Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/38829
Title: Acute pancreatitis complicating choledochal cysts in children.
Authors: King S.;Panabokke G.;Paul E.;Ferguson P.;Dagia C.;Clarnette T.;Nataraja R. ;Muthucumaru M.;Ljuhar D.
Institution: (Muthucumaru, Panabokke, Nataraja, Ferguson, Clarnette) Department of Paediatric Surgery, Monash Medical Centre, Melbourne, VIC, Australia (Ljuhar, Clarnette, King) Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, VIC, Australia (Paul) Monash Centre for Health Research and Implementation, Monash University, Monash Medical Centre, Melbourne, VIC, Australia (Dagia) Department of Medical Imaging, The Royal Children's Hospital, Melbourne, VIC, Australia (King) Surgical Research, Murdoch Childrens Research Institute, Melbourne, VIC, Australia (King) Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
Issue Date: 4-May-2017
Copyright year: 2017
Publisher: Blackwell Publishing (E-mail: info@asia.blackpublishing.com.au)
Place of publication: Australia
Publication information: Journal of Paediatrics and Child Health. 53 (3) (pp 291-294), 2017. Date of Publication: 01 Mar 2017.
Journal: Journal of Paediatrics and Child Health
Abstract: Aim: To analyse the characteristics of patients with choledochal cysts presenting with acute pancreatitis. Method(s): Multicenter retrospective review of all paediatric patients (<18 years) with choledochal cysts managed over a 14-year period (2001-2014) at two tertiary paediatric surgical centres. Patient data were analysed for demographics, presentation, radiological classification of cyst type (Todani), operative interventions, complications and long-term follow-up. Result(s): A total of 49 patients with choledochal cysts were identified with 15 (31%) being Type I fusiform, 18 (37%) Type I cystic and 16 (32%) Type IV-A. Seventeen (35%) patients presented with acute pancreatitis, one having had an ante-natally diagnosed choledochal cyst. Patients presenting with pancreatitis were older when compared to the non-pancreatitis group (5.1 vs. 1.2 years, P = 0.005). Nine out of 16 (53%) patients with Type IV-A cysts presented with pancreatitis compared to five (33%) of Type I fusiform and three (17%) of Type I cystic. There was however no statistically significant association between Todani types and the development of pancreatitis (Type I fusiform, P = 1.0; Type I cystic, P = 0.063; Type IV-A, P = 0.053). The rate of complications was similar in both groups. Conclusion(s): Pancreatitis was a common presentation in children with a choledochal cyst, however, there was no clear statistically significant association with Todani types and pancreatitis.Copyright © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)
DOI: http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/jpc.13380
PubMed URL: 27701789 [http://www.ncbi.nlm.nih.gov/pubmed/?term=27701789]
ISSN: 1034-4810
URI: https://repository.monashhealth.org/monashhealthjspui/handle/1/38829
Type: Article
Appears in Collections:Articles

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