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Endoscopic Management of Large Peripancreatic Fluid Collections in Two Pediatric Patients by Endoscopic Ultrasound-guided Transmural Drainage

机译:内镜超声引导经壁穿刺引流术治疗两名小儿大胰周液

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摘要

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.
机译:在过去的几十年中,小儿急性胰腺炎(AP)的发病率增加了,可以肯定的是,严重的AP的并发症,包括有症状的胰腺积液(PFCs)也将增加。在成人中,针对这种情况的治疗选择已经历了从主要的手术方法到侵入性较小的内窥镜检查方法的巨大演变,主要是在内窥镜超声引导下的透壁引流(EUS-TD),必要时可直接进行内窥镜坏死切除。事实证明,这种方法对成人安全有效。但是,这种方法尚未在儿童人群中得到很好的研究或报道。在这里,我们通过回顾我们机构的两个代表性病例,证明EUS-TD似乎为小儿患者的大型PFC的管理提供了一种安全,有效且微创的方法。

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