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Chronic Pancreatitis in Children - Management and Outcomes.
Vijay Kumar1, Nitin G Pai1, Sundeep Payyanur Thotan1
1Department of Pediatric Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Pediatric chronic pancreatitis (CP) presents a significant burden, often diagnosed late due to vague symptoms. Early evaluation and multidisciplinary care are crucial for managing this complex pediatric disease.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Internal Medicine
Background:
- Pediatric chronic pancreatitis (CP) is increasingly prevalent globally.
- Diagnosis is often delayed in primary health centers (PHCs) due to nonspecific symptoms, leading to advanced disease presentation.
- Existing literature primarily focuses on low- and middle-income countries.
Purpose of the Study:
- To investigate the etiology, clinical presentation, and management of pediatric CP.
- To analyze data from a tertiary care hospital in southern India over an 8-year period.
Main Methods:
- Retrospective study of pediatric patients diagnosed with CP.
- Data collected over 8 years at a tertiary care hospital.
Main Results:
- Forty-eight pediatric patients diagnosed with CP.
- Abdominal pain was the most common symptom; idiopathic etiology was most frequent.
- Management included conservative treatment (27 patients), endoscopic intervention (14 patients), and surgery (6 patients).
- Twenty patients required multiple hospital admissions.
Conclusions:
- Pediatric CP is a chronic condition with substantial morbidity.
- Early evaluation for CP is essential, rather than solely symptomatic treatment.
- Prompt diagnosis, vigilant monitoring, and aggressive multidisciplinary interventions are vital to reduce complications and mortality.
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