Operative management of pancreatic pseudocysts in infants and children: a review of 75 cases.

Annals of Surgery
D R Cooney, J L Crosfeld

Abstract

This report combines the findings and treatment in 15 infants and children with pancreatic pseudocysts with 60 additional cases from a literature review. The mean age at diagnosis was 7.5 years with pseudocyst being more common in boys (44:31). Sixty per cent were due to trauma, while in 32% the cause was unknown. Abdominal pain (68%), a mass (64%), and vomiting (52%) were the most frequent findings. The serum amylase was elevated and the upper gastrointestinal contrast study consistent with a mass in 88% of cases. Operative treatment included external drainage in 25 children (33%), cystgastrostomy or cyst-jejunostomy in 34 (45%), excision in 10 (13%) and miscellaneous procedures in 6 (8%). Complications were relatively few and there were no deaths recorded. Recurrence rate for cyst-gastrostomy was 4.7%, cyst-jejunostomy 7.6%, external drainage 8% and cyst-duodenostomy 50%. External drainage operations had prolonged cutaneous drainage. These observations suggest the appropriate operation is determined by the location and duration of pseudocyst. Internal drainage is preferred and avoids complications seen following resection and external drainage. Cyst-gastrostomy is effective when the pseudocyst is retrogastric and adherent to ...Continue Reading

Citations

Feb 1, 1978·American Journal of Surgery·E W PollakE F Wolfman
Oct 7, 1978·Canadian Medical Association Journal·A R AlsumaitC A Goresky
Aug 1, 1979·Annals of Surgery·F TaghizadehW B Kiesewetter
Oct 1, 1984·Archives of Disease in Childhood·A ForbesP B Cotton
Jan 1, 1990·World Journal of Surgery·O A Mabogunje, J H Lawrie
Jun 1, 1995·The British Journal of Surgery·A OkadaS Kamata
Sep 1, 1999·Journal of Pediatric Gastroenterology and Nutrition·H KomuroS Makino
Apr 30, 2009·Anaesthesia and Intensive Care·W R HasibederM Dünser
Apr 1, 1985·World Journal of Surgery·M R Eichelberger, J G Randolph
Jul 11, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Gael J LonerganSteven C Boos
Dec 1, 1988·Annals of Tropical Paediatrics·O A Mabogunje
Jan 1, 1983·Journal of Clinical Ultrasound : JCU·R A BloomD Pollak
Oct 21, 1998·Journal of Pediatric Gastroenterology and Nutrition·D FalchettiG Caccia
Oct 24, 2001·Indian Journal of Pediatrics·D GuptaG Mehrotra
Feb 24, 2016·AJR. American Journal of Roentgenology·Ricardo RestrepoEdward Y Lee
Jun 1, 2006·Pediatric Surgery International·Simmi K RatanSarita Magu
Jan 27, 2005·The British Journal of Surgery·M D Stringer
Oct 1, 1982·The British Journal of Surgery·M E SchattenkerkH Obertop

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