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Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series
BACKGROUND: Pancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254115/ https://www.ncbi.nlm.nih.gov/pubmed/32518838 http://dx.doi.org/10.1136/tsaco-2020-000456 |
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author | Farr, Bethany J Fox, Victor L Mooney, David P |
author_facet | Farr, Bethany J Fox, Victor L Mooney, David P |
author_sort | Farr, Bethany J |
collection | PubMed |
description | BACKGROUND: Pancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described. Successful endoscopic cyst gastrostomy has been reported in children with pancreatic pseudocysts of mixed etiology. METHODS: The trauma registry and electronic medical record of a level 1 pediatric trauma center were queried for children with a symptomatic pseudocyst following pancreatic trauma over a 12-year period, from 2008 to 2019. RESULTS: We describe a case series of five consecutive children with persistent symptomatic pancreatic pseudocysts following blunt abdominal trauma all successfully treated with endoscopic cyst gastrostomy. DISCUSSION: Endoscopic cyst gastrostomy appears to be safe and effective in the management of symptomatic pancreatic pseudocysts in children following pancreatic trauma. LEVEL OF EVIDENCE: 5 – retrospective case series. |
format | Online Article Text |
id | pubmed-7254115 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-72541152020-06-08 Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series Farr, Bethany J Fox, Victor L Mooney, David P Trauma Surg Acute Care Open Brief Report BACKGROUND: Pancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described. Successful endoscopic cyst gastrostomy has been reported in children with pancreatic pseudocysts of mixed etiology. METHODS: The trauma registry and electronic medical record of a level 1 pediatric trauma center were queried for children with a symptomatic pseudocyst following pancreatic trauma over a 12-year period, from 2008 to 2019. RESULTS: We describe a case series of five consecutive children with persistent symptomatic pancreatic pseudocysts following blunt abdominal trauma all successfully treated with endoscopic cyst gastrostomy. DISCUSSION: Endoscopic cyst gastrostomy appears to be safe and effective in the management of symptomatic pancreatic pseudocysts in children following pancreatic trauma. LEVEL OF EVIDENCE: 5 – retrospective case series. BMJ Publishing Group 2020-04-08 /pmc/articles/PMC7254115/ /pubmed/32518838 http://dx.doi.org/10.1136/tsaco-2020-000456 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Brief Report Farr, Bethany J Fox, Victor L Mooney, David P Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title | Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title_full | Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title_fullStr | Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title_full_unstemmed | Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title_short | Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
title_sort | endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254115/ https://www.ncbi.nlm.nih.gov/pubmed/32518838 http://dx.doi.org/10.1136/tsaco-2020-000456 |
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