Chronic duodenal obstruction complicated by the course of chronic pancreatitis
M. A. Amanova,
A. Yu. Razumovsky,
V. V. Kholostova,
G. Yu. Chumakova,
V. I. Barsky,
E. A. Patrusheva,
A. A. Kislenko,
S. R. Margaryan,
A. I. Khavkin https://doi.org/10.31146/1682-8658-ecg-211-3-187-193
Abstract
The annular pancreas (CPJ) is mainly considered in pediatric surgical practice as a pathology of the newborn period, manifested by a picture of duodenal obstruction and having the potential for complete cure. Nevertheless, during the course of life, patients with this defect may develop complications such as chronic pancreatitis, peptic ulcer, pancreatic tumors, changes in the biliary tract, etc., which develop in adulthood and often cause complications and deaths. There are very few descriptions of such complications in children in the available literature, and therefore, we want to provide a clinical case of an 8-year-old boy with a complicated course of CPJ.
About the Authors
M. A. Amanova
Russian National Research Medical University named after N. I. Pirogov
Russian Federation
Russian Federation
Maisa A. Amanova, postgraduate student of the Department of Pediatric Surgery, Pediatric Faculty
2, Taldomskaya, Moscow, 125412
A. Yu. Razumovsky
Russian National Research Medical University named after N. I. Pirogov;
Filatov Children City Clinical Hospital
Russian Federation
Russian Federation
Alexander Yu. Razumovsky, Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor of the Department of Pediatric Surgery; head of the thoracic department, doctor-pediatric surgeon, Chief Pediatric Surgeon of the Moscow Department of Health, Chief Freelance Pediatric Surgeon of the Central Federal District of the Russian Federation
2, Taldomskaya, Moscow, 125412
15, st. Sadovaya-Kudrinskaya, Moscow, 123001
V. V. Kholostova
Russian National Research Medical University named after N. I. Pirogov;
Filatov Children City Clinical Hospital
Russian Federation
Russian Federation
Victoria V. Cholostova, Dr. Sci (Med.), associate professor of the Department of Pediatric Surgery, Pediatric surgeon
2, Taldomskaya, Moscow, 125412
15, st. Sadovaya-Kudrinskaya, Moscow, 123001
G. Yu. Chumakova
Filatov Children City Clinical Hospital
Russian Federation
Russian Federation
Galina Yu. Chumakova, Candidate of Medical Sciences; pediatric surgeon
15, st. Sadovaya-Kudrinskaya, Moscow, 123001
V. I. Barsky
Filatov Children City Clinical Hospital
Russian Federation
Russian Federation
Vladimir I. Barsky, Head of the Department of Radiation Diagnostics, Candidate of Medical Sciences; radiologist
15, st. Sadovaya-Kudrinskaya, Moscow, 123001
E. A. Patrusheva
Russian National Research Medical University named after N. I. Pirogov
Russian Federation
Russian Federation
Ekaterina A. Patrusheva, resident of the Department of Pediatric Surgery, Faculty of Pediatrics
2, Taldomskaya, Moscow, 125412
A. A. Kislenko
Russian National Research Medical University named after N. I. Pirogov;
Filatov Children City Clinical Hospital
Russian Federation
Russian Federation
Alina A. Kislenko, post-graduate student of the Department of Pediatric Surgery, Faculty of Pediatrics
2, Taldomskaya, Moscow, 125412
15, st. Sadovaya-Kudrinskaya, Moscow, 123001
S. R. Margaryan
Russian National Research Medical University named after N. I. Pirogov
Russian Federation
Russian Federation
Sergey R. Margaryan, postgraduate student of the Department of Pediatric Surgery, Faculty of Pediatrics
2, Taldomskaya, Moscow, 125412
A. I. Khavkin
Russian National Research Medical University named after N. I. Pirogov
Russian Federation
Russian Federation
Anatoly Khavkin, MD, PhD, DrSci (Med), professor, head of the Moscow Regional Center of Pediatric Gastroenterology, Hepatology; chief researcher of the gastroenterology department of the Research Clinical Institute of Pediatrics named after Yu. Y. E. Vel’tishchev Ministry of Health of the Russian Federation; Professor, Chair of Pediatrics, Course of Pediatric Surgical Diseases
2, Taldomskaya, Moscow, 125412
References
1. Riall TS. Pancreas anatomy and physiology. In: Mulholland MW, Coller FA, Arbor A, editors. Greenfield’s Surgery/Scientific Principles and Practice. 5th ed. Vol. 51. Philadelphia, PA, USA: Lippincott Williams and Wilkins, A Wolters Kluwer Business; 2011. pp. 802–3.
2. Miyano T. The pancreas. In: Grosfeld JL, O’Neill JA Jr, Coran AG, Fonkalsrud EW, Caldamone AA, editors. Pediatric Surgery. 6th ed. Vol. 107. Philadelphia: Mosby; 2006. p. 1671.
