Laparoscopic-assisted pancreaticoduodenectomy in a child with gastrinoma.

Abstract

Gastrinoma is rare in children. We report the case of a 9-year-old boy with weight loss and vomiting. Upper gastrointestinal imaging showed severe stenosis of the duodenum. Although gastrin was very high, imaging did not show a gastrinoma. Selective arterial secretagogue injection (SASI) test indicated a tumor within the gastroduodenal arterial zone. In accordance with the SASI test result, we performed laparoscopic-assisted pancreaticoduodenectomy (LAPD). Postoperative biochemistry confirmed complete resection of the gastrinoma, and the patient was asymptomatic at follow up, 30 months after surgery. Even in patients with negative imaging for gastrinoma, aggressive resection following accurate localization on SASI test is biochemically curative. In such cases, the tumor is probably very small and LAPD may offer a minimally invasive procedure. As far as we know, LAPD in a child has not been previously reported.

• Authors: Naruhiko Murase, Hiroo Uchida, Takahisa Tainaka, Hiroshi Kawashima, Yujiro Tanaka, Hizuru Amano, Hiroshi Kishimoto
• Journal: Pediatrics international : official journal of the Japan Pediatric Society (Pediatr Int) Vol. 57 Issue 6 Pg. 1196-8 (Dec 2015) ISSN: 1442-200X [Electronic] Australia
• PMID: 26711921 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2015 Japan Pediatric Society.

Topics

• Child
• Follow-Up Studies
• Gastrinoma (diagnosis, surgery)
• Humans
• Laparoscopy (methods)
• Magnetic Resonance Imaging
• Male
• Pancreatic Neoplasms (diagnosis, surgery)
• Pancreaticoduodenectomy (methods)
• Tomography, X-Ray Computed