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This study details acute pancreatitis (AP) treatment in 66 children, focusing on diagnosing and managing destructive AP. Sparing surgical techniques and plasmapheresis improved outcomes, though severe cases still posed risks.
Area of Science:
- Pediatric Gastroenterology
- Surgical Management of Pancreatitis
Background:
- Acute pancreatitis (AP) in children presents diagnostic and therapeutic challenges.
- Destructive AP requires specialized, minimally invasive treatment strategies.
Abstract:
The article shows the results of treatment of 66 children, aged from 5 months to 14 years, with acute pancreatitis (AP), 17 of them had the destructive form of the disease. The causes of AP development in children are analysed and the criteria of its diagnosis are determined. Particular attention is focused on the methods of the diagnosis of destructive forms, ultrasonic examination of the abdominal cavity and laparoscopy among others. Sparing surgical policy for pancreonecrosis was applied, including injections of protease inhibitors and antibiotics around the pancreas, drainage of the omental bursa and abdominal cavity, and cholecystostomy. A scheme of postoperative management of these patients is suggested. Discrete plasmapheresis was applied in severe intoxication. Two patients with destructive AP died due to the development of severe hepatorenal failure.