PMID: 9694106Aug 7, 1998Paper

Enteric duplications of the pancreatic head: definitive management by local resection

Journal of Pediatric Surgery
A M SiddiquiC W Lillehei

Abstract

Enteric duplications can occur throughout the entire alimentary tract. When they occur in the pancreatic head, they present a formidable challenge in both diagnosis and treatment. Surgical management has ranged from simple drainage to local excision or radical resection (eg, Whipple procedure). The authors propose that with identification of the local anatomic relationships, definitive management can be achieved by complete local resection of the cyst mucosa. The authors have treated four patients, ages 13 months to 4 years for enteric duplication cysts within the pancreatic head. Clinical presentations were quite varied, including pancreatitis (n = 2), gastritis (secondary to increased production of gastrin), and recurrent pleural effusion with high amylase content. Two of the four cysts had been drained initially using Roux-en-Y cystenterostomies. Our preoperative imaging studies included abdominal ultrasonography, endoscopic retrograde cholangiopancreatography (ERCP), angiography, computerized tomography (CT) or magnetic resonance imaging (MRI) scanning. When necessary intraoperatively, ultrasonography was used for cyst localization and transduodenal pancreatography to define precise ductal relationships. All four duplicatio...Continue Reading

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Citations

Dec 7, 2007·Pediatric Surgery International·Catherine J HunterCathy Shin
Sep 28, 2002·Journal of Pediatric Gastroenterology and Nutrition·Hisayoshi KawaharaAkira Okada
Sep 21, 2006·Journal of Gastroenterology and Hepatology·Giuseppe Pietro MingollaPier Marco Pavanello
Feb 2, 2008·World Journal of Gastroenterology : WJG·Fabiana Pirani CarneiroKarina Martins Campos
Feb 28, 2014·World Journal of Gastroenterology : WJG·Jeik ByunWoo-Sun Kim
Dec 25, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alexander S ChiuJeffrey B Matthews
Feb 24, 2016·Journal of Pediatric Surgery·John A SandovalAlpin D Malkan
Oct 18, 2005·Seminars in Pediatric Surgery·Mark D Stringer
Jul 29, 2016·Surgical Case Reports·Hideaki TanakaToyoichiro Kudo
Dec 20, 2017·ACG Case Reports Journal·Remil SimonJacob Dowden

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