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Acute pancreatitis in children: Ten-year experience of a level II hospital

2022-06Journal article Open access
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dc.contributor.authorManuel, Ana Rute
dc.contributor.authorVieira, Rita Gabriela
dc.contributor.authorTorre, Maria De Lurdes
dc.contributor.authorLemos, Piedade Sande
dc.date.accessioned2023-02-02T13:23:30Z
dc.date.available2023-02-02T13:23:30Z
dc.date.issued2022-06
dc.description.abstractIntroduction: The incidence of acute pancreatitis (AP) in children is increasing, together with the awareness of the need for pediatric-specific management recommendations. This study aimed to assess the epidemiology, etiology, management, and clinical course of pediatric AP cases followed at a secondary hospital. Methods: Retrospective analysis of all pediatric AP cases admitted to a level II hospital in the metropolitan area of Lisbon, Portugal, between January 2009 and December 2018. Results: Eight cases of pediatric AP were identified, with an average age of 12 years (minimum 4 years, maximum 16 years) and classified according to etiology as drug-induced (n=3), biliary (n=1), infectious (n=1), and idiopathic (n=3). Recurrent AP was identified in one patient. The median hospital stay was 6.5 days. The main symptoms at presentation were abdominal pain (100.0%) and vomiting (75.0%). All patients had increased levels of amylase activity in serum (>3 times the upper limit of normal). Pancreatic image abnormalities were observed in five patients (62.5%), four in the abdominal ultrasound and one in computed tomography scan. One patient underwent endoscopic retrograde cholangiopancreatography. Two patients received a course of antibiotics. All cases were classified as mild, according to the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition classification. Discussion: This series showed a predominance of secondary over idiopathic AP, in agreement with recently published studies reporting a reduction in the incidence of idiopathic AP due to increased efforts to identify the underlying causes of the disease. Since the incidence of AP is increasing in pediatric age, physicians should be aware of recent recommendations for the optimal management of the condition in this age group.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNascer e Crescer - Birth and Growth Medical Journal 2022;31(2):115-122. doi:10.25753/BirthGrowthMJ.v31.i2.20461pt_PT
dc.identifier.doihttps://doi.org/10.25753/BirthGrowthMJ.v31.i2.20461pt_PT
dc.identifier.eissn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2772
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectacute pancreatitispt_PT
dc.subjectpancreatic diseasept_PT
dc.subjectPediatricspt_PT
dc.titleAcute pancreatitis in children: Ten-year experience of a level II hospitalpt_PT
dc.title.alternativePancreatite Aguda na Idade Pediátrica: casuística de 10 anos de um hospital nível IIpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePortopt_PT
oaire.citation.endPage122pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage115pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume31pt_PT
person.familyNameManuel
person.familyNameVieira
person.familyNameTorre
person.familyNamePIZARRO DE SANDE E LEMOS AZCUE
person.givenNameAna Rute
person.givenNameRita Gabriela
person.givenNamemaria de Lurdes
person.givenNameMARIA DA PIEDADE
person.identifier.ciencia-idE51F-2F53-0702
person.identifier.orcid0000-0002-0167-7430
person.identifier.orcid0000-0003-0826-6877
person.identifier.orcid0000-0002-5218-4070
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicatione129b5a9-b863-472f-bb27-5307eb7492a3
relation.isAuthorOfPublicationa3c62104-90fe-437b-adbe-f1dec6641368
relation.isAuthorOfPublicationa442767a-12e3-49f0-852d-523bb628bc78
relation.isAuthorOfPublication9acd262d-6f9b-4c50-b7c9-e5fdef2cf250
relation.isAuthorOfPublication.latestForDiscoverye129b5a9-b863-472f-bb27-5307eb7492a3

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