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Paediatric pancreatic problems: a five-year experience
B K Lahoti1, Gaurav Aggarwal, Bhaskar Satsangi
1Department of Surgery, M. G. M. Medical College and M. Y. Hospital, Indore, Madhya Pradesh, India.
Insights
Pediatric pancreatic diseases are common, with acute pancreatitis and trauma being frequent. Timely diagnosis and management, including surgical or conservative approaches, are crucial for favorable outcomes in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pancreatic Diseases
Background:
- Tertiary care experience with pediatric pancreatic problems.
- Analysis of the frequency of pancreatic diseases in children.
- Evaluation of surgical vs. conservative management.
Purpose of the Study:
- To analyze tertiary care experience with pediatric pancreatic disorders.
- To determine the frequency of various pancreatic diseases in children.
- To clarify the role of surgical and conservative management.
Main Methods:
- Retrospective study of patients with pancreatic disease suspicion.
- Inclusion criteria: laboratory and imaging confirmation.
- Study period: five years.
Main Results:
- 228 patients with pancreatic problems were analyzed.
- Acute pancreatitis and pancreatic trauma were common.
- 64 patients required surgical intervention with a 3.5% mortality rate.
Conclusions:
- Pediatric pancreatic disorders are not rare.
- A high index of suspicion is essential for diagnosis.
- Advanced investigations aid timely and appropriate management.
Background:
To analyse a tertiary care experience with various pancreatic problems in the paediatric age group and clarify the frequency of various pancreatic diseases in the same patient population as well as the role of surgical or conservative management in their treatment.
Patients And Methods:
All patients with clinical suspicion of disease pertaining to the pancreas, substantiated by laboratory investigations or imaging modalities over a period of five years are included in our study.
Results:
Of the total 228 patients with various pancreatic problems, who presented to us, mostly with acute pancreatitis and pancreatic trauma, 64 needed surgical interventions. The total mortality rate encountered was a meagre 3.5%.
Conclusion:
Paediatric pancreatic disorders are not so infrequent; and a high index of suspicion aided by the newer modalities of investigation greatly helps in the appropriate and timely management.
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