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The changing incidence of acute pancreatitis in children: a single-institution perspective

M James Lopez1

  • 1Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of Texas Southwestern Medical Center, Dallas, 73590-9063, USA.

The Journal of Pediatrics
|May 29, 2002
PubMed

Insights

Pediatric pancreatitis incidence rose between 1993-1998, but causes remained similar. Infants with pancreatitis often had multisystem illness, and idiopathic pancreatitis was rare in young children.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Epidemiology

Background:

  • Pancreatitis in children is a significant clinical concern.
  • Understanding trends and etiologies is crucial for pediatric healthcare.

Purpose of the Study:

  • To analyze the etiologic factors and annual incidence of pediatric pancreatitis.
  • To compare current findings with historical data.

Main Methods:

  • Retrospective review of all pediatric pancreatitis cases from 1993 to 1998.
  • Data collection on etiologic factors and case frequency.

Main Results:

  • An increase in pancreatitis incidence was observed during the study period.
  • The spectrum of etiologic factors remained consistent with previous reports.
  • Pancreatitis in infants was frequently linked to multisystem diseases.
  • Idiopathic pancreatitis was uncommon in children under six and absent in those under three.

Conclusions:

  • Pediatric pancreatitis incidence is increasing, yet etiological factors are stable.
  • Early-onset pancreatitis in infants is often a marker of broader systemic illness.
  • Idiopathic pancreatitis is rare in very young children.

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