caa a22 4500 46577251X CHVBK 20180323111932.0 cr unu---uuuuu 170327e19900801xx s 000 0 eng 10.1007/BF00177103 doi (NATIONALLICENCE)springer-10.1007/BF00177103 Treatment of traumatic pancreatic pseudocysts in children: the role of percutaneous catheter drainage [Elektronische Daten] [Margo Hendrickson, Michael Matlak, Richard Jaffe, Dale Johnson, Richard Black] Six cases of successful percutaneous catheter drainage (PCD) of pancreatic pseudocysts in children ages 3-13 years are presented. All cases involved blunt abdominal trauma and presented with abdominal pain, vomiting, epigastric tenderness without a palpable mass, and elevated serum amylase. Indications for PCD were an enlarging pseudocysts and marked abdominal pain. Catheter placement was accomplished using CT guidance 15.3±1.8 days (mean ± SEM) following injury. Two patients had transgastric PCD. None of the pseudocysts were infected. Catheters were left in place until the drainage ceased, the serum amylase approached normal, the pseudocyst resolved on ultrasound, and the asymptomatic patient tolerated enteral feedings with the catheter clamped. The mean duration of catheter drainage was 18.3±3.7 days. At the time of catheter insertion, the range of serum amylase values was 242-2810 IU/l, while discharge values were 50-147 IU/l (normal: 16-108 IU/l). The mean hospital stay was 36.2±3.8 days and the mean length of total parenteral nutrition was 27.5±4.5 days. All pseudocysts were treated successfully without complication. PCD of traumatic pancreatic pseudocysts in children was performed safely and effectively in our study. Use of this therapeutic modality allowed earlier treatment, decreased the duration of symptoms, and avoided abdominal operation. PCD may prove to be the treatment of choice for pancreatic pseudocysts in children. Springer-Verlag, 1990 Pancreatic pseudocysts in children nationallicence Percutaneous pseudocyst drainage nationallicence Hendrickson Margo Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut Matlak Michael Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut Jaffe Richard Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut Johnson Dale Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut Black Richard Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut Pediatric Surgery International Springer-Verlag 5/5(1990-08-01), 347-349 0179-0358 5:5<347 1990 5 383 https://doi.org/10.1007/BF00177103 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00177103 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hendrickson Margo Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Matlak Michael Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Jaffe Richard Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Johnson Dale Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Black Richard Primary Children's Medical Center, and the Department of Surgery, University of Utah Health Sciences Center, 84113, Salt Lake City, Utah, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/5(1990-08-01), 347-349 0179-0358 5:5<347 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer