Cay Ali, Imamoglu Mustafa, Bektas Ozlen, Ozdemir Oğuzhan, Arslan Mehmet, Sarihan Haluk
Department of Pediatric Surgery, Faculty of Medicine, Karadeniz Technical University, 61040 Trabzon, Turkey.
J Pediatr Surg. 2005 Dec;40(12):e9-12. doi: 10.1016/j.jpedsurg.2005.08.033.
The presence of ductal injury is the main determinant of consequence and a cause of significant mortality and morbidity in children with blunt pancreatic trauma. Proper treatment must be initiated on the basis of accurate anatomic diagnosis of the type and location of the injury. Computed tomography is an insufficient method for the diagnosis of the type and location of pancreatic ductal injury. Endoscopic retrograde pancreatography (ERP) is a reliable technique for determining the status of the pancreatic duct in children and may allow for definitive treatment of ductal injury by stenting in selected patients. There is only one study of 2 cases reporting therapeutic ERP with ductal stenting in children after blunt trauma. In this report, we present an 11-year-old child with pancreatic ductal injury who was diagnosed and treated endoscopically by stent placement, during ERP. The patient improved steadily and was discharged uneventfully. Endoscopic retrograde pancreatography may be a very useful diagnostic and treatment tool in the management of main ductal disruptions.
导管损伤的存在是钝性胰腺创伤患儿后果的主要决定因素，也是导致显著死亡率和发病率的原因。必须在对损伤类型和位置进行准确解剖诊断的基础上开始适当的治疗。计算机断层扫描对于诊断胰腺导管损伤的类型和位置是一种不充分的方法。内镜逆行胰胆管造影术（ERP）是确定儿童胰腺导管状况的可靠技术，并且对于选定的患者，通过支架置入可能允许对导管损伤进行确定性治疗。仅有一项针对2例钝性创伤后儿童进行导管支架置入治疗性ERP的研究报告。在本报告中，我们介绍了一名11岁胰腺导管损伤患儿，在ERP期间通过支架置入进行了内镜诊断和治疗。患者病情稳步改善，顺利出院。内镜逆行胰胆管造影术在主胰管破裂的管理中可能是一种非常有用的诊断和治疗工具。
