Central pancreatectomy with pancreaticogastrostomy in children.

Abstract:

:Children requiring surgical intervention for pancreatic disease may be at risk long term for exocrine insufficiency and glucose intolerance. Pediatric surgeons must balance the need to perform adequate surgical resection while preserving as much normal pancreatic parenchyma as possible. Neoplasms of the middle pancreatic segment with low malignant potential and isolated trauma to the pancreatic body or neck represent 2 conditions where extensive pancreatic resection is unnecessary. Central pancreatectomy for such lesions is well described in adults. Reconstruction of the distal pancreatic remnant is traditionally performed via Roux-en-Y pancreaticojejunostomy. Pancreaticogastrostomy is an alternative approach that has been used to reconstruct the distal pancreas in the adults. Pancreaticogastrostomy offers several technical advantages over pancreaticojejunostomy. Because children may be uniquely susceptible to the long-term consequences of excessive pancreatic resection, 2 cases using this technique of central pancreatectomy with pancreaticogastrostomy are described.

journal_name

J Pediatr Surg

authors

Fisher JC,Kuenzler KA,Bodenstein L,Chabot JA

doi

10.1016/j.jpedsurg.2006.12.023

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

740-6

issue

4

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(06)00935-3

journal_volume

42

pub_type

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