Endoscopic drainage for pancreatic pseudocyst in children.
The authors report here the results of endoscopic cystogastrostomy performed on 3 children aged 11, 3, and 2.5 years with nonresolving pancreatic pseudocyst (PP) of 12, 9.5, and 7 cm in diameter. The etiology of PP was abdominal trauma in 2 and idiopathic acute pancreatitis in 1 case. Ultrasound and computed tomography scans confirmed the diagnosis and suitability for gastric drainage. After the puncture of cyst, a double pig-tail stent was placed for the permanent drainage of cystogastrostomy. Complete regression was confirmed by follow-up ultrasonography at 8, 6, and 7 weeks, respectively. There were no procedure-related complications, nor was there a recurrence of cyst during the 2 years of follow-up. This report suggests that children with nonresolving PP, that are anatomically accessible, can be treated successfully and safely by endoscopic drainage.
Gastroenterology Center, Amiri Hospital, Kuwait.
I
I
Patty
M
M
Kalaoui
M
M
Al-Shamali
F
F
Al-Hassan
B
B
Al-Naqeeb
D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000473:pathology / Q000601:surgery*; D015607:Stents