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The ultrasonic and biochemical diagnosis of pancreatitis in children
Insights
Pediatric abdominal pain evaluation using pancreatic ultrasonography showed reduced pancreatic echodensity in some children. Serum amylase and clearance ratios poorly correlated with pancreatitis findings.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Biochemistry
Background:
- Abdominal pain is a common pediatric complaint.
- Diagnosing pancreatitis in children can be challenging.
- Current diagnostic markers may have limitations.
Purpose of the Study:
- To evaluate the utility of pancreatic ultrasonography in children with abdominal pain.
- To compare ultrasonographic findings with serum amylase and amylase creatinine clearance ratio.
- To assess the correlation between imaging and biochemical markers for pancreatitis.
Main Methods:
- Pancreatic ultrasonography was performed on 17 normal children and 35 children with abdominal pain.
- Serum amylase levels and amylase creatinine clearance ratio were determined.
- Echogenicity of the pancreas was compared to the liver in normal subjects.
Main Results:
- Normal children exhibited pancreatic echodensity equal to or greater than the liver.
- Nineteen children with abdominal pain showed reduced pancreatic echodensity.
- Two of these 19 patients developed pseudocysts.
- Serum amylase and amylase creatinine clearance ratio showed poor correlation with ultrasonic and clinical pancreatitis evidence.
Conclusions:
- Pancreatic ultrasonography may reveal abnormalities in children with abdominal pain.
- Reduced pancreatic echodensity can be an indicator of pancreatitis in pediatric patients.
- Serum amylase and amylase creatinine clearance ratio have limited value in diagnosing pediatric pancreatitis.
Abstract:
Pancreatic ultrasonography and the determination of serum amylase and amylase creatinine clearance ration were performed on 17 normal children and on 35 children with abdominal pain. In all 17 normal subjects the echodensity of the pancreas was equal to or greater than that of the liver. Nineteen patients with abdominal pain had reduced echodensity of the pancreas when compared to that in normal children, and two of the 19 had pseudocysts. Serum amylase values and/or amylase creatinine clearance ratio correlated poorly with ultrasonic and clinical evidence of pancreatitis.
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