Intussusception after pancreatic surgery in children: a case series

Laje, Pablo; Stanley, Charles A.; Adzick, N. Scott

doi:10.1016/j.jpedsurg.2009.09.021

Cited by 18 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to our splenic vessel-sparing pancreatectomy approach, the spleen was preserved in all cases. There were eight cases of post-operative small bowel obstruction requiring laparotomy, five for reduction of small bowel-to-small bowel intussusception (32) and three for lysis of adhesions. There were no pancreatic fistulae.…”

Section: Resultsmentioning

confidence: 99%

“…Complications included three patients who required completion pancreatectomy due to persistent severe postoperative hypoglycemia, three CBD injuries that required choledochoduodenostomy, and one late CBD stricture that required a Roux-en-Y choledochojejunostomy. There was one distal duodenal resection due to ischemia, one interventional radiology drainage of an intraabdominal collection that was compressing the duodenal C-loop, and four cases of small bowel obstruction requiring laparotomy, three for reduction of small bowel-to-small bowel intussusception (32) and one for lysis of adhesions. With our splenic vessel-sparing pancreatectomy approach, no splenectomies were required.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children

Adzick

León

States

et al. 2019

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

Background: Congenital Hyperinsulinism (HI) causes severe hypoglycemia in neonates and children. We reviewed our experience with pancreatectomy for the various types of HI. Methods: From 1998–2018, 500 patients with HI underwent pancreatectomy: 246 for focal HI, 202 for diffuse HI, 37 for atypical HI (16 for Localized Islet Nuclear Enlargement [LINE], 21 for Beckwith-Wiedemann Syndrome), and 15 for insulinoma. Focal HI neonates were treated with partial pancreatectomy. Patients with diffuse HI who failed medical management underwent near-total (98%) pancreatectomy. Atypical HI patients had pancreatectomies tailored to the PET scan and biopsy findings. Results: The vast majority of pancreatectomies for focal HI were <50%, and many were 2–10%. 97% of focal HI patients are cured. For diffuse disease patients, 31% were euglycemic, 20% were hyperglycemic, and 49% required treatment for hypoglycemia; the incidence of diabetes increased with long-term follow-up. All 15 insulinoma patients were cured. Conclusions: Our approach to patients with focal HI can distinguish focal from diffuse HI, localize focal lesions, and permit partial pancreatectomy with cure in almost all focal patients. Surgery does not cure diffuse disease but can help prevent severe hypoglycemia and brain damage. Surgery can be curative for insulinoma and for some cases of atypical HI.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children

Adzick

León

States

et al. 2019

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…The reported incidence of POI is 0.01–0.25% [2] with higher incidence rates in pancreatic resection operations of 2.1% [8] and abdominal tumor resection operations of 1.2% [4]. POI has higher incidence rates in males [2] and mentally disabled patients [6].…”

Section: Discussionmentioning

confidence: 99%

Postoperative intestinal intussusception in children, an easily missed culprit of postoperative intestinal obstruction: Case series and literature review

Abukhalaf

Alzughayyar

Baniowda

et al. 2019

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Highlights Most of our patients presented in the first two weeks after the primary operation and managed successfully with operative manual reduction with no postoperative complications. Postoperative intestinal intussusception secondary to surgical reduction of ileocolic intussusception is an exceedingly rare cause of postoperative intestinal obstruction. Usually, postoperative intestinal intussusception is misdiagnosed as postoperative adhesive obstruction. Postoperative intestinal intussusception is challenging in diagnosis and needs a very high index of suspicion. By keeping the possibility of POI in mind, one can easily diagnose it and prevent its consequences.

show abstract

“…Since various types of surgical procedures can lead to POIs, its pathophysiology may be multifactorial. Extensive retroperitoneal dissection in colorectal pull-through procedures, tumor excision, and pancreatic surgeries [2, 9] can impair bowel innervation and peristalsis. This may explain the high incidence of POIs after surgery for Hirschsprung’s disease, Neuroblastoma, Wilms tumor, and hyperinsulinism [6, 7, 9, 10].…”

Section: Discussionmentioning

confidence: 99%

“…Extensive retroperitoneal dissection in colorectal pull-through procedures, tumor excision, and pancreatic surgeries [2, 9] can impair bowel innervation and peristalsis. This may explain the high incidence of POIs after surgery for Hirschsprung’s disease, Neuroblastoma, Wilms tumor, and hyperinsulinism [6, 7, 9, 10]. The high incidence of POI after surgery for the management of gastroesophageal reflux could be secondary to associated neurologic deficits and motility disorders, which underlie both reflux and impaired postoperative peristalsis [6, 11].…”

Section: Discussionmentioning

confidence: 99%

Double small bowel intussusception complicating bilateral partial nephrectomies

Wahid

Malkan

McCarville

et al. 2014

Journal of Pediatric Surgery Case Reports

View full text Add to dashboard Cite

An 11.5-month-old male, diagnosed with bilateral Wilms tumor at 10 months of age, received 6 weeks of chemotherapy and subsequently underwent bilateral partial nephrectomies. On postoperative day 5, he had crampy abdominal pain and bilious vomiting. Abdominal ultrasound confirmed the presence of an intussusception in the right lower quadrant. Laparotomy demonstrated two separate areas of small intestinal intussusception located at jejuno-jejunal and ileo-ileal locations. The patient was successfully treated with manual reduction. A high index of suspicion is necessary to diagnose and treat patients with two different points of intussusception.

show abstract

Intussusception after pancreatic surgery in children: a case series

Cited by 18 publications

References 10 publications

Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children

Surgical treatment of congenital hyperinsulinism: Results from 500 pancreatectomies in neonates and children

Postoperative intestinal intussusception in children, an easily missed culprit of postoperative intestinal obstruction: Case series and literature review

Double small bowel intussusception complicating bilateral partial nephrectomies

Contact Info

Product

Resources

About