medigraphic.com
Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2007, Number 2

<< Back Next >>

Bol Clin Hosp Infant Edo Son 2007; 24 (2)

Clinical and Diagnostical Aspects of Acute Pancreatitis in Children. Seventeen Cases Rewiewed.

Ibarra SR, Sotelo CN, Hurtado VJG

Language: Spanish
References: 12
Page: 62-65
PDF size: 135.18 Kb.


ABSTRACT

Objective: Know the epidemiological and clinical aspects of patients with acute pancreatitis. Material and Methods: Seventeen cases with diagnosis of pancreatitis acute were reviewed and the next variable were studied: Age, gender, causes, profiles laboratorial and xray, treatment and evolution. Results: The group of patients between five to ten years were the most affected, were the males prevailed (11 cases). Ten of them were idiopathic. The inespecify abdominal pain and vomits were the symptoms more associated to this illness. The quantify of serum amylase in all cases and lipase in only 7 cases, helped to make sure the diagnosis. In 80% of the cases, the pancreas ultrasound revealed edema of it. The treatment that the total of cases received was the international described for this entity. Conclusions: The acute pancreatitis on pediatrics has low mortality and is not a common cause of acute abdominal pain; however in children with acute abdominal pain in scholar ages is a diagnostic to consider, where the opportune determination of amylase and lipase lead us to a precocious diagnosis and a more bening clinical course.


REFERENCES

  1. Aké Castillo AL, Jiménez EI, Thompson ChO, Yep FY. Experiencia en el diagnóstico y manejo de la pancreatitis aguda en niños en un Hospital Generel. Bol Med Hosp Infant Mex. 1995.Vol 52, N 8, pp 471-5.

  2. Baeza HC, Velasco SL, Mora HF. Pancreatitis aguda en pediatría ¿Es lo mismo que en el adulto?. Cir Ciruj. 2003. Vol 71, pp 434-9.

  3. Alanis JB, Medina RM, García MF, cols. Empleo de octreotida en niños con pancreatitis aguda en estado crítico. Rev Mex de Ped. 2201.Vol 68, N 3, pp 92-5.

  4. Lerner A, Branski D, Lebentahl E. Pancreatic Diseases in children. Ped Clin N orth Am. 1996. Vol 5, pp 125-56.

  5. Weizman Z, Durie PR. Acute Pancreatitis in childhood. J Pediatr. 1988. Vol 113, pp 24-9.

  6. García AA, Luna EC. Pancreatitis en el niño. Bol Med Hosp Infant Mex, 1999, Vol 56, pp 136-42.

  7. Gislason HJ, Grombech JE. Pancreatic ascitis treatment by continuos somastotatin infusion. Am J Gastroenterol. 1991, Vol 86, pp 519-21.

  8. Planas M, Pérez A, Iglesia R. Severe acute pancreatitis treatment whit somastostatin. Intensive Care Med. 1998, Vol 24, pp 37-9.

  9. Benifla N, Mony MD, Weizman, Zvi MD. Acute Pancreatitis in Childhood: Analysis of Literature Data. Jornual Of Clin Gastroenterology. 2003, Vol 37, (2), pp 169-72.

  10. Casanova MR, Torres BP, Rodriguez RI, Gil MA. Pancreatitis aguda en el niño. Vox Paediatrica.1999, Vol 7 (2), pp 191-200.

  11. Badley EL. Antibiotics in acute pancreatitis. Current status and future directions. Am J Surg.1989, Vol 158, pp 472-7.

  12. Maluenda CC, Valverde MF, Budas PA. Pancreatitis: revisión de nuestra casuística en los últimos 10 años. An Pediatr. 2003, Vol 58 (5), 438-42.




2020     |     www.medigraphic.com