Endoscopic management of large peripancreatic fluid collections in two pediatric patients by endoscopic ultrasound-guided transmural drainage

Leonard T. Walsh, Andrew Groff, Abraham Mathew, Matthew T. Moyer

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalPediatric Gastroenterology, Hepatology and Nutrition
Volume23
Issue number1
DOIs
StatePublished - Jan 1 2020

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Hepatology
  • Gastroenterology

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