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Chronic relapsing pancreatitis in childhood
The Journal of Pediatrics
|April 1, 1983
Summary
Chronic pancreatitis in children is often hereditary or fibrosing. Endoscopic retrograde cholangiopancreatography aids diagnosis, while surgery and sphincterotomy offer effective treatments for these pediatric pancreatitis cases.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Pancreatology
Background:
- Chronic relapsing pancreatitis is rare in children.
- Previous studies have not fully characterized pediatric pancreatitis subtypes.
Purpose of the Study:
- To classify chronic pancreatitis in children.
- To evaluate diagnostic and therapeutic approaches.
Main Methods:
- Retrospective review of 10 pediatric patients with chronic pancreatitis.
- Clinical, radiographic, and family history analysis.
- Endoscopic retrograde cholangiopancreatography (ERCP) and surgical outcomes.
Main Results:
- Three groups identified: hereditary pancreatitis (4 patients), non-hereditary pancreatitis (2 patients), and fibrosing pancreatitis (4 patients).
- Hereditary and fibrosing pancreatitis were common causes in children.
- ERCP proved safe and valuable for ductal evaluation.
- Surgical drainage for hereditary pancreatitis and sphincterotomy for fibrosing pancreatitis showed efficacy.
Conclusions:
- Chronic pancreatitis occurs in children, primarily due to hereditary or fibrosing types.
- ERCP is a key diagnostic tool in pediatric pancreatitis.
- Surgical interventions are effective for specific pediatric pancreatitis subtypes.