Chronic pancreatitis (CP) is uncommon in children but has a significant disease burden. There was little information on the care of CP in children, particularly the numerous surgical options. For a study, researchers sought to discuss the existing pediatric and adult research and make surgical recommendations for children with CP. The breadth of the issue, indications for operation, conventional surgical procedures as well as complete pancreatectomy with islet autotransplantation, and outcomes following CP surgeries were all reviewed in the literature.
Surgery was recommended for children with severe CP who have failed all medicinal and endoscopic treatments. Surgical care must be adapted to the patient’s specific demands while considering the anatomy and morphology of their condition. In the case of considerable and uniform pancreatic duct dilatation or an inflammatory head mass, a standard surgical strategy (i.e., drainage operation, partial resection, combination drainage-resection) may be explored. In individuals with small duct disease, total pancreatectomy with islet autotransplantation is the best surgical choice. Genetic risk factors frequently predict a bad outcome after a standard procedure.
When identifying the best surgical technique for children with CP, the morphology of the illness and the existence of hereditary risk factors must be taken into account. Surgical results for CP vary depending on the kind of surgery. A multidisciplinary team approach is required to ensure that the optimal procedure is chosen for each patient, that their recovery is optimized, and that their immediate and long-term postoperative needs are satisfied.
Reference:journals.lww.com/jpgn/Fulltext/2022/05000/The_Role_of_Surgical_Management_in_Chronic.29.aspx
