caa a22 4500 445794976 CHVBK 20180317145121.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10620-010-1350-y doi (NATIONALLICENCE)springer-10.1007/s10620-010-1350-y Efficacy of Endoscopic Ultrasound-Guided Drainage of Pancreatic Pseudocysts in a Pediatric Population [Elektronische Daten] [Saad Jazrawi, Bradley Barth, Jayaprakash Sreenarasimhaiah] Background: While pancreatitis is uncommon in children, pseudocyst development can be a serious complication. Endoscopic drainage of pseudocysts is well established in adults. However, there are limited data regarding this procedure in a pediatric population. The objective of this study is to determine the safety and efficacy of endoscopic ultrasound-guided pseudocyst drainage in children. Methods: The study group included children (age <18years) who presented for endoscopic drainage of symptomatic pancreatic pseudocysts in whom endoscopic ultrasound (EUS) was performed. In those cases with EUS guidance, a 19-gauge needle was used to access the pseudocyst and place a guidewire under fluoroscopic visualization. Needle-knife diathermy and balloon dilation of the tract were performed with subsequent placement of double pig-tailed stents for drainage. Results: Ten children with mean age of 11.8years (range 4-17years) were analyzed for pancreatic pseudocysts due to biliary pancreatitis (n=4), trauma (n=2), familial pancreatitis (n=1), idiopathic pancreatitis (n=2), and pancreas divisum (n=1). In eight cases, EUS-guided puncture and stent placement was successful. In the remaining two cases, aspiration of cyst fluid until complete collapse was adequate. As experience increased with EUS examination in children, the therapeutic EUS scope alone was used in 50% of cases for the entire procedure. In all ten cases, successful transgastric endoscopic drainage of pseudocysts was achieved. Conclusions: Endoscopic drainage of symptomatic pancreatic pseudocysts can be achieved safely in children. EUS guidance facilitates optimal site of puncture as well as placement of transmural stents. Springer Science+Business Media, LLC, 2010 Endoscopic ultrasound nationallicence Pancreas nationallicence Pseudocyst nationallicence Children nationallicence Endoscopic cyst-gastrostomy nationallicence Jazrawi Saad Department of Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut Barth Bradley Department of Pediatrics, Division of Gastroenterology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut Sreenarasimhaiah Jayaprakash Department of Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 902-908 0163-2116 56:3<902 2011 56 10620 https://doi.org/10.1007/s10620-010-1350-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1350-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jazrawi Saad Department of Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut NATIONALLICENCE 700 1- Barth Bradley Department of Pediatrics, Division of Gastroenterology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut NATIONALLICENCE 700 1- Sreenarasimhaiah Jayaprakash Department of Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. MC 9083, 75390-9151, Dallas, TX, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 902-908 0163-2116 56:3<902 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer