Tailored resective pancreatic surgery for pediatric patients with chronic pancreatitis

Systematic review of central pancreatectomy and meta-analysis of centralversusdistal pancreatectomy

“…Comparison of 20 studies with 202 patients who underwent pancreaticojejunostomy and ten studies with 129 patients who underwent pancreaticogastrostomy revealed that the cumulative incidence of pancreatic fistula was higher after pancreaticogastrostomy, although this was not statistically significant (23·4 versus 18·3 per cent; P = 0·263) ( Table ). Patients who underwent pancreaticojejunostomy had a higher cumulative incidence of exocrine failure (14·1 versus 5 per cent; P = 0·024).…”

“…*Central pancreatectomy was performed with a laparoscopic approach in seven patients 12,13 and a robotic approach in eight patients 15,16 ; pancreaticogastrostomy in 71 of 73 patients 34 . †Data not available for five patients 47,52 . ‡Data not available for one patient 56 37 2010 Japan Non-matched pairs Retrospective 26 35 CP, central pancreatectomy; DP, distal pancreatectomy.…”

Intrapancreatic Duodenal Duplication Cyst as a Cause of Chronic Pancreatitis in a Child

“…Siddiqui [15] reported 4 cases of enteric duplication cyst in the pancreatic head, all of which were completely excised including 2 which communicated with the main pancreatic duct. In the absence of an intrapancreatic mass, simple ductal decompression or drainage procedures for chronic pancreatitis may be eff ective without an excisional procedure [1,3] . We felt that given the patient ' s severe pain, the evidence for chronic pancreatic duct obstruction and pancreatitis and the unknown nature of the mass, a pancreaticoduodenectomy would off er the best solution for the long term and avoid the risk of possible future malignancy, preserving pancreatic function and relieving her pain.…”

Surgical and Endoscopic Intervention for Chronic Pancreatitis in Children: The Kings College Hospital Experience

“…A resection of the most diseased pancreatic parenchyma has been shown to provide pain relief, at least in short term, in children with CP. Chromik et al [88] reported a series of six children with CP that have had partial pancreatectomies. Where this led to a transection or a discontinuation of the pancreatic duct, a lateral or a longitudinal PJ was fashioned to drain the tail of the pancreas.…”