно [9,10,38].…”

Section: непосредственные результаты эндоскопического лечения спжunclassified

Endoscopic pancreatic stenting in pancreatic fistulas management

Budzinsky¹,

Shapovalyants²,

Федоров³

et al. 2017

Khir. Z. im. N.I. Pirogova

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“…Conservative, surgical, or endoscopic management treatment modalities are available [ 12 – 15 ]. However, endoscopic management of pediatric patients with PPF remains uncommon [ 8 , 9 , 11 , 15 ]. This report presented a young child whom failed conservative and needed to further management of PPF.…”

Section: Introductionmentioning

confidence: 99%

Pancreaticopleural fistula in a child with chronic pancreatitis harboring compound SPINK1 variants

et al. 2021

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Background Pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis (CP) that requires a high index of clinical suspicion in the patient who presents with a pleural effusion. Visualizing the fistula tract from the pancreatic duct to the pleural space by radiological imaging provides confirmation of this complication. Case presentation A 9-year-old boy who presented with massive right pleural effusion secondary to PPF, a complication of CP from a genetic mutation involving two mutations of SPINK1. We successfully managed the case with by endoscopic pancreatic duct stent placement after failure of conservative treatment approaches. Conclusions PPF is a rare but serious complication of CP in all ages. The diagnosis of PPF in children requires a high index of clinical suspicion and should be considered in the differential diagnosis of massive pleural effusion where pancreatic pathology is present. A high level of pleural fluid amylase and the results from radiological imaging when the patients have symptoms play essential roles in the diagnosis of PPF. Currently, Magnetic resonance cholangiopancreatigraphy (MRCP) is the imaging modality of choice. Endoscopic therapy and surgery are treatment options for patients who do not respond to conservative therapy.

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Surgical management of a pancreaticopleural fistula in a child with chronic pancreatitis

Cited by 11 publications

References 9 publications

The leaking pancreatic duct in childhood chronic pancreatitis

The leaking pancreatic duct in childhood chronic pancreatitis

Endoscopic pancreatic stenting in pancreatic fistulas management

Pancreaticopleural fistula in a child with chronic pancreatitis harboring compound SPINK1 variants

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