Effectiveness of pancreatic stent placement in pediatric patients with acute recurrent and chronic pancreatitis
Por:
Blanco-Rodríguez G., Ledezma-Cifuentes M.N., García-Cárdenas E.S., Blanco-Velasco G., Peña-García M., Penchyna-Grub J., Teyssier-Morales G., Zurita Cruz J.N.
Publicada:
1 ene 2023
Categoría:
Pediatrics, perinatology and child health
Resumen:
Background: The use of pancreatic prostheses in children with acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) has evolved. The main established indication is the treatment of persistent abdominal pain. This study aimed to evaluate the efficacy of pancreatic stenting for refractory abdominal pain in pediatric patients with ARP and CP. Methods: We conducted a retrospective case series study. We included patients under 16 years of age diagnosed with ARP and CP in the study. Endoscopic retrograde cholangiopancreatography (ERCP) was performed with the insertion of one and later two pancreatic stents. We evaluated abdominal symptoms before and after treatment, number of changes, duration of treatment, and complications with follow-up at 24 months and after withdrawal. Results: Nine patients with ARP and CP were included in the study: six with undetermined etiology and three with pancreas divisum. The mean age was 12.4 years. Prosthesis placement relieved abdominal pain in 100% of cases, with 3.2 replacement sessions every 6.2 months for 27.4 months, and mild complications (15.7%). One patient experienced pain on removal of the prosthesis and required bypass surgery. Conclusion: Pancreatic stent placement in patients with refractory abdominal pain with ARP and CP proved to be effective and safe, providing medium-term symptom relief and minimal complications. © 2023 Hospital Infantil de México Federico Gómez.
Filiaciones:
Blanco-Rodríguez G.:
Servicio de Cirugía de Tórax y Endoscopia, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
Ledezma-Cifuentes M.N.:
Servicio de Cirugía de Tórax y Endoscopia, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
García-Cárdenas E.S.:
Departamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
Blanco-Velasco G.:
Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Peña-García M.:
Servicio de Cirugía de Tórax y Endoscopia, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
Penchyna-Grub J.:
Servicio de Cirugía de Tórax y Endoscopia, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
Teyssier-Morales G.:
Servicio de Cirugía de Tórax y Endoscopia, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
Zurita Cruz J.N.:
Facultad de Medicina, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico
Hospital Infantil de México Federico Gómez, México City, Mexico
gold, Gold
|