<p>Pancreatic resections in childhood and adolescence are rare and pose a&#xa0;particular challenge due to the low incidence and the associated limited clinical experience. The underlying indications include congenital anomalies, inflammatory and traumatic alterations as well as rare tumor diseases. Surgical treatment requires close interdisciplinary collaboration between pancreatic surgeons, pediatric surgeons, pediatricians and intensive care specialists. In pediatric patients, surgical techniques often need to be individually adapted, with special attention paid to organ and function preservation and the use of minimally invasive procedures to minimize postoperative complications and long-term negative consequences. A structured long-term follow-up is essential to detect and manage potential late sequelae at an early stage, especially with respect to exocrine pancreatic insufficiency and diabetes mellitus but also growth disorders and psychological burdens. With appropriate treatment and care the prognosis is generally very good.</p>

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Pankreasresektionen im Kindes- und Jugendalter

  • Maximilian Brunner,
  • Sonja Diez,
  • Julia Syed,
  • Stefanie Brunner,
  • Christian Krautz,
  • Robert Grützmann

摘要

Pancreatic resections in childhood and adolescence are rare and pose a particular challenge due to the low incidence and the associated limited clinical experience. The underlying indications include congenital anomalies, inflammatory and traumatic alterations as well as rare tumor diseases. Surgical treatment requires close interdisciplinary collaboration between pancreatic surgeons, pediatric surgeons, pediatricians and intensive care specialists. In pediatric patients, surgical techniques often need to be individually adapted, with special attention paid to organ and function preservation and the use of minimally invasive procedures to minimize postoperative complications and long-term negative consequences. A structured long-term follow-up is essential to detect and manage potential late sequelae at an early stage, especially with respect to exocrine pancreatic insufficiency and diabetes mellitus but also growth disorders and psychological burdens. With appropriate treatment and care the prognosis is generally very good.