Pancreatic trauma in children

Sutherland, Ian; Ledder, Oren; Crameri, Joe; Nydegger, Andrew; Catto‐Smith, Anthony G.; Cain, Tim; Oliver, Melody

doi:10.1007/s00383-010-2705-3

Cited by 33 publications

(32 citation statements)

References 25 publications

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“…A presença de trauma, mais especificamente secundário a acidentes automobilísticos, esportivos, atropelamentos, quedas e abuso sexual em crianças, pode representar de 10 a 40% da etiologia dos quadros de PA 3,54 .…”

Section: Pancreatite Aguda Induzida Por Traumaunclassified

Acute pancreatitis in pediatrics: a systematic review of the literature

2012

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Objective: To describe the main epidemiological, clinical, diagnostic and treatment aspects of children with acute pancreatitis.Sources: Systematic review of MEDLINE and SciELO databases in the last 5 years on acute pancreatitis in children, as well as consultation of relevant references on the texts obtained. Summary of the findings:Cases of acute pancreatitis in children have received growing attention in recent years, and an increase in the number of cases has been reported in several studies. The main etiologies in children involve biliary disease, drug-induced pancreatitis, recurrent hereditary pancreatitis and trauma, and up to 30% of cases have no defined etiology. The diagnosis is based on the combination of clinical and laboratory aspects with the increase of acinar enzymes and radiologic tests. Initial support treatment, with proper volume replacement and correction of the metabolic disturbances, besides specific nutritional therapy, are the fundamental points in the handling of acute conditions. Long term complications are unusual, and mortality rates are inferior to the rates for the adult population. Conclusions:The early diagnosis and the appropriate handling can contribute to a better outcome for the child with pancreatitis and to prevent the immediate and late complications related to the disease. More studies are required to better explain aspects related to the clinical and radiological diagnosis of pancreatitis in children, as well as aspects related to the nutritional therapy for this age group. J Pediatr (Rio J). 2012;88(2):101-14: Pancreatitis, pediatrics, nutritional support, morbidity, enteral nutrition. ResumoObjetivo: Descrever os principais aspectos epidemiológicos, clínicos, diagnósticos e do tratamento de crianças com pancreatite aguda. Fontes dos dados:Realizada revisão sistemática das bases de dados MEDLINE e SciELO nos últimos 5 anos sobre pancreatite aguda em crianças, bem como consultadas referências relevantes dos textos obtidos. Síntese dos dados:Os casos de pancreatite aguda em crianças recebem crescente atenção nos últimos anos, sendo verificado um aumento na incidência da doença em diversos estudos. As principais etiologias em crianças envolvem doença biliar, pancreatite secundária a medicamentos, pancreatite hereditária recorrente e trauma, sendo até 30% dos casos sem etiologia definida. O diagnóstico baseia-se na combinação de aspectos clínicos, laboratoriais com elevação das enzimas acinares e testes radiológicos. Tratamento de suporte inicial, com reposição volêmica adequada e correção dos distúrbios metabólicos, além de terapêutica nutricional específica, são os pontos fundamentais no manejo dos quadros agudos. Complicações a longo prazo são incomuns, e as taxas de mortalidade, inferiores às da população adulta. Conclusões:O diagnóstico precoce e o manejo apropriado podem contribuir para a melhor evolução da criança com pancreatite e prevenir as complicações imediatas e tardias relacionadas à doença. Mais estudos são necessários para melhor elucidar aspectos re...

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Section: Pancreatite Aguda Induzida Por Traumaunclassified

Acute pancreatitis in pediatrics: a systematic review of the literature

2012

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“…We found six articles (10-15) that addressed diagnosis of pancreatic injury in children. Two studies were related to blood tests (11,13) and four to diagnostic imaging (10,12,14,15).…”

Section: Diagnosticsmentioning

confidence: 99%

“…Pancreatic injuries in children can be examined using ultrasound, CT scans, magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) (10,12,14,15). Existing studies on the use of diagnostic imaging for pancreatic injury in children are small and retrospective.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Stumpe pancreasskader hos barn

Antonsen¹,

Berle²,

Søreide³

2017

Tidsskriftet

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“….). Un cas particulier est à évoquer chez l'enfant : c'est le classique traumatisme abdominal par chute sur le guidon [29,30]. Fait important, un hématome de la paroi abdominale n'est trouvé que dans un tiers des cas de traumatismes pancréatiques [31].…”

Section: Purpura Systémique Ou à Potentielles Implications Vitale Ou unclassified

Purpura du sportif

Kluger

2012

La Presse Médicale

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Pancreatic trauma in children

Cited by 33 publications

References 25 publications

Acute pancreatitis in pediatrics: a systematic review of the literature

Acute pancreatitis in pediatrics: a systematic review of the literature

Stumpe pancreasskader hos barn

Purpura du sportif

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