Eur J Pediatr Surg 2010; 20(1): 59-60
DOI: 10.1055/s-0029-1216342
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© Georg Thieme Verlag KG Stuttgart · New York

Non-surgical Management of Idiopathic Fibrosing Pancreatitis

L. Harper 1 , B. Le Bail 2 , N. Grenier 3 , F. Lavrand 4 , A. Notz 4 , T. Lamireau 4
  • 1CHU Bordeaux, Department of Pediatric Surgery, Bordeaux, France
  • 2CHU Bordeaux, Department of Pathology, Bordeaux, France
  • 3CHU Bordeaux, Department of Radiology, Bordeaux, France
  • 4CHU Bordeaux, Department of Pediatrics, Bordeaux, France
Further Information

Publication History

Publication Date:
22 April 2009 (online)

Introduction

Surgical exploration, including pancreatic biopsy and bilioenteric bypass, is still considered to be the gold standard treatment for children presenting with idiopathic fibrosing pancreatitis (IFP) [1] [2] [4]. However, several recent reports suggest that the symptoms of obstructive jaundice and mass secondary to juvenile IFP might resolve spontaneously in most cases [3] [6] [8]. We report two cases of IFP in which histological diagnosis was confirmed by CT guided biopsies, and where all symptoms of obstructive jaundice resolved spontaneously without the need for any invasive surgery.

References

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  • 2 Barkin JS, Stollman N, Friedman J. et al . Idiopathic fibrosing pancreatitis causing obstructive jaundice in young adults: two case reports and literature review.  Am J Gastroenterol. 1994;  89 2063-2065
  • 3 Cartmell MT, Cusick E, Ashworth M. et al . Idiopathic fibrosing pancreatitis and spontaneous resolution of pancreatic masses in children.  Pediatr Surg Int. 2007;  , (Epub ahead of print)
  • 4 Deshpande AV, LaHei ER, Shun A. et al . Idiopathic fibrosing pancreatitis in children – a single centre experience.  J Ped Surg. 2006;  41 1987-1991
  • 5 Elitsur Y, Siddiqui SY, Sloven D. et al . Chronic pancreatitis with diffuse fibrosis in early childhood.  Pancreas. 1989;  4 504-510
  • 6 El-Matary W, Casson D, Hodges S. et al . Successful conservative management of idiopathic fibrosing pancreatitis in children.  Eur J Paediatr. 2006;  165 560-565
  • 7 Meneely RL, O’Neill J, Ghislan FK. Fibrosing pancreatitis: An obscure cause of painless obstructive jaundice: A case report and review of the literature.  Pediatrics. 1981;  67 136-139
  • 8 Sylvester FA, Schuckett B, Cutz E. et al . Management of fibrosing pancreatitis in children presenting with obstructive jaundice.  Gut. 1998;  43 715-720

Correspondence

Dr. L. Harper

CHU Bordeaux, Department of Pediatric Surgery

Place Amélie Raba-Léon

33076 Bordeaux

France

Phone: +55/679/56 17

Fax: +55/679/47 91

Email: harper_luke@hotmail.com