Abstract:
BACKGROUND:Endoscopic ultrasound is seldom available at paediatric centres; therefore drainage of pancreatic pseudocysts in children has traditionally been achieved by surgery. OBJECTIVE:This study assessed the feasibility and safety of performing image-guided internal drainage of pancreatic pseudocysts with a flanged self-expanding covered nitinol pancreatic pseudocyst drainage stent. MATERIALS AND METHODS:We conducted a retrospective case note review of children undergoing image-guided cystogastrostomy at two paediatric hospitals. Percutaneous access to the stomach was achieved via an existing gastrostomy tract or image-guided formation of a new tract. Under combined ultrasound, fluoroscopic or cone-beam CT guidance the pancreatic pseudocysts were punctured through the posterior wall of the stomach. A self-expanding covered nitinol stent was deployed to create a cystogastrostomy opening. RESULTS:Image-guided cystogastrostomy was performed in 6 children (4 male; median age 6 years, range 46 months to 15 years; median weight 18 kg, range 13.8-47 kg). Two children had prior failed attempts at surgical or endoscopic drainage. Median maximum cyst diameter was 11.5 cm (range 4.7-15.5 cm) pre-procedure. Technical success was 100%. There were no complications. There was complete pseudocyst resolution in five children and a small (2.1-cm) residual pseudocyst in one. Pseudocyst-related symptoms resolved in all children. CONCLUSION:Pancreatic pseudocyst drainage can be successfully performed in children by image-guided placement of a cystogastrostomy stent. In this cohort of six children there were no complications.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Patel PA,Gibson C,Minhas KS,Stuart S,De Coppi P,Roebuck DJdoi
10.1007/s00247-019-04471-9subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1816-1822issue
13eissn
0301-0449issn
1432-1998pii
10.1007/s00247-019-04471-9journal_volume
49pub_type
杂志文章,多中心研究abstract::Atlas anomalies in terms of clefts and aplasia are rare. They can sometimes simulate fractures and need further evaluation. Imaging in terms of CT and MR can help resolve diagnostic confusion and also outline associated neurological involvement. A rare anomaly of anterior and posterior atlas arch, previously unclassif...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100542
更新日期:2001-11-01 00:00:00
abstract::A 1-year-old girl with unilateral proptosis was found to have primary orbital lymphomatoid granulomatosis - a condition rarely occurring in children. This multisystem angiocentric, angiodestructive, lymphoproliferative disease typically involves the lungs, with ocular involvement being extremely uncommon. Our case ser...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-3206-7
更新日期:2015-07-01 00:00:00
abstract::Magnetic resonance imaging has been used to evaluate 10 children with lymphomas and was able to identify disease in all 10 cases and monitor response to therapy in all three patients with follow-up studies. It could not distinguish between the different histological types of lymphoma. The image intensity of a diseased...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388606
更新日期:1985-01-01 00:00:00
abstract::Common systemic disorders that cause cerebral venous thrombosis (CVT) in children include dehydration, trauma, infection and haematological diseases. No cause for CVT is identified in one quarter of all cases. We report a child with thalamic infarcts due to internal CVT who had congenital heterozygous protein-C defici...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050776
更新日期:2000-06-01 00:00:00
abstract::A case of the Hajdu-Cheney syndrome in a 15 year old boy is described. The manifestations were: 1. isiopathic progressive acro-osteotions; 2. mutiple cranio-skeletal abnormalities; and 3. polycystic kidneys complicated by a rapidly progressive glomerulonephritis. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973535
更新日期:1977-09-01 00:00:00
abstract:BACKGROUND:Digital radiography (DR) is one of several new products that have changed our work processes from hard copy to digital formats. The transition from analog screen-film radiography to DR requires thorough user education because of differences in image production, processing, storage and evaluation between the ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-010-1904-3
更新日期:2011-05-01 00:00:00
abstract::The radiological manifestations of an unusual spondyloepiphyseal dysplasia have been observed in a girl. A peculiar epi-metaphyseal involvement that is "cone shaped epiphyses" appears to be the major feature. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388164
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Gaining access into non-dilated renal collecting systems for percutaneous nephrolithotripsy, particularly in patients with prohibitive body habitus and/or scoliosis, is often challenging using conventional techniques. OBJECTIVE:To evaluate the feasibility of cone-beam CT for percutaneous nephrostomy placeme...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-015-3499-1
更新日期:2016-04-01 00:00:00
abstract::Foreign body ingestion remains a frequent cause of morbidity in infants and children. Symptoms vary with size, shape, location and composition of the foreign body. Flat objects tend to rotate to the greatest diameter of the esophageal lumen and become oriented in the coronal plane. We report two cases of ingested meta...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0965-z
更新日期:2008-12-01 00:00:00
abstract::Narrow duplicated internal auditory canal (IAC) is a rare malformation of the temporal bone that is associated with ipsilateral congenital sensorineural hearing loss. This may be an isolated finding or a part of a syndrome. Radiological examination should demonstrate aplasia or hypoplasia of the neural components of t...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-005-1547-y
更新日期:2005-12-01 00:00:00
abstract::A variety of problems can arise while performing MR arthrography of the shoulder. These have been well documented in the literature and range from improper patient selection to errors in technique or in the choice of imaging sequences. We present a rare case of inadvertent, painless intraosseous injection of dilute ga...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0828-7
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Acute pelvic pyomyositis is uncommon in non-tropical areas. OBJECTIVE:To summarize the clinical and MR findings in children with acute pelvic pyomyositis. MATERIALS AND METHODS:We retrospectively identified 20 children (mean age 9.4 years) who were evaluated by MR and diagnosed with acute pelvis pyomyositi...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00247-005-0082-1
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Serial surveillance of liver iron concentration (LIC) provides guidance for chelation therapy in patients with iron overload. The diagnosis of iron overload traditionally relies on core liver biopsy, which is limited by invasiveness, sampling error, cost and general poor acceptance by pediatric patients and ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3378-9
