Traumatic pancreatitis in children: a report of 13 cases
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R657.5

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    Abstract:

    bjective: To investigate the clinical features, diagnosis and treatment of traumatic pancreatitis in children. Methods: The clinical data of 13 children with traumatic pancreatitis admitted from January 2003 to December 2011 were retrospectively analyzed. Results: The 13 patients, 8 boys and 5 girls, were aged 5–12 (7.22±3.54) years. The traumatic causes were due in 7 cases to abdominal contusion, in 4 cases to traffic-related accidents and in 2 cases to falls, and all of them were blunt abdominal injuries. Nine cases with class I pancreatic injury (2 cases with concomitant liver contusion), and 3 cases with class II pancreatic injury received conservative management such as intravenous antibiotics, fasting, gastrointestinal decompression, total parenteral nutrition, and pancreatic enzyme inhibition, and 4 of them developed a pancreatic pseudocyst at 1 month to 2 months after discharge, of whom the lesion spontaneously resolved in 1 case after symptomatic treatment, and 3 cases were treated by internal drainage by means of a Roux-Y cysto-jejunostomy (in one case laparoscopic anastomosis could not be done after endoscopic exploration, and was converted to open surgery). One case with class III pancreatic injury (accompanied with splenic contusion) underwent laparoscopic abdominal drainage, but developed a pancreatic pseudocyst 1 month later, and then underwent endoscopic exploration and Roux-Y cysto-jejunostomy. Eventually, all the patients were completely cured. Conclusion: The selection of treatment of traumatic pancreatitis in children should be based on the degree of pancreatic injury. Laparoscopic abdominal drainage is one of the effective methods for traumatic pancreatitis in children with class III injury, however, as well as laparoscopic Roux-Y cysto-jejunostomy, it requires further exploration and consideration.

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ZHU Zhenchuang, DUAN Xufei, BIAN Hongqiang, YANG Jun, ZHENG Kai, LIANG Chong, YA. Traumatic pancreatitis in children: a report of 13 cases[J]. Chin J Gen Surg,2013,22(3):340-343.
DOI:10.7659/j. issn.1005-6947.2013.03.017

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History
  • Received:October 29,2012
  • Revised:February 17,2013
  • Adopted:
  • Online: March 15,2013
  • Published: