Endoscopic Management of Large Peripancreatic Fluid Collections in Two Pediatric Patients by Endoscopic Ultrasound-guided Transmural Drainage
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The incidence of acute pancreatitis (AP) has increased in the pediatric population over the past few decades and it stands to follow that the complications of severe AP, including symptomatic pancreatic fluid collections (PFCs) will increase as well. In adults, the therapeutic options for this situation have undergone a dramatic evolution from mainly surgical approaches to less invasive endoscopic approaches, mainly endoscopic ultrasound-guided transmural drainage (EUS-TD) followed be direct endoscopic necrosectomy if needed. This has proven safe and effective in adults; however, this approach has not been well studied or reported in pediatric populations. Here we demonstrate that EUS-TD seems to offer a safe, efficacious and minimally invasive approach to the management of large PFCs in pediatric patients by reviewing two representative cases at our institution.
Abstract
The incidence of acute pancreatitis (AP) has increased in the pediatric population over the past few decades and it stands to follow that the complications of severe AP, including symptomatic pancreatic fluid collections (PFCs) will increase as well. In adults, the therapeutic options for this situation have undergone a dramatic evolution from mainly surgical approaches to less invasive endoscopic approaches, mainly endoscopic ultrasound-guided transmural drainage (EUS-TD) followed be direct endoscopic necrosectomy if needed. This has proven safe and effective in adults; however, this approach has not been well studied or reported in pediatric populations. Here we demonstrate that EUS-TD seems to offer a safe, efficacious and minimally invasive approach to the management of large PFCs in pediatric patients by reviewing two representative cases at our institution.
참고문헌 (8)
- Nydegger A, "Changing incidence of acute pancreatitis : 10-year experience at the Royal Children's Hospital, Melbourne", J Gastroenterol Hepatol, 22, pp.1313~1316 (2007)
- Pant C, "Epidemiology of acute pancreatitis in hospitalized children in the United States from 2000-2009", PLoS One, 9, pp.e95552~ (2014)
- Tyberg A, "Management of pancreatic fluid collections : a comprehensive review of the literature", World J Gastroenterol, 22, pp.2256~2270 (2016)
- Bolia R, "Prevalence, natural history, and outcome of acute fluid collection and pseudocyst in children with acute pancreatitis", J Pediatr Gastroenterol Nutr, 61, pp.451~455 (2015)
- Banks PA, "Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus", Gut, 62, pp.102~111 (2013)
- Varadarajulu S, "Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial", Gastroenterology, 145, pp.583~590 (2013)
- Nabi Z, "Endoscopic management of pancreatic fluid collections-revisited", World J Gastroenterol, 23, pp.2660~2672 (2017)
- Paul MD, "The management of pancreatic injuries in children : operate or observe", J Pediatr Surg, 46, pp.1140~1143 (2011)