Patty I, Kalaoui M, Al-Shamali M, Al-Hassan F, Al-Naqeeb B
Gastroenterology Center, Amiri Hospital, Kuwait.
J Pediatr Surg. 2001 Mar;36(3):503-5. doi: 10.1053/jpsu.2001.21620.
The authors report here the results of endoscopic cystogastrostomy performed on 3 children aged 11, 3, and 2.5 years with nonresolving pancreatic pseudocyst (PP) of 12, 9.5, and 7 cm in diameter. The etiology of PP was abdominal trauma in 2 and idiopathic acute pancreatitis in 1 case. Ultrasound and computed tomography scans confirmed the diagnosis and suitability for gastric drainage. After the puncture of cyst, a double pig-tail stent was placed for the permanent drainage of cystogastrostomy. Complete regression was confirmed by follow-up ultrasonography at 8, 6, and 7 weeks, respectively. There were no procedure-related complications, nor was there a recurrence of cyst during the 2 years of follow-up. This report suggests that children with nonresolving PP, that are anatomically accessible, can be treated successfully and safely by endoscopic drainage.
作者在此报告了对3名年龄分别为11岁、3岁和2.5岁的儿童进行内镜下囊肿胃造口术的结果，这3名儿童患有直径分别为12厘米、9.5厘米和7厘米且持续不消退的胰腺假性囊肿（PP）。PP的病因在2例中为腹部创伤，1例为特发性急性胰腺炎。超声和计算机断层扫描确认了诊断以及适合进行胃引流。囊肿穿刺后，放置双猪尾支架用于囊肿胃造口术的永久引流。分别在8周、6周和7周通过随访超声确认囊肿完全消退。在随访的2年中，没有与手术相关的并发症，囊肿也未复发。本报告表明，解剖结构上可及的持续不消退的PP患儿可通过内镜引流得到成功且安全的治疗。
