Pancreaticoduodenectomy in Childhood for Rare Pancreatic Ductal Anomalies - Case Reports
| Autor: | M. Boureau, V. Kazandjian, S. de Napoli Cocci, R. Politi, Yves Aigrain, L. Ferkdadji, G. Weisgerber |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Pancreatic disease medicine.medical_treatment Choristoma Pancreaticoduodenectomy Whipple Procedure medicine Humans Cholangiopancreatography Endoscopic Retrograde Pancreatic duct Pancreas divisum Cysts business.industry Stomach Pancreatic Ducts Infant Pancreatic Diseases medicine.disease Surgery Major duodenal papilla medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Pancreatitis Pancreas business |
| Zdroj: | European Journal of Pediatric Surgery. 5:305-309 |
| ISSN: | 1439-359X 0939-7248 |
| Popis: | In the past 9 years, 3 children suffering rare pancreatic disorders have undergone cephalic pancreaticoduodenectomy (Whipple procedure) required after the failure of initial conservative treatments. Ductal anomalies such as pancreas divisum or predominant Santorini duct can be managed conservatively (especially by papillotomy of the minor papilla), unless the extent of the fibrotic lesions of the pancreas jeopardizes the final evolution of the pancreatic disease. Intrapancreatic gastric duplications remain extremely rare. Even to-day, diagnosis was made only on pathologic specimens after radical surgery. Better knowledge of this rare pathology, with emphasis on its radiological features, may help better assessment. Hemoductal pancreatitis is evocative of the coexistence of gastric duplication and pancreatic aberrant duct. However, when fibrotic and necrotic changes in the duodenopancreatic region are considerable, assessment of this anomaly becomes difficult. Radical though it is, pancreaticoduodenectomy may be necessary to treat cephalic pancreatic lesions in childhood after the failure of reasonable attempts of conservative treatment. |
| Databáze: | OpenAIRE |
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