Sonography of pancreatic disease in infants and children.

Berrocal, Teresa; Prieto, Carlos; I, Pastor; Gutiérrez, Juan Martín; Al-Assir, I.

doi:10.1148/radiographics.15.2.7761636

Cited by 30 publications

(5 citation statements)

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“…Outras alterações podem incluir aumento no diâmetro do corpo do pâncreas e dos ductos pancreáticos 63 . A US também é útil na avaliação dos pseudocistos pancreáticos, que normalmente se apresentam com aspecto anecoico com bordas bem definidas e realce sonográfico posterior 64 . Recentemente, a utilização de contraste intravenoso associado à US tem mostrado boa acurácia no diagnóstico de necrose pancreática, semelhante aos resultados obtidos com a TC de abdome 65 .…”

Section: Ultrassonografia De Abdomeunclassified

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: Ultrassonografia De Abdomeunclassified

Acute pancreatitis in pediatrics: a systematic review of the literature

2012

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“…Its usefulness is attributable to the optimal sonic window provided by the relative lack of fat tissue and the large left hepatic lobe in children. A 5.0- or 7.5-MHz sector transducer is usually used in USG evaluation of children with suspected pancreatic disease [ 14 ]. Although noncooperation of young children with USG examinations is a frequently encountered problem, appropriate preparation prior to the examination with adequate fasting for 6–8 hours in children and 3 hours in neonates, and intake of some liquids during the scanning, with or without right decubitus position, both promote the demonstration of pancreas and peripancreatic structures.…”

Section: Discussionmentioning

confidence: 99%

A 7-Year-Old Girl with Early Developed Pseudocyst After Acute Pancreatitis: A Case Report and Literature Review

Weng

Jiang

Chi

et al. 2017

Journal of Medical Ultrasound

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We report a 7-year-old Taiwanese girl with acute pancreatitis (AP) complicated with pseudocyst (PC). The girl was found to have a PC by ultrasonograpgy (USG) and magnetic resonance imaging 14 days after the onset of AP. The girl was discharged 21 days after management with an asymptomatic PC. The diagnostic criteria of AP included abdominal pain, serum amylase or lipase level, and imaging findings. Transabdominal USG after appropriate preparation with adequate fasting, intake of some liquids during the scanning, and right decubitus position enhance the demonstration of pancreas and peripancreatic structures. PC could be seen in up to 38% of pediatric AP patients. It can form within 2 weeks after the onset of symptoms, although most are late complications. Pancreatic PCs have to be differentiated from other intra-abdominal cysts on USG according to their image character and anatomic location. A well-prepared USG examination in combination with liquid intake and right decubitus position is of value in the diagnosis and follow-up of PC.Abbreviations: ANC, acute necrotic collection; AP, acute pancreatitis; APFC, acute peripancreatic fluid collection; CECT, contrast-enhanced computed tomography; CRP, C-reactive protein; CT, computed tomography; MRI, magnetic resonance imaging; PAP, pediatric acute pancreatitis; PC, pseudocyst; USG, ultrasonography.

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“…USG'de yağ birikimi nedeniyle pankreasta diffüz ekojenite artışı mevcuttur. Pankreas boyutlarında azalma izlenmez [34].…”

Section: Shwachman-diamond Sendromuunclassified