Acute pancreatitis in children and adolescents

Suzuki, Mitsuyoshi; Sai, Jin Kan; Shimizu, Toshiaki

doi:10.4291/wjgp.v5.i4.416

Cited by 97 publications

(113 citation statements)

References 90 publications

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“…En el rango de edad en el que se encuentra nuestra paciente, los síntomas más comunes son dolor abdominal y fiebre acompañados de episodios eméticos. 10 La paciente consultó por dolor abdominal, episodios eméticos, disminución en el número de deposiciones y coluria, que son síntomas frecuentes en esta patología.…”

Section: Discussionunclassified

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Pancreatitis aguda secundaria a un trauma abdominal: reporte de caso de una niña de 7 años

Montoya-Sánchez

Pereira-Ospina

Pinzón-Salamanca

et al. 2018

Arch Argent Pediatr

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Presentación de casos clínicos RESUMENLa pancreatitis consiste en la inflamación aguda del páncreas, que se caracteriza, clínicamente, por dolor abdominal. Para realizar el diagnóstico, es necesario que se presente la elevación de marcadores bioquímicos, como amilasa o lipasa pancreáticas. Esta afección es la enfermedad pancreática más frecuente tanto en niños como en adultos. Su presentación en la población pediátrica está en aumento y tiene varias etiologías, como infecciones, trauma, intoxicación y enfermedades metabólicas. Entre los mecanismos de trauma, se han descrito maltrato infantil, caídas, trauma con el manubrio de la bicicleta y accidentes de tránsito. En este artículo, se presenta un caso de pancreatitis secundaria a un trauma abdominal con el manubrio de una bicicleta en una paciente de 7 años. Palabras clave: niño, pancreatitis aguda, trauma, pancreatitis, traumatismos abdominales. ABSTRACTPancreatitis consists in acute inflammation of the pancreas that is clinically characterized by abdominal pain. To make the diagnosis it is necessary the elevation of biochemical markers like pancreatic amylase or lipase. It is the most frequent pancreatic disease in both children and adults. Its presentation in the pediatric population is increasing and has several etiologies such as: infections, trauma, intoxication and metabolic diseases. Trauma mechanisms have been described: child maltreatment, falls, trauma with the bicycle handle and traffic accidents. In this article, we present a case of pancreatitis secondary to an abdominal trauma with the handle of a bicycle in a patient of 7 years.

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Section: Discussionunclassified

“…[6][7][8][9][10][11] En el estudio realizado por Park y colaboradores, se identificó que los niños menores de dos años presentaban menos signos y síntomas comparados con niños de mayor edad. Además, la lipasa es más sensible que la amilasa sérica para realizar el diagnóstico en todas las edades pediátricas.…”

Section: Discussionunclassified

Pancreatitis aguda secundaria a un trauma abdominal: reporte de caso de una niña de 7 años

Montoya-Sánchez

Pereira-Ospina

Pinzón-Salamanca

et al. 2018

Arch Argent Pediatr

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“…The risk factors and causes of acute pancreatitis in young patients often differs from that in adults, and differences in the clinical symptoms and sequence of events may occur (12) . There are many causative factors of acute pancreatitis, which can be easily investigated in up to 80% of patients (13) .…”

Section: Discussionmentioning

confidence: 99%

Analysis of Acute Pancreatitis in Young Age Group

Ahmad¹,

Changeez

Tariq³

et al. 2017

IAM

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Objectives: The burden of hospital admissions for acute pancreatitis (AP) has significantly increased in past few years across the globe. In severe form it is one of the deadliest diseases of hepatobiliary system. Acute pancreatitis is a noticeable health issue which leads more than million hospital admissions in USA per year. The incidence of this disease in young age group has also increase dramatically. The purpose of this study was to identify the causes, severity and outcomes of AP in young population. Study Design: A Prospective, cross-sectional study Setting: Surgical Unit 1 Holy Family Hospital, Rawalpindi, Pakistan Study Duration: June 2014 to March 2017. Materials &Methods: All patients between 12 and 25 years with clinical features of Acute Pancreatitis, having serum amylase greater than three times the upper normal limit or raised lipase levels, were included in our study. Causes, clinical features, severity and outcomes of acute pancreatitis were evaluated. Results: A total A total of 78 patients were included in our study out of which 63 (80.8 %) were female and 15 (19.2 %) were males. Gall bladder stones were the main cause of pancreatitis in 54 (69%) patients followed by drugs in 13 (17%) patients. Contrast enhanced computerized tomography scan (CT scan) done between 24 to 48 hours of presentation showed 30 (38.5%) patients had necrotizing pancreatitis whereas 48 (61.5 %) patients had interstitial pancreatitis. The organ failure which was predominantly pulmonary system occurred in 15 (19.2 %) of patients All 78 patients were discharge from hospital without any mortality. Conclusion: In resource limited countries acute pancreatitis is posing a great burden to emergency as well as outpatient departments of tertiary care hospitals. This study concluded that etiology of acute pancreatitis is significantly different in young age group although the predominant causative factor is still gallstones.

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“…The association of acute or chronic pancreatitis with CCM has been explained by an underlying anomalous biliopancreatic junction which permits free intermixing of pancreatic and biliary juices and protein plugs in the common channel. 17 The incidence of acute pancreatitis with CCM are variable, and true incidence is difficult to decipher because serum amylase or lipase levels are not routinely done for pain abdomen in patients with CCM. 18 In most cases, episodes of pancreatitis are mild and recurrences can only be eliminated by excision of cyst.…”

Section: Discussionmentioning

confidence: 99%

Congenital choledochal malformations in children: management strategies

2017

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Background: A Congenital Choledochal Malformations (CCM) is common congenital defect of biliary tree in Asian subcontinent. Presentations of CCM are vague from asymptomatic to life threatening cholangitis or pancreatitis. Complete cyst excision and bilioenteric anastomosis is now accepted surgical treatment.Methods: This is a retrospective study of five years duration. In this study the clinical presentation, haematological, biochemical and radiological findings, operative procedure and outcome were studied from case records.Results: Total of 20 patients were studied, with clinical presentation of recurrent abdominal pain in eight cases, previous history of cholangitis in five cases, acute cholangitis two cases, biliary peritonitis in four cases and previous history of pancreatitis in one case. In 13 cases Roux-en-Y hepaticojejunostomy (RYHJ) and in 4 cases hepaticoduodenostomy (HD) done after cyst excision. One case of type II CCM managed with only cyst excision, in two cases Lilly’s procedure, one case requires temporary external drainage and in two cases temporary internal drainage done in view on cholangitis and jaundice.Conclusions: However, the definitive treatment of CCM is complete cyst excision and bilioenteric anastomosis, though lot of other temporary majors are also required at different stages of disease.

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Acute pancreatitis in children and adolescents

Cited by 97 publications

References 90 publications

Pancreatitis aguda secundaria a un trauma abdominal: reporte de caso de una niña de 7 años

Pancreatitis aguda secundaria a un trauma abdominal: reporte de caso de una niña de 7 años

Analysis of Acute Pancreatitis in Young Age Group

Congenital choledochal malformations in children: management strategies

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