Xie Huawei,Wang Jiheng,Wang Zheng,et al.Two cases of recurrent pancreatitis in children with annular pancreas after operation and literature review[J].Journal of Clinical Pediatric Surgery,,20():619-623.[doi:10.12260/lcxewkzz.2021.07.004]
Two cases of recurrent pancreatitis in children with annular pancreas after operation and literature review
- Keywords:
- Pancreas/AB; Pancreatic Diseases/SU; Pancreatitis/CO
- CLC:
- R657.51;R725.76;R726.575
- Abstract:
- Objective Combining the literature to investigate the treatment strategy of recurrent pancreatitis in children with annular pancreas after operation.Methods The clinical and follow-up data of 2 patients with recurrent pancreatitis after duodenoduodenostomy were retrospectively analyzed,and the relevant literature was reviewed and analyzed.Results After conservative treatment for one week,the symptoms of pancreatitis disappeared in 2 children,and endoscopic diagnosis and treatment were performed under general anesthesia.Endoscopic cholangiopancreatography (ERCP) were performed,followed by placement of pancreatic duct stents.No episodes of pancreatitis were observed and no pancreatic duct stents were replaced or removed during the postoperative follow-up period of 1year and 3years.At the same time,an English literature including 7 children aged from 21 months to 10 years was analyzed.Four cases were successfully treated with ERCP and 1 case failed.In the end,conventional surgical treatments were performed in 5 cases and abandoned in 1 case.The follow-up period was 11-54 months,and no recurrence of pancreatitis was observed.Conclusion If recurrent pancreatitis occurs after duodenal bypass surgery in children,it is necessary to determine whether annular pancreas is accompanied by cholangiopancreatosis,and different treatment strategies should be adopted according to the results.
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Memo
收稿日期:2020-12-01。
基金项目:军队创新重点项目（编号：16JS001）
通讯作者:黄柳明,Email:surhlm@126.com