Pediatric Surgery International

, Volume 29, Issue 3, pp 305–310

Non-operative treatment versus percutaneous drainage of pancreatic pseudocysts in children

  • K. W. Russell
  • D. C. Barnhart
  • J. Madden
  • E. Leeflang
  • W. D. Jackson
  • G. P. Feola
  • R. L. Meyers
  • E. R. Scaife
  • M. D. Rollins
Original Article

DOI: 10.1007/s00383-012-3236-x

Cite this article as:
Russell, K.W., Barnhart, D.C., Madden, J. et al. Pediatr Surg Int (2013) 29: 305. doi:10.1007/s00383-012-3236-x

Abstract

Purpose

The objective of this study was to characterize the clinical course and outcomes of children with pancreatic pseudocysts that were initially treated non-operatively or with percutaneous drainage.

Methods

A retrospective review of children with pancreatic pseudocysts over a 12-year period was completed. Categorical variables were compared using Fischer’s exact method and the Student’s t test was used to compare continuous variables. Analysis was done using logistic and linear regression models.

Results

Thirty-six children met the criteria for pancreatic pseudocyst and 33 children were treated either non-operatively or with percutaneous drainage. Of the 22 children managed non-operatively, 17 required no additional intervention (77 %) and five required surgery. Operative procedures were: Frey procedure (3), distal pancreatectomy (1), and cystgastrostomy (1). Eight of the 11 children treated with initial percutaneous drainage required no additional treatment (72 %). The other three children underwent distal pancreatectomy. Success of non-operative management or percutaneous drainage was not dependent on size or complexity of the pseudocyst Logistic regression did not identify any patient demographic (gender, age, and weight), etiologic (trauma, non-traumatic pancreatitis) or pseudocyst characteristic (size, septations) that predicted failure of non-operative therapy.

Conclusions

In children, pancreatic pseudocysts can frequently be managed without surgery regardless of size or complexity of the pseudocyst. When an intervention is needed, percutaneous drainage can be performed successfully, avoiding the need for major surgical intervention in the majority of patients.

Keywords

Pancreatic pseudocystPediatricsNon-operative managementPercutaneous drainage

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • K. W. Russell
    • 2
  • D. C. Barnhart
    • 1
    • 2
  • J. Madden
    • 2
  • E. Leeflang
    • 5
  • W. D. Jackson
    • 3
  • G. P. Feola
    • 4
  • R. L. Meyers
    • 1
    • 2
  • E. R. Scaife
    • 1
    • 2
  • M. D. Rollins
    • 1
    • 2
  1. 1.Division of Pediatric SurgeryPrimary Children’s Medical Center, University of UtahSalt Lake CityUSA
  2. 2.Department of SurgeryUniversity of UtahSalt Lake CityUSA
  3. 3.Pediatric GastroenterologyPrimary Children’s Medical Center, University of UtahSalt Lake CityUSA
  4. 4.Pediatric Interventional RadiologyPrimary Children’s Medical Center, University of UtahSalt Lake CityUSA
  5. 5.Department of SurgeryUniversity of California San DiegoSan DiegoUSA