Pancreas Latest Topicshttps://pediatricsurgeryclub.com/forum/153-pancreas/Pancreas Latest TopicsenCystogastrostomy for Pseudocyst of Pancreashttps://pediatricsurgeryclub.com/topic/2442-cystogastrostomy-for-pseudocyst-of-pancreas/See video link in second post

 

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]]>2442Fri, 22 Oct 2021 04:56:10 +0000Lap Near-total Pancreatectomy in Hyperinsulinemic Hypoglycemia (diffuse variety)https://pediatricsurgeryclub.com/topic/2614-lap-near-total-pancreatectomy-in-hyperinsulinemic-hypoglycemia-diffuse-variety/see video link in second post

 

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]]>2614Tue, 04 Jan 2022 11:54:39 +000021/4/2024https://pediatricsurgeryclub.com/topic/3149-2142024/[size=20px]A 14-year-old boy presents to your clinic. Over the last 12 months he had multiple hospitalizations for acute pancreatitis. An extensive GI workup, including genetic analysis, shows no obvious etiology for his pancreatitis. He does not have gallstones on ultrasound. An MRCP revealed that the dorsal pancreatic duct drains into the minor papilla and the ventral duct joins with the bile duct entering the major ampulla. The ducts are not markedly dilated and there are no strictures of the ducts noted in the body of the pancreas. What would be the best next step in the management of this adolescent?

 

A ERCP with sphincterotomy and stent placement

 

B Transduodenal sphincteroplasty

 

C Pancreaticoduodenectomy (Whipple procedure)

 

D Total pancreatectomy with islet cell autotransplantation

 

E Lateral pancreaticojejunostomy

 

 

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]]>3149Sun, 21 Apr 2024 10:42:28 +000013/8/2023https://pediatricsurgeryclub.com/topic/2951-1382023/An eight-week old infant with congenital hyperinsulinism has been stabilized and worked up including a PET-CT scan using 18-fluoro L-DOPA which suggests a focal lesion in the head of the pancreas. At exploration, you identify a large abnormal area in the head of the pancreas that has irregular borders and is slightly reddish in color. Biopsies with frozen sections suggest this to be a focal area of adenomatous islet cell hyperplasia with proliferation of islet cells and large nuclei. For this patient with congenital hyperinsulinism, the next best step in with management is

 

A pancreaticoduodenectomy (Whipple) operation.

 

B subtotal pancreatectomy (50 to 75%).

 

C pancreatic head resection with Roux en Y pancreaticojejunostomy.

 

D near total pancreatectomy (95 to 98%).

 

E limited resection of localized lesion.​

]]>2951Sun, 13 Aug 2023 10:49:31 +0000Abdomen CT in diagnosis of acute pancreatitishttps://pediatricsurgeryclub.com/topic/2760-abdomen-ct-in-diagnosis-of-acute-pancreatitis/8669BA40-4132-4896-B744-C3721E471C5D.jpg.daf43fbb119113f8e6d983107e01dc96.jpg]]>2760Tue, 02 Aug 2022 05:44:25 +0000Lap Distal Pancreatectomy for trauma in a child with spleen preservationhttps://pediatricsurgeryclub.com/topic/2549-lap-distal-pancreatectomy-for-trauma-in-a-child-with-spleen-preservation/see video link in second post

 

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]]>2549Mon, 20 Dec 2021 10:48:18 +0000Laparoscopic cysto-gastrostomy for pseudo-pancreatic cysthttps://pediatricsurgeryclub.com/topic/2510-laparoscopic-cysto-gastrostomy-for-pseudo-pancreatic-cyst/see video link in second post

 

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]]>2510Mon, 22 Nov 2021 15:58:19 +0000pancreatic divisumhttps://pediatricsurgeryclub.com/topic/2607-pancreatic-divisum/PancreasDivisum-PD-Home.jpg.4cc3d5cd5ca80516d2536b2738cbe3ae.jpg]]>2607Mon, 27 Dec 2021 10:12:52 +0000Lap Roux-en-Y Wirsungojejunostomy in a 13 yrs child with chronic pancreatitishttps://pediatricsurgeryclub.com/topic/2085-lap-roux-en-y-wirsungojejunostomy-in-a-13-yrs-child-with-chronic-pancreatitis/see video link in second post

 

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]]>2085Thu, 20 May 2021 08:16:42 +0000Subtotal lap pancreatectomy for the treatment of hyperinsulinism in a 12 yrs girlhttps://pediatricsurgeryclub.com/topic/2135-subtotal-lap-pancreatectomy-for-the-treatment-of-hyperinsulinism-in-a-12-yrs-girl/see video link in second post

 

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]]>2135Wed, 26 May 2021 06:47:49 +0000Robot Assisted Pancreatic repair following Traumatic Pancreatic Transectionhttps://pediatricsurgeryclub.com/topic/2356-robot-assisted-pancreatic-repair-following-traumatic-pancreatic-transection/see video link in second post

 

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wAAACH5BAEKAAAALAAAAAABAAEAAAICRAEAOw==​ ​​​​​​​

]]>2356Thu, 19 Aug 2021 04:16:48 +0000Pseudo-pancreatic cyst in childrenhttps://pediatricsurgeryclub.com/topic/2221-pseudo-pancreatic-cyst-in-children/1861EA39-717F-4A89-91C4-89E5F6BE91FF.jpeg.bef529b44968513a7c3a64bf6e4c06d0.jpeg]]>2221Sat, 05 Jun 2021 16:28:45 +0000Laparoscopic pancreatic surgery lecturehttps://pediatricsurgeryclub.com/topic/2145-laparoscopic-pancreatic-surgery-lecture/see video link in second post

 

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]]>2145Thu, 27 May 2021 05:23:08 +0000Laparoscopic distal pancreatectomy for traumatic transectionhttps://pediatricsurgeryclub.com/topic/1671-laparoscopic-distal-pancreatectomy-for-traumatic-transection/see in next post]]>1671Tue, 01 Dec 2020 14:03:36 +0000