Longitudinal pancreaticojejunostomy for paediatric chronic pancreatitis with dilated pancreatic ducts

Abstract

Objective To analyze the results of longitudinal pancreaticojejunostomy in treatment of paediatric chronic pancreatitis with dilated pancreatic ducts. Methods A retrospective study was carried out on 13 patients with paediatric chronic pancreatitis complicated with dilated pancreatic ducts treated with longitudinal pancreaticojejunostomy in Children's Hospital of Chongqing Medical University from December 2011 to January 2017. The perioperative morbidity and mortality rates, long-term treatment results and postoperative growth of these children were analyzed. Results The 13 patients all underwent successful surgery. In 11 patients, the serum and urine amylase levels returned to normal after 8 days of operation, and the abdominal pain disappeared completely. In 1 patient, the abdominal pain gradually disappeared in 1 year, and the serum and urine amylase levels gradually returned to normal. This patient gained weight well. In the remaining patient who had severe pancreatic atrophy, the patient took high-fat diets before and after surgery, and drank alcohol occasionally. The patient developed repeated attacks of abdominal pain with occasional increase in serum and urine amylase levels and had poor weight gain. There were no complications such as postoperative bleeding, pancreatic leakage and intestinal obstruction in this study. The body weight and growth rates of the whole group of patients before and 1 year after surgery were different. Conclusion Longitudinal pancreaticojejunostomy for paediatric chronic pancreatitis complicated with dilated pancreatic ducts was safe and effective in alleviating symptoms, improving quality of life, and resulted in normal growth of these children. Key words: Pancreatitis, chronic; Pancreaticojejunostomy; Pancreatic duct dilatation; Treatment outcome