Abstract | BACKGROUND/AIMS: Few reports have appeared on the development of acute pancreatitis in children with choledochal cysts and no information on optimal timing of surgery is available. We assessed patient outcomes relative to timing of surgery and serum amylase and lipase concentrations. METHODOLOGY: RESULTS: Patients were divided into three groups according to timing of surgery. At the time of operation, serum amylase and lipase concentrations were significantly higher in patients who underwent early surgery. Change in hemoglobin concentration, length of operation, time of diet commencement after surgery, and hospitalization days, were similar in the three groups. Many patients for whom surgery was delayed underwent endoscopic retrograde cholangiopancreatography (ERCP). When patients were divided into three groups according to serum amylase and lipase concentrations at the time of operation, no statistically significant differences in surgical parameters or outcomes were evident. CONCLUSIONS:
|
Authors | Min Jeng Cho, Dae Yeon Kim, Seong Chul Kim, Tae Hoon Kim, In Koo Kim |
Journal | Hepato-gastroenterology
(Hepatogastroenterology)
2011 May-Jun
Vol. 58
Issue 107-108
Pg. 709-12
ISSN: 0172-6390 [Print] Greece |
PMID | 21830374
(Publication Type: Comparative Study, Journal Article)
|
Topics |
- Acute Disease
- Adolescent
- Child
- Child, Preschool
- Cholangiopancreatography, Endoscopic Retrograde
- Choledochal Cyst
(surgery)
- Female
- Humans
- Infant
- Male
- Pancreatitis
(surgery)
- Time Factors
|