{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:25:47Z","timestamp":1747149947027,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Duodenal obstruction (DO)\u00a0is an uncommon complication of pancreatitis. It has been described in groove and severe acute and chronic pancreatitis in adults but, to the best of our knowledge, it has not yet been reported in pediatric acute pancreatitis. Current guidelines comment on management of several early and late\u2010onset complications, but DO is not mentioned. We describe two patients with acute necrotizing pancreatitis who presented with several complications including walled\u2010off necrosis and DO. In adults, DO is generally managed with adapted nutrition but may require surgical bypass, such as gastroenterostomy. Our patients were managed conservatively and fully recovered 2 months after DO diagnosis. DO may require lengthy hospitalizations and markedly restrict patients' quality of life; however, prolonged conservative treatment was effective in our patients and should be considered even in severe pediatric cases.<\/jats:p>","DOI":"10.1002\/jpr3.12034","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:06:36Z","timestamp":1703833596000},"page":"86-89","source":"Crossref","is-referenced-by-count":0,"title":["Duodenal obstruction: A rare complication of severe acute pancreatitis in children"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5793-4387","authenticated-orcid":false,"given":"Olivier","family":"Leclercq","sequence":"first","affiliation":[{"name":"Department of Pediatrics Cliniques Universitaires Saint\u2010Luc Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie","family":"Lecomte","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hopital de Jolimont La Louvi\u00e8re Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Stephenne","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Gastroenterology and Hepatology Unit, Cliniques Universitaires Saint\u2010Luc and Laboratoire PEDI, IREC Universit\u00e9 Catholique de Louvain Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Scheers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Gastroenterology and Hepatology Unit, Cliniques Universitaires Saint\u2010Luc and Laboratoire PEDI, IREC Universit\u00e9 Catholique de Louvain Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,28]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/MPG.0000000000001715","article-title":"Management of acute pancreatitis in the pediatric population: a clinical report from the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee","volume":"66","author":"Abu\u2010El\u2010Haija M","year":"2018","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"2","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.pan.2018.01.001","article-title":"EPC\/HPSG evidence\u2010based guidelines for the management of pediatric pancreatitis","volume":"18","author":"P\u00e1rniczky A","year":"2018","journal-title":"Pancreatology"},{"issue":"3","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/MPG.0b013e3182061d75","article-title":"What have we learned about acute pancreatitis in children?","volume":"52","author":"Bai HX","year":"2011","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"6","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1038\/nrgastro.2017.13","article-title":"What's unique about acute pancreatitis in children: risk factors, diagnosis, and management","volume":"14","author":"Husain SZ","year":"2017","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"4","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"416","DOI":"10.4291\/wjgp.v5.i4.416","article-title":"Acute pancreatitis in children and adolescents","volume":"5","author":"Suzuki M","year":"2014","journal-title":"World J Gastrointest Pathophysiol"},{"issue":"1","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3390\/nu13010043","article-title":"Undernutrition and obesity are associated with adverse clinical outcomes in hospitalized children and adolescents with acute pancreatitis","volume":"13","author":"Thavamani A","year":"2020","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjpo-2022-001487","article-title":"Acute pancreatitis in children\u2013morbidity and outcomes at 1 year","volume":"6","author":"Bhanot A","year":"2022","journal-title":"BMJ Paediatrics Open"},{"issue":"6","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1097\/MPA.0000000000001064","article-title":"Biliary stenosis and gastric outlet obstruction","volume":"47","author":"Sugimoto M","year":"2018","journal-title":"Pancreas"},{"issue":"1","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"W29","DOI":"10.2214\/AJR.12.9956","article-title":"Groove pancreatitis: spectrum of imaging findings and radiology\u2010pathology correlation","volume":"201","author":"Raman SP","year":"2013","journal-title":"Am J Roentgenol"},{"issue":"11","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1007\/s00268-003-7246-7","article-title":"Management of biliary and duodenal complications of chronic pancreatitis","volume":"27","author":"Vijungco JD","year":"2003","journal-title":"World J Surg"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.pan.2020.05.022","article-title":"International consensus guidelines on interventional endoscopy in chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancreatology, the American Pancreatic Association, the Japan Pancreas Society, and European Pancreatic Club","volume":"20","author":"Kitano M","year":"2020","journal-title":"Pancreatology"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.12034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T15:43:52Z","timestamp":1708962232000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.12034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,28]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/jpr3.12034"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.12034","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"type":"print","value":"2691-171X"},{"type":"electronic","value":"2691-171X"}],"subject":[],"published":{"date-parts":[[2023,12,28]]}}}