RT Book, Section
A1 Shad, Javaid A.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105683945
T1 Pancreatitis
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105683945
RD 2024/04/19
AB The  most  common  etiologies  of  pancreatitis  are  trauma,  systemic  disease,  structural  anomalies  of  the  pancreatic-biliary  system,  drugs,  infections,  and  idiopathic  causes.The  most  common  symptoms  are  abdominal  pain,  nausea,  and  irritability.Amylase  and  lipase  levels  are  low  at  birth  and  slowly  increase  over  several  months.The  mainstay  of  treatment  is  to  provide  supportive  care  through  fluid  resuscitation,  pain  control,  and  nutritional  support.Ranson  criteria,  Glasgow  score,  and  pediatric  acute  pancreatitis  severity  (PAPS)  scoring  system  show  limited  ability  to  predict  severity  in  children  with  acute  pancreatitis.Approximately  25%  of  children  with  acute  pancreatitis  develop  a  complication,  but  less  than  6%  of  children  develop  multiorgan  dysfunction.The  mortality  rate  reported  in  children  with  pancreatitis  varies  between  4%  and  10%.Hypercalcemia,  hypertriglyceridemia,  structural  abnormalities,  and  genetic  mutations  can  cause  recurrent  pancreatitis.Chronic  pancreatitis  often  presents  as  acute  pancreatitis  followed  by  recurring  abdominal  pain.