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Brief report
Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series
  1. Bethany J Farr1,
  2. Victor L Fox2,
  3. David P Mooney1
  1. 1Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA
  2. 2Department of Gastroenterology, Boston Children's Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Bethany J Farr; bethany.farr{at}childrens.harvard.edu

Abstract

Background Pancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described. Successful endoscopic cyst gastrostomy has been reported in children with pancreatic pseudocysts of mixed etiology.

Methods The trauma registry and electronic medical record of a level 1 pediatric trauma center were queried for children with a symptomatic pseudocyst following pancreatic trauma over a 12-year period, from 2008 to 2019.

Results We describe a case series of five consecutive children with persistent symptomatic pancreatic pseudocysts following blunt abdominal trauma all successfully treated with endoscopic cyst gastrostomy.

Discussion Endoscopic cyst gastrostomy appears to be safe and effective in the management of symptomatic pancreatic pseudocysts in children following pancreatic trauma.

Level of evidence 5 – retrospective case series.

  • abdominal injuries
  • pediatrics
  • pancreas
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/tsaco-2020-000456

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    Footnotes

    • Contributors All authors contributed to the development and design of the study, data interpretation and critical revision of the manuscript. BJF additionally contributed to the data collection and initial drafting of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval This research was approved by the Boston’s Children’s Hospital Institutional Review Board (IRB-P00015971).

    • Provenance and peer review Not commissioned; internally peer reviewed.