Title: Acute and chronic pancreatitis in children - own observation
- Mirosława Uścinowicz, Elżbieta Jarocka-Cyrta, Maciej Kaczmarski, Anna Bobrus-Chociej
- Contemporary Pediatrics, Gastroenterology, Hepatology and Child Feeding
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- acute pancreatitis, chronic pancreatitis
Introduction: The pancreatic diseases are rare cause of children's hospitalization. These illnesses should be taken into regard in differen-tial diagnosis of abdominal pain and malnutrition.
Aim of study: Analysis the frequency of pancreatic diseases and the kind of disorders in hospitalized children and in the gastroenterolo-gical outpatient clinic.
Material and methods: The investigation was led on the basis of retrospective analysis of medical history.
Results: 78 children (38 girls, 40 boys) in age 1 -18 years (average age 11.4 years) were diagnosed with suspicion of pancreatic diseases. Acute pancreatitis (AP) was diagnosed in 40 children, mild AP predominated, severe was recognized in 4 children (10%). Such etiologic factors were stated: pathology of bile tract (8 children), infections (6 children, 3 in the course of mumps), metabolic disorders (2 children), dietetic factors (6 children), trauma (4 children), reaction to drug (1 child). Recurrent AP was occurred in 9 children (22.5%). Hereditary or genetic basis of pancreatitis was suspected in 12 children. 9 patients were observed with suspicion of chronic pancreatitis (CP). CP was confirmed at 2 children (2.6%). High activity of amylase in serum was the basis of diagnosis in 14 children. Changes in ultrasono-graphy (USG) of pancreas was observed in 7 children, in 3 cases steatosis of pancreas was described.
Conclusions: AP is the most frequent cause of hospitalization children with pancreatic disease. Recurrent pancreatitis can be observed in hereditary pancreatitis. Morphologic and functional disorders typical for CP are observed in low percentage. Hyperamylasemia or abnormality in usgof pancreas are frequent cause of clinic visit, but that single abnormalities aren't pancreatic disorders, but should be investigated.