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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....

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Autores principales: Farr, Bethany J, Fox, Victor L, Mooney, David P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
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.
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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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