Trikudanathan Guru, Arain Mustafa, Mallery Shawn, Freeman Martin, Attam Rajeev
Division of Gastroenterology, University of Minnesota, Minneapolis.
J Pediatr Gastroenterol Nutr. 2014 Aug;59(2):270-3. doi: 10.1097/MPG.0000000000000416.
Acute pancreatitis in children is rarely complicated by the development of necrosis. Although endoscopic transluminal necrosectomy is evolving as the standard of care in adults, its feasibility in the pediatric population has not been established. We hereby report the first case series of children with necrotizing pancreatitis successfully treated with endoscopic therapy. We believe the use of fully covered self-expanding metallic stents in the cystgastrostomy may reduce the number of transluminal necrosectomy sessions for large necrotic collections in children.
儿童急性胰腺炎很少并发坏死。虽然内镜下经腔坏死组织清除术正在成为成人护理的标准方法，但其在儿科患者中的可行性尚未得到证实。我们在此报告首例成功接受内镜治疗的坏死性胰腺炎患儿病例系列。我们认为，在囊肿胃造口术中使用全覆膜自膨式金属支架可能会减少儿童大型坏死灶的经腔坏死组织清除术次数。
