Different Management of Pancreatic Head Tumors in Children | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 1, January 2025, Pages 36-39 PDF (920.14 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.343077.1169 | ||
| Authors | ||
| Sayed Khedr1; Sarah Magdy Abdelmohsen2; Mohamed Saber1; Mostafa Gad1; Haitham Essmat1; Ahmed Arafa* 1 | ||
| 1Department of General Surgery, Cairo University, Faculty of Medicine, Cairo, Egypt | ||
| 2Department of General Surgery, Faculty of Medicine, Aswan University, Egypt | ||
| Abstract | ||
| Introduction: Less than 0.2% of all juvenile cancer-related fatalities are caused by pancreatic neoplasms, which are uncommon in children.1 Patients and methods: Review of the literature and a retrospective single-institution research on all child pancreatic tumours during a five-year period. Clinical aspects, presentation, investigation, therapy, and outcome were among the data we provided. Results: There were five patients found. Abdominal discomfort, mass, and vomiting were the most prevalent symptoms upon presentation. We began oral feeding on the fifth postoperative day; no postoperative complications were discovered; none of our patients had pancreatic or biliary leakage; and all of our cases had free resection margins according to histological analysis. The neuroendocrine tumour patient and the two SPT cases had pancreaticoduodenectomy.Roux-en-y hepaticojejunostomy and gastrojejunostomy were performed on the other two patients, hemangioendothelioma and rhabdomyosarcoma, who were referred for chemotherapy. Conclusion: Paediatric pancreatic head tumours are rare, Clinical symptoms are often nonspecific, surgical resection is the optimal treatment in absence of metastatis, Long-term outcome is generally good. | ||
| Keywords | ||
| Pancreatic head mass; hepaticojejunostomy; gastrojejunostomy | ||
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