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2009•European Journal of Pediatric SurgeryRequires access

Non-surgical Management of Idiopathic Fibrosing Pancreatitis

Luke Harper, Brigitte Le Bail, Nicole Grenier, Fédéric Lavrand, Anne Notz, Thierry Lamireau

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Abstract

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.

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What this paper is about

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.

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Available abstract

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.

Key concepts: Medicine, Pancreatitis, Obstructive jaundice, Gold standard (test), Biopsy, Jaundice, General surgery, Surgery

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