ENDOSCOPIC THERAPY OF PANCREATITIS IN THE PEDIATRIC POPULATION

Six children with chronic relapsing pancreatitis or acute post-traumat ic pancreatic pseudocyst underwent therapeutic pancreatography at the time of ERCP. Procedures included pancreaticobiliary sphincterotomy, p ancreatic duct stone removal, and endoprosthesis placement. Four of fi ve patients with chronic pancreatitis had significant symptomatic impr ovement, whereas the patient with pseudocyst had rapid resolution of s ymptoms and cyst. Complications were limited to mild pancreatitis in a subset of patients. With the capability of obviating or delaying the need for palliative pancreatic surgery, therapeutic pancreatography de serves additional evaluation in the pediatric patient.