Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Endoscopic Management of Large Peripancreatic Fluid Collections in Two Pediatric Patients by Endoscopic Ultrasound-guided Transmural Drainage

  • Walsh, Leonard T. (Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center) ;
  • Groff, Andrew (Penn State Hershey College of Medicine) ;
  • Mathew, Abraham (Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center) ;
  • Moyer, Matthew T. (Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center)
  • Received : 2019.08.13
  • Accepted : 2019.11.02
  • Published : 2020.01.15
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Abstract

The incidence of acute pancreatitis (AP) has increased in the pediatric population over the past few decades and it stands to follow that the complications of severe AP, including symptomatic pancreatic fluid collections (PFCs) will increase as well. In adults, the therapeutic options for this situation have undergone a dramatic evolution from mainly surgical approaches to less invasive endoscopic approaches, mainly endoscopic ultrasound-guided transmural drainage (EUS-TD) followed be direct endoscopic necrosectomy if needed. This has proven safe and effective in adults; however, this approach has not been well studied or reported in pediatric populations. Here we demonstrate that EUS-TD seems to offer a safe, efficacious and minimally invasive approach to the management of large PFCs in pediatric patients by reviewing two representative cases at our institution.

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References

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