3. Fusco JC, Malek MM, Gittes GK. Lesions of the pancreas. In: Holcomb GW 3rd, Murphy PJ, Ostlie DJ, editors. Ashcraft’s Pediatric Surgery. 7th ed. Vol. 46. London, New York, Oxford, Philadelphia, St. Louis, Sydney and Toronto: Elsevier Saunders; 2020. p. 737.
4. Ali Almoamin HH, Kadhem SH, Saleh AM. Annular pancreas in neonates; Case series and review of literatures. Afr J Paediatr Surg. 2022 Apr-J un;19(2):97–101. doi: 10.4103/ajps.AJPS_180_20.
5. Wang D, Kang Q, Shi S, Hu W. Annular pancreas in China: 9 years’ experience from a single center. Pediatr Surg Int. 2018 Aug;34(8):823–827. doi: 10.1007/s00383-018-4299-0.
6. Overton DL, Mastracci TL. Exocrine-Endocrine Crosstalk: The Influence of Pancreatic Cellular Communications on Organ Growth, Function and Disease. Front Endocrinol (Lausanne). 2022 Jun 13;13:904004. doi: 10.3389/fendo.2022.904004
7. Kimura K, Mukohara N, Nishijima E, Muraji T, Tsugawa C, Matsumoto Y. Diamond- shaped anastomosis for duodenal atresia: an experience with 44 patients over 15 years. J Pediatr Surg. 1990 Sep;25(9):977–9. doi: 10.1016/0022-3468(90)90241-z. PMID: 2213450.
8. Weber TR, Lewis JE, Mooney D, Connors R. Duodenal atresia: a comparison of techniques of repair. J Pediatr Surg. 1986 Dec;21(12):1133–6. doi: 10.1016/0022-3468(86)90025-4.
9. Yigiter M, Yildiz A, Firinci B, Yalcin O, Oral A, Salman AB. Annular pancreas in children: a decade of experience. Eurasian J Med. 2010 Dec;42(3):116–9. doi: 10.5152/eajm.2010.33.
10. Kawaida H, Kono H, Watanabe M, Maki A, Amemiya H, Matsuda M, Fujii H, Fukasawa M, Takahashi E, Sano K, Inoue T. Pancreaticoduodenectomy for pancreas carcinoma occurring in the annular pancreas: report of a case. Clin J Gastroenterol. 2015 Aug;8(4):223–7. doi: 10.1007/s12328-015-0579-6.
11. Wani A. A., Maqsood S., Lala P., Wani S. Annular pancreas in adults: a report of two cases and review of literature. JOP. 2013 May 10;14(3):277–9. doi: 10.6092/1590-8577/1454.
12. Benassai G., Perrotta S., Furino E. et al. “Ductal adenocarcinoma in anular pancreas”. Int J Surg. 2015 Sep;21 Suppl 1: S95–7. doi: 10.1016/j.ijsu.2015.04.086.
13. Cheng L., Tian F., Zhao T., Pang Y., Luo Z., Ren J. Annular pancreas concurrent with pancreaticobiliary maljunction presented with symptoms until adult age: case report with comparative data on pediatric cases. BMC Gastroenterol. 2013 Oct 25;13:153. doi: 10.1186/1471-230X-13-153.
14. Thomford N. R., Knight P. R., Pace W. G., Madura J. A. Annular pancreas in the adult: selection of operation. Ann Surg. 1972 Aug;176(2):159–62.
15. Zyromski N. J., Sandoval J. A., Pitt H. A. et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg. 2008 May;206(5):1019–25; discussion 1025–7. doi:10.1016/j.jamcollsurg.2007.12.009.
16. Benassai G., Perrotta S., Furino E., et al. “Ductal adenocarcinoma in anular pancreas”. Int J Surg. 2015 Sep;21 Suppl 1: S95–7. doi: 10.1016/j.ijsu.2015.04.086.
17. Vasudevan SA, Ha TN, Zhu H, et al. Pancreatico duodenectomy for the treatment of pancreatic neoplasms in children: A Pediatric Surgical Oncology Research Collaborative study. Pediatr Blood Cancer. 2020 Sep;67(9): e28425. doi: 10.1002/pbc.28425.
18. Pranger B. K., van Dam J. L., Groen J. V., et al.; Dutch Pancreatic Cancer Group. Pancreatic resection in the pediatric, adolescent and young adult population: nationwide analysis on complications. HPB (Oxford). 2021 Aug;23(8):1175–1184. doi: 10.1016/j.hpb.2020.10.029.
Review
For citations:
Amanova M.A., Razumovsky A.Yu., Kholostova V.V., Chumakova G.Yu., Barsky V.I., Patrusheva E.A., Kislenko A.A., Margaryan S.R., Khavkin A.I. Chronic duodenal obstruction complicated by the course of chronic pancreatitis. Experimental and Clinical Gastroenterology. 2023;(3):187-193. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-211-3-187-193
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