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Editorial
. 2023 Aug 1;12(4):585-589.
doi: 10.21037/hbsn-23-236. Epub 2023 Jul 6.

From cradle to grave: seamless management of chronic pancreatitis but consider the special requests for children

Hiroyuki Isayama  1 , Shigeto Ishii  1 , Mitsuyoshi Suzuki  2 , Toshiaki Shimizu  2
Affiliations
Editorial

From cradle to grave: seamless management of chronic pancreatitis but consider the special requests for children

Hiroyuki Isayama et al. Hepatobiliary Surg Nutr. .
No abstract available

Keywords: Chronic pancreatitis; endoscopic retrograde cholangiopancreatography (ERCP); endoscopic ultrasound (EUS); pancreatic enzyme replacement therapy (PERT); pediatrics.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://hbsn.amegroups.com/article/view/10.21037/hbsn-23-236/coif). TS reports grant support from JCR Pharmaceuticals Co., Ltd., Meiji Co., Ltd., and Taiko Pharmaceuticals Co., Ltd. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Endoscopic treatment for idiopathic chronic pancreatitis in a 10-year-old boy. (A) ERCP revealed diffuse pancreatic duct stricture. (B) Dilation of the stricture using a 6-mm balloon. (C) Placement of two 7-Fr single-pigtail stents to dilate the stricture. (D) Removal of pancreatic stones using a basket catheter. (E,F) Pancreatic duct stricture was gradually improved by repeated balloon dilation and insertion of multiple stents. ERCP, endoscopic retrograde cholangiopancreatography.
Figure 2
Figure 2
EUS-guided procedures for a 10-year-old boy with a traumatic main pancreatic duct injury [same case as reference (14) but showed different images]. (A) Enhanced CT image of pancreatic transection (arrowheads) due to traumatic main pancreatic duct injury. (B) Enhanced CT showing fluid collection around the pancreatic transection 3 weeks after the injury (arrowheads). (C) Endosonographic image of fluid collection. (D) Endoscopic image: a LAMS was deployed into the fluid. (E) Fluoroscopic image: The main pancreatic duct was disconnected as a result of the injury (arrowheads). The slightly dilated distal main pancreatic duct was punctured using a 19-G needle. (F) Fluoroscopic image: EUS-guided Pancreatogastrostomy with a 5-Fr plastic stent (arrowheads). EUS, endoscopic ultrasound; CT, computed tomography; LAMS, lumen-apposing metal stent.
See this image and copyright information in PMC

Comment on

References

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