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Laparoscopic‐assisted pancreaticoduodenectomy in a child with gastrinoma
Author(s) -
Murase Naruhiko,
Uchida Hiroo,
Tainaka Takahisa,
Kawashima Hiroshi,
Tanaka Yujiro,
Amano Hizuru,
Kishimoto Hiroshi
Publication year - 2015
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12715
Subject(s) - gastrinoma , medicine , pancreaticoduodenectomy , zollinger ellison syndrome , duodenum , asymptomatic , radiology , surgery , gastrin , gastroenterology , resection , secretion
Abstract Gastrinoma is rare in children. We report the case of a 9‐year‐old boy with weight loss and vomiting. Upper gastrointestinal imaging showed severe stenosis of the duodenum. Although gastrin was very high, imaging did not show a gastrinoma. Selective arterial secretagogue injection (SASI) test indicated a tumor within the gastroduodenal arterial zone. In accordance with the SASI test result, we performed laparoscopic‐assisted pancreaticoduodenectomy (LAPD). Postoperative biochemistry confirmed complete resection of the gastrinoma, and the patient was asymptomatic at follow up, 30 months after surgery. Even in patients with negative imaging for gastrinoma, aggressive resection following accurate localization on SASI test is biochemically curative. In such cases, the tumor is probably very small and LAPD may offer a minimally invasive procedure. As far as we know, LAPD in a child has not been previously reported.