Indications and outcomes of duodenum-preserving resection of the pancreatic head in children.

摘要: Duodenum-preserving resection of the pancreatic head (DPRPH) with Roux-en-Y pancreatojejunostomy is a procedure used to remove focal pathological lesions head. Although predominantly in adult patients, it both safe and effective children. The aim this study was review our experience procedure, focus on its indications, complications long-term outcomes. A retrospective analysis pediatric patients who underwent DPRPH between 1994 2015 performed. Patient files were reviewed for demographic, diagnostic, operative histological details, postoperative complications. Patients contacted telephonically sent questionnaires determine cohort consists 21 14 girls 7 boys, an average age 11.72 years (range 3 months 18.6 years), end-to-end anastomosis jejunum body (Roux-en-Y anastomosis). In four cases also part pancreas resected. remaining 17 cases, only Indications solid pseudopapillary tumor (n = 10), trauma (n = 8), divisum (n = 1), congenital hyperinsulinism (n = 1) cyst (n = 1). length follow-up ranged from 1 22 years (average 9.66). One patient developed biliary fistula, which closed spontaneously within 2 weeks after stent insertion. recurrence abdominal pain reported two occurring at 7 months operation one 1 year other. Pancreatic endocrine insufficiency did not occur any patients. Seven currently require low fat diet, five need enzyme supplementation. An additional supplementation without dietary restriction. treatment large As less invasive than pancreatoduodenectomy, more appropriate developing child.