更新日期:2015-10-01 00:00:00
abstract::Isolated, well-differentiated ectopic cerebellar tissue is extremely rare, with only eight cases in the literature. We describe a unique case of histopathologically proven ectopic cerebellar tissue presenting as a discrete extra-axial mass in the posterior cranial fossa. We describe the clinical, CT and MRI findings, ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2411-5
更新日期:2012-11-01 00:00:00
abstract::A newborn suffered immediate neonatal respiratory distress because of an obstructive, soft-tissue nasal mass. Clinical examination revealed a cleft palate with a protruding polypoid mass. CT and MRI showed a heterogeneous nasopharyngeal mass and associated intracranial abnormalities - duplication of the hypophysis and...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050354
更新日期:1998-05-01 00:00:00
abstract::Pediatric radiologists in 40 children's hospitals in North America were interviewed to determine their choice of contrast media in the diagnosis and treatment of intussusception. The respondents indicated that barium was utilized in the vast majority of instances. Almost all indicated that they would proceed with bari...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02467295
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Erythropoiesis stimulating agents (ESAs) are neuroprotective in cell and animal models of preterm birth. Prematurity has been shown to alter neurometabolite levels in children in studies using proton magnetic resonance spectroscopy (1H-MRS). OBJECTIVE:We hypothesized that ESA treatment in premature infants ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-017-4052-1
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Peripherally inserted central catheter (PICC) is among the most common procedures performed in children in the hospital setting. PICC insertion can be simplified with the use of a sheathed needle as an alternative to the modified Seldinger technique. OBJECTIVE:To retrospectively evaluate PICC placement for ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-016-3629-4
更新日期:2016-09-01 00:00:00
abstract::Four hundred and fifty-four kidneys were evaluated by real time ultrasound for appearance of renal cortical echogenecity, medullary pyramids and central sinus echoes. These renal parameters were correlated with age in 227 patients ranging in age from 0-15 years. The renal parenchymal echogenicity was observed to chang...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388162
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Fluoroscopy is an important, sometimes vital radiological procedure in paediatric patients with high variability in frequency and technique. OBJECTIVE:To obtain data on paediatric fluoroscopy practice in Europe using a simple questionnaire mailed to 191 children's hospitals. RESULTS:Eighty-eight radiology ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100429
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:We prospectively surveyed patients with myelomeningocele who presented in our department over a 3-month period to determine the frequency of latex allergy in this population. MATERIALS AND METHODS:A questionnaire assessed history of allergy to latex and attitudes toward and use or avoidance of latex-containi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01377199
更新日期:1996-07-01 00:00:00
abstract::We report an unusual case of a child with a congenital solitary functional kidney complicated by a sports-related posttraumatic Page kidney. The child developed severe hypertension and renal insufficiency requiring percutaneous intervention to preserve renal function. The literature is sparse with no definitive guidel...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-010-1630-x
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:High-signal T2-weighted bone marrow changes can be found in both bone marrow edema and hematopoietic marrow and are often seen on pediatric MR images of the feet and ankle. OBJECTIVE:To evaluate whether high-signal T2 changes of the bone marrow seen on pediatric MRI of feet and ankles represent residual hem...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0129-y
更新日期:2006-07-01 00:00:00
abstract::Ultrasound is an excellent tool to evaluate many pediatric musculoskeletal conditions. It may be used for both diagnosis and for guidance for therapeutic procedures. With US, the radiologist can readily evaluate the contralateral side for comparison. No sedation is typically required and ionizing radiation is avoided....
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-012-2599-4
更新日期:2013-03-01 00:00:00
abstract::The above article was published online with an incorrect author name. ...
journal_title:Pediatric radiology
pub_type: 已发布勘误
doi:10.1007/s00247-019-04453-x
更新日期:2019-08-01 00:00:00
abstract::Mass-like renal lesions in children occur in a diverse spectrum of conditions including benign and malignant neoplasm, infection, infarction, lymphatic malformation, and traumatic injury. Although mass-like renal lesions can sometimes be suspected on plain radiographs and evaluated with US in children, subsequent CT i...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-007-0548-4
更新日期:2007-09-01 00:00:00
abstract::Neuromuscular hamartoma (also referred to as neuromuscular choristoma or benign triton tumour) has not previously been described in the radiological literature. It is a rare benign lesion composed of mature elements of striated muscle and neural tissue. We report a case of neuromuscular hamartoma involving the skull b...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0788-2
更新日期:2003-01-01 00:00:00
abstract::Epithelioid haemangioendothelioma has not been previously described in a patient with congenital hemihypertrophy and diabetes mellitus. Hepatic nodules were incidentally discovered on a routine US examination searching for known associated abnormalities. Pulmonary nodules were present on chest X-ray and CT of the lung...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050661
更新日期:1999-08-01 00:00:00
abstract::We present a case of herpes simplex encephalitis in an 8-year-old girl, in whom hyperintensity was detected on diffusion-weighted imaging (DWI) while conventional MRI sequences were normal 1 week after the onset of neurological symptoms. This case is rare in that a child beyond the neonatal period with focal herpes si...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-007-0577-z
更新日期:2007-11-01 00:00:00
abstract::Contrast-enhanced ultrasound (CEUS) and diffusion-weighted imaging (DWI) are safe, repeatable imaging techniques. The aim of this paper is to discuss the advantages, technical factors and possible clinical applications of these imaging tools in focal renal lesions in children. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04552-9
更新日期:2020-02-01 00:00:00