儿童特发性慢性钙化性胰腺炎的实质保留手术:三个病例的报告

Journal of Pancreatic Cancer Pub Date : 2019-10-03 eCollection Date: 2019-01-01 DOI:10.1089/pancan.2019.0008
Tewodross Getu Wolde, Baobao Cai, Guo Feng, Junli Wu, Wentao Gao, Jishu Wei, Yi Miao
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引用次数: 0

摘要

背景:特发性慢性钙化性胰腺炎是一种罕见病:特发性慢性钙化性胰腺炎是一种罕见病。为防止胰腺进一步腐烂和发生癌变,应提倡早期手术干预和保留实质的手术。病例介绍:病例 1:一名 14 岁男孩因右上腹部疼痛就诊 3 年,最近 2 个月疼痛加剧。影像学检查发现胰管扩张 6 毫米,胰腺头部有胰管结石。他接受了弗雷手术。不幸的是,他带着 B 级胰瘘出院。病例 2:一名 12 岁男孩因反复发作的上腹部钝痛已有 1 年病史。影像学检查显示,12 毫米扩张的胰管内有多颗结石。患者接受了改良 Puestow 手术。随访至第42个月,患者再无疼痛主诉。病例 3:一名 12 岁男孩,上腹钝痛 1 周,发现 10 毫米的胰管中有多颗结石。他接受了改良 Puestow 手术,疼痛减轻后出院。结论与其他内窥镜手术相比,"保守 "手术可获得满意的胰管引流效果,减少再次住院次数,并延长疼痛缓解时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parenchyma Preserving Surgery for Idiopathic Chronic Calcific Pancreatitis in Children: A Report of Three Cases.

Background: Idiopathic chronic calcific pancreatitis is a rare entity. Early surgical intervention and a parenchyma sparing procedure should be advocated to prevent further decay of the pancreas and the occurrence of cancer. Case Presentations: Case 1: A 14-year-old boy presented with a 3-year history of right upper abdominal pain that has been aggravated in the last 2 months. Imaging revealed a dilated pancreatic duct of 6 mm with pancreatic duct stones in the head of pancreas. He underwent a Frey's procedure. Unfortunately, he was discharged with grade B pancreatic fistula. Case 2: A 12-year-old boy presented with a 1-year history of dull and recurring epigastric pain. Imaging studies showed multiple stones in a 12 mm dilated pancreatic duct. The patient underwent a modified Puestow procedure. Up to the 42th month follow-up, the patient had no pain complaints. Case 3: A 12-year-old boy with a 1-week history of a dull epigastric pain presented with with multiple stones in a 10 mm duct. He underwent a modified Puestow procedure and was discharged with alleviated pain. Conclusions: "Conservative" surgery allows satisfactory pancreatic duct drainage, reduced rehospitalizations, and longer pain relief than alternative endoscopic procedures.

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