Santos Jk, Asz SJ, Medina VA

Language: Spanish
References: 14
Page: 142-148
PDF size: 210.12 Kb.

ABSTRACT

Objective: To report the experience on the surgical treatment of patients pediatrics with pancreatic pseudocyst (PP). Material and methods: A descriptive, ambispective, retrolective study was carried out in which medical files of patients with the diagnosis of pancreatic pseudocyst that presented during the period 2007–2008 were reviewed. Demographic, diagnostic, therapeutic and prognostic data were collected. Results: In period of fourteen months (February 2007- April 2008) four cases were found. With incidence of 3.7 new cases per 1000 admissions not neonatal, per year the Pediatrics Surgery Service. With mean age of presentation was 7 years (range 2-14 years); two women and two men. All patients had previous episodes of acute pancreatitis. In two patients the etiology was choledocholithiasis and in the other two it was idiopathic. Clinical presentation was characterized by abdominal pain (100%), abdominal mass (50%) and jaundice (25%). Radiology studies included abdominal ultrasound (100%), abdominal CT scan (100%), upper gastrointestinal series (25%) and MRI of the biliary tree (25%). Treatment was surgical in the four patients: cystgastrostomy in one patient, Roux-Y cystojejunostomy in one patient, simple cystojejunostomy in one patient and external drainage in the last one. Two patients had complications: bowel obstruction, pancreatic fistula and abdominal wall abscess in one of them, and bowel obstruction in the other one. There was no mortality. The four patients are being followed-up in clinic and all are asymptomatic. Conclusions: Pancreatic pseudocyst occurs in both sexes and at any pediatric age. There are many treatment options. Ultrasound and CT scan are the most useful methods for diagnosis and election of the surgical treatment. The therapeutic depends on pseudocyst size, maturity, localization and complications. At our there is no experience with endoscopic management of this pathology.

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