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Published on: June 2, 2018
Pancreatic disease in children and adolescents
1Department of Pediatrics, The University of Florida, Gainesville, FL 32610-0296, USA. jollecd@peds.ufl.edu
Insights
Childhood pancreatic disorders, though rare, can be severe, encompassing congenital anomalies and acquired conditions like drug-induced pancreatitis. Genetics significantly influences pediatric pancreatic diseases, differing from adult causes.
Area of Science:
- Pediatric Gastroenterology
- Pancreatology
- Genetics
Background:
- Childhood pancreatic disorders are rare but can lead to severe illness.
- The range of these disorders is broad, including congenital anomalies and acquired conditions.
- Genetics plays a significant role in pediatric pancreatic diseases, contrasting with adult causes like alcohol consumption.
Purpose of the Study:
- To review the spectrum of childhood pancreatic disorders.
- To highlight the genetic influences in pediatric pancreatic diseases.
- To discuss similarities and differences between pediatric and adult pancreatic disorders.
Main Methods:
- Literature review of childhood pancreatic disorders.
- Analysis of genetic factors in pediatric pancreatic diseases.
- Comparison of pediatric and adult pancreatic disease presentations.
Main Results:
- Childhood pancreatic disorders include congenital anomalies and acquired conditions (e.g., drug-induced pancreatitis, trauma).
- Genetic factors are prominent in pediatric pancreatic diseases.
- Many pancreatic disorders manifest in both pediatric and adult populations.
Conclusions:
- Childhood pancreatic disorders require careful diagnosis and management.
- Further research is needed on newer imaging and therapeutic endoscopy in children.
- Understanding the genetic basis is crucial for pediatric pancreatic disease management.
Abstract:
Many childhood pancreatic disorders are rare, although they can represent significant and potentially severe disease. The spectrum of disease is very broad, ranging from the complex and bizarre congenital anomalies to the more typical acquired causes (e.g., drug-induced pancreatitis or trauma injury). Genetics appears to play a major role in many childhood pancreas diseases, unlike adults where alcohol is a major factor. Nevertheless, there are similarities, and most of the disorders discussed here can be found in both the pediatric and adult age groups. Some of these disorders may be evolving and may be seen in both young and older patients. Newer imaging modalities and therapeutic endoscopy continue to be studied, although their ultimate role and utility in children has yet to be fully elucidated.
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