Pancreatitis in children —experience with 43 cases

Yeung, Chun‐Yan; Lee, Hung‐Chang; Huang, Fu‐Yuan; Ho, Man-yao; Kao, Hsin-An; Liang, Der‐Cherng; Hsu, Chyong-Hsin; Hung, Han-Yang; Chang, Pei‐Yeh; Sheu, Jin‐Chuan

doi:10.1007/bf01955181

Cited by 55 publications

(59 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, without measuring serum pancreatic enzymes and/or performing either transabdominal ultrasonograpy or CT, AP cannot be diagnosed. According to previous pediatric studies in AP, abdominal pain is present in 66 to 95% of the children with AP [18,19,20,21,22,23,24]; however, inconsistency and high variability exist between the studies. Most of the trials investigating the characteristics of abdominal pain have either low numbers or missing parameters causing inconsistencies between their data.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pain in the Early Phase of Pediatric Pancreatitis (PINEAPPLE Trial): Pre-Study Protocol of a Multinational Prospective Clinical Trial

Zsoldos

Párniczky²,

Mosztbacher³

et al. 2015

Digestion

View full text Add to dashboard Cite

Background: There are unexpectedly large differences between the incidences of acute pancreatitis (AP) as indicated by different hospitals. Retrospective studies suggest that the reason behind this is the large differences that exist between the local managements of abdominal pain at emergency units. Unfortunately, no evidence-based medicine (EBM) guidelines are available to give proper instruction concerning the necessity of serum pancreatic enzyme measurement during abdominal pain. Summary: Pain in Early Phase of Pediatric Pancreatitis (PINEAPPLE) is an observational, multinational observational clinical trial to explore the route from the first sign of abdominal pain to the diagnosis of pancreatitis (PINEAPPLE trial). The PINEAPPLE-R subtrial is a retrospective review on the records of children (patients under 18) appearing at emergency units - a review of their clinical symptoms, results of imaging examinations and laboratory parameters. The PINEAPPLE-P subtrial is a prospective trial designed to develop a fast and simple EBM guideline that helps to evaluate (in a reliable and cost-efficient way) the necessity of pancreatic enzyme test and abdominal ultrasonography (or even computed tomography) when a child has abdominal pain. The trial has been registered at the ISRCTN registry and has received the relevant ethical approval. Key Message: The PINEAPPLE trial will help to recognize AP in children in a highly efficient manner.

show abstract

Section: Discussionmentioning

confidence: 99%

“…A clinical study from Mexico described ileus at just under 50% of the children [27]. Abdominal distension was reported in 21-46% of the patients [18,19,20,21,22]. Other symptoms might be fever, ascites, pleural effusion and jaundice.…”

Section: Discussionmentioning

confidence: 99%

Pain in the Early Phase of Pediatric Pancreatitis (PINEAPPLE Trial): Pre-Study Protocol of a Multinational Prospective Clinical Trial

Zsoldos

Párniczky²,

Mosztbacher³

et al. 2015

Digestion

View full text Add to dashboard Cite

show abstract

“…Klinikte ayrıca idiopatik pankreatit olarak kabul edilen bir gruptada etyolojik bir neden bulunamamakta, Oddi sfinkter disfonksiyonuna bağlı olabileceği dü-şünülmektedir (2,3,5,6,8).…”

Section: Abstract: Chronic Pancreatitis Childhoodunclassified

“…Ana pankreatik kanalın değerlendirilmesi ve striktür, dilatasyon ve ana safra kanalı taşlarının uzaklaştırılması gibi tedavi işlemleri ERCP sırasında yapıla-bilir. Preoperatif olarak yapılan ERCP ile operasyonun şekli hakkında karar verilebilir (2,(7)(8)(9).…”

Section: Semptomlarunclassified