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[Pancreatitis and pancreatic pseudocysts in children: a 12-year review]

M S Fernández Córdoba1, A López Sáiz, C Benlloch Sánchez

  • 1Departamento de Cirugía Pediátrica, Hospital Infantil La Fe, Valencia.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|July 1, 1996
PubMed

Insights

Pediatric pancreatitis, though rare, can cause severe illness. Blunt abdominal trauma is a common cause in children, with pain and vomiting as frequent symptoms. Early diagnosis and management are key.

Area of Science:

  • Pediatric Gastroenterology
  • Abdominal Trauma
  • Pancreatic Diseases

Background:

  • Pancreatitis in children is an uncommon condition.
  • It is associated with significant morbidity rates.
  • Blunt abdominal trauma is a frequent cause in pediatric patients.

Purpose of the Study:

  • To describe the clinical presentation, diagnosis, and management of pancreatitis in children.
  • To evaluate the utility of scoring systems in predicting severity.

Main Methods:

  • Retrospective review of 12 pediatric patients (14 months to 9.5 years) treated over 11 years.
  • Clinical data, diagnostic methods (serum amylase, CT scans), and treatment outcomes were analyzed.
  • Ranson and Imrie scores were used to assess pancreatitis severity.

Main Results:

  • Abdominal pain and vomiting were the most common symptoms.
  • Hyperamylasemia and CT scans were crucial for diagnosis.
  • Medical management included IV fluids, nasogastric suction, and parenteral nutrition.
  • Pancreatic pseudocysts developed in one-third of patients, with some resolving spontaneously and others requiring surgery.
  • Ranson and Imrie scores helped predict severe pancreatitis.

Conclusions:

  • Pediatric pancreatitis requires prompt diagnosis and management.
  • Conservative treatment is often effective for pseudocysts.
  • Scoring systems can aid in assessing disease severity in children.

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