Massive infected pancreatic necrosis in an 8-year-old: Endoscopic management

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dc.contributor.authorAbel, William F.en
dc.contributor.authorKesar, Varunen
dc.contributor.authorWasserman, Reid D.en
dc.contributor.authorKumar, Manojen
dc.contributor.authorPatel, Vishalen
dc.contributor.authorYeaton, Paulen
dc.contributor.authorKesar, Viveken
dc.date.accessioned2024-07-26T12:39:45Zen
dc.date.available2024-07-26T12:39:45Zen
dc.date.issued2024-02-14en
dc.description.abstractPancreatitis is a condition much more commonly found in adults, but when diagnosed in the pediatric population, is often due to medications, congenital pathology, and critical illness. This patient had previously undergone treatment with 6-mercaptopurine and presented with pancreatitis that eventually worsened to a walled-off necrotic collection with paracolic extensions reaching the pelvis. Given clinical worsening with development of shock, procedural options for source control were weighed with gastroenterology, pediatric surgery, and interventional radiology, before pancreatic necrosectomy was determined to be the treatment of choice, given the adjacency of the collection to the stomach. A total of three separate endoscopic pancreatic necrosectomy procedures were performed and the patient s clinical status improved greatly, with vast improvement later seen on outpatient imaging. This successful treatment course argues for the efficacy of pancreatic necrosectomy even in very large walled off collections, and most importantly, lead to a positive outcome in this young patient.en
dc.description.versionPublished versionen
dc.format.extentPages 175-177en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1002/jpr3.12052en
dc.identifier.eissn2691-171Xen
dc.identifier.issn2691-171Xen
dc.identifier.issue2en
dc.identifier.orcidKesar, Varun [0000-0002-2422-0249]en
dc.identifier.orcidYeaton, Paul [0000-0002-1872-7377]en
dc.identifier.otherPMC11093900en
dc.identifier.otherJPR312052 (PII)en
dc.identifier.pmid38756110en
dc.identifier.urihttps://hdl.handle.net/10919/120704en
dc.identifier.volume5en
dc.language.isoenen
dc.publisherWileyen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/38756110en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectcollectionen
dc.subjectnecrosectomyen
dc.subjectpancreatitisen
dc.subjectwalled‐off necrosisen
dc.titleMassive infected pancreatic necrosis in an 8-year-old: Endoscopic managementen
dc.title.serialJPGN reportsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherCase Reportsen
dc.type.othercase-reporten
dcterms.dateAccepted2024-01-14en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Radiologyen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicine/Gastroenterologyen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Radiology/Interventional Radiologyen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

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