Endoscopic Management of Pancreatic Fluid Collections in Children

Gut and Liver
Zaheer NabiD Nageshwar Reddy

Abstract

The incidence of acute pancreatitis in children has increased over the last few decades. The development of pancreatic fluid collection is not uncommon after severe acute pancreatitis, although its natural course in children and adolescents is poorly understood. Asymptomatic fluid collections can be safely observed without any intervention. However, the presence of clinically significant symptoms warrants the drainage of these fluid collections. Endoscopic management of pancreatic fluid collection is safe and effective in adults. The use of endoscopic ultrasound (EUS)-guided procedure has improved the efficacy and safety of drainage of pancreatic fluid collections, which have not been well studied in pediatric populations, barring a scant volume of small case series. Excellent results of EUS-guided drainage in adult patients also need to be verified in children and adolescents. Endoprostheses used to drain pancreatic fluid collections include plastic and metal stents. Metal stents have wider lumens and become clogged less often than plastic stents. Fully covered metal stents specifically designed for pancreatic fluid collection are available, and initial studies have shown encouraging results in adult patients. The future of en...Continue Reading

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Citations

Dec 12, 2017·Clinical Endoscopy·Zaheer Nabi, Duvvur Nageshwar Reddy
May 7, 2019·Journal of Pediatric Gastroenterology and Nutrition·Zaheer NabiDuvuur Nageshwar Reddy
May 8, 2019·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Zaheer NabiDuvvur Nageshwar Reddy
Aug 3, 2021·Frontiers in Pediatrics·Conrad B CoxGirish Hiremath

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Methods Mentioned

BETA
fluid collection
sedation

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