Endoscopic therapy of pancreatitis in the pediatric population.
Six children with chronic relapsing pancreatitis or acute post-traumatic pancreatic pseudocyst underwent therapeutic pancreatography at the time of ERCP. Procedures included pancreaticobiliary sphincterotomy, pancreatic duct stone removal, and endoprosthesis placement. Four of five patients with chronic pancreatitis had significant symptomatic improvement, whereas the patient with pseudocyst had rapid resolution of symptoms and cyst. Complications were limited to mild pancreatitis in a subset of patients. With the capability of obviating or delaying the need for palliative pancreatic surgery, therapeutic pancreatography deserves additional evaluation in the pediatric patient.
Kozarek
R A
RA
Virginia Mason Medical Center, Seattle, Washington.
Christie
D
D
Barclay
G
G
D000293:Adolescent; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts; D010192:Pancreatic Pseudocyst / Q000628:therapy*; D010195:Pancreatitis / Q000628:therapy*; D016717:Sphincterotomy, Endoscopic; D015607:Stents