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https://hdl.handle.net/1822/32768
Título: | Acute pancreatitis in children: a tertiary hospital report |
Autor(es): | Antunes, Henedina Nascimento, João Mesquita, Aurélio Pinto, Jorge Correia |
Palavras-chave: | Acute pancreatitis Acute recurrent pancreatitis Pediatrics |
Data: | 2014 |
Editora: | Informa Healthcare |
Revista: | Scandinavian Journal of Gastroenterology |
Resumo(s): | INTRODUCTION: The incidence of acute pancreatitis (AP) in children has increased significantly in the past two decades. OBJECTIVE: All cases of AP, acute recurrent pancreatitis (ARP), and chronic pancreatitis examined between May 2002 and May 2012 at Hospital de Braga, Portugal, were reviewed. MATERIAL AND METHODS: Patients were identified by searching the hospital's electronic discharge records for the International Classification of Disease, Ninth Revision (ICD-9) code 577.0 (acute pancreatitis). ARP was considered as two or more episodes of AP per year or more than three episodes over a lifetime with intervening return to baseline. The following data were analyzed: demographic information, clinical, laboratory and imaging test results, etiology of pancreatitis, medical and surgical management, length of hospitalization, and outcome. The clinical and laboratory factors used in the pediatric acute pancreatitis severity score system and computed tomography severity index (CTSI) score were compared between patients with mild and severe disease. RESULTS: A total of 37 patients, 31 episodes of AP and 6 patients with ARP, were documented. The most prevalent etiologies were biliary stones/sludge (24.3%) and trauma (16.2%). Admission elevated white blood cell count (p=0.011), 48-h trough calcium (p=0.007), and 48-h rise in blood urea nitrogen (p=0.025) correlated significantly with disease severity. CTSI on admission had a score below 4 in three patients with severe disease. CONCLUSION: This Portuguese pediatric pancreatitis report highlights the multiple and complex etiology of this disease. Better pediatric scoring systems and management algorithms are needed. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/32768 |
DOI: | 10.3109/00365521.2014.882403 |
ISSN: | 0036-5521 |
Versão da editora: | http://informahealthcare.com/doi/abs/10.3109/00365521.2014.882403 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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antunes h_scand j gastroent 2014 posp.pdf | 380,63 kB | Adobe PDF | Ver/Abrir |