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Spectrum of acute, recurrent and chronic pancreatitis in children
Muhammad Imran1, Sabeen Abid Khan2, Munir Iqbal Malik3
1Department of Paediatrics, Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.
Insights
Pediatric pancreatitis, often presenting with epigastric pain, is most commonly caused by gallstones. Prompt diagnosis and management ensure successful recovery without mortality in children.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
Background:
- Pancreatitis in children is a significant clinical challenge.
- Understanding its presentation, causes, and outcomes is crucial for effective management.
Purpose of the Study:
- To investigate the clinical features, etiological factors, and outcomes of pancreatitis in a pediatric population.
- To identify key indicators for successful treatment and recovery.
Main Methods:
- A retrospective study analyzing data from 51 pediatric patients with pancreatitis between 2013 and 2018.
- Review of medical records for clinical presentation, laboratory results, and management strategies.
- Statistical analysis using SPSS 23.
Main Results:
- The most common symptom was epigastric pain (76.5%).
- Gallstones/pancreatic stones were the leading cause (37.25%).
- Acute pancreatitis occurred in 45.09% of cases; no mortality was observed.
Conclusions:
- Timely diagnosis and prompt management of hemodynamic status are vital for successful recovery.
- Pediatric pancreatitis can be managed effectively without serious complications.
Objective:
To determine the clinical presentation, aetiology and outcome of pancreatitis in paediatric population.
Methods:
The retrospective study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of children with pancreatitis presenting between 2013 and 2018. Medical records were reviewed and findings of clinical, laboratory workup and management were noted on a specifically developed proforma. Data was analysed using SPSS 23.
Results:
Of the 51 subjects, 28(54.9%) were boys. The overall mean age was 10.6±4.9 years. The most frequent clinical symptom was epigastric pain 39(76.5%). The most common aetiology was gallstones/pancreatic stones 19(37.25%). Mean hospital stay was 5.1±1.8 days, and it was longer in children aged up to 5 years compared to older children (p<0.05). Acute pancreatitis was seen in 23(45.09%) patients, followed by recurrent 19(37.25%) and chronic 9(17.64%). There was no mortality.
Conclusions:
Timely diagnosis and prompt management of haemodynamic status could lead to successful recovery without any serious complications in paediatric pancreatitis.
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