Leclercq Olivier, Lecomte Laurie, Stephenne Xavier, Scheers Isabelle
Department of Pediatrics Cliniques Universitaires Saint-Luc Brussels Belgium.
Department of Pediatrics Hopital de Jolimont La Louvière Belgium.
JPGN Rep. 2023 Dec 28;5(1):86-89. doi: 10.1002/jpr3.12034. eCollection 2024 Feb.
Duodenal obstruction (DO) is an uncommon complication of pancreatitis. It has been described in groove and severe acute and chronic pancreatitis in adults but, to the best of our knowledge, it has not yet been reported in pediatric acute pancreatitis. Current guidelines comment on management of several early and late-onset complications, but DO is not mentioned. We describe two patients with acute necrotizing pancreatitis who presented with several complications including walled-off necrosis and DO. In adults, DO is generally managed with adapted nutrition but may require surgical bypass, such as gastroenterostomy. Our patients were managed conservatively and fully recovered 2 months after DO diagnosis. DO may require lengthy hospitalizations and markedly restrict patients' quality of life; however, prolonged conservative treatment was effective in our patients and should be considered even in severe pediatric cases.
十二指肠梗阻（DO）是胰腺炎的一种罕见并发症。它已在成人的沟部胰腺炎以及严重急性和慢性胰腺炎中有所描述，但据我们所知，小儿急性胰腺炎中尚未有相关报道。当前指南对几种早发和迟发并发症的管理进行了阐述，但未提及DO。我们描述了两名急性坏死性胰腺炎患者，他们出现了包括包裹性坏死和DO在内的多种并发症。在成人中，DO通常采用适应性营养管理，但可能需要手术旁路，如胃肠吻合术。我们的患者采用保守治疗，在DO诊断后2个月完全康复。DO可能需要长时间住院，并显著限制患者的生活质量；然而，延长的保守治疗对我们的患者有效，即使在严重的小儿病例中也应予以考虑。
