A Report of 320 Cases of Childhood Pancreatitis

Poddar, Ujjal; Yachha, Surender Kumar; Borkar, Vibhor; Srivastava, Anshu; Kumar, Sheo

doi:10.1097/mpa.0000000000000733

Cited by 45 publications

(47 citation statements)

References 34 publications

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“…In this study, we found that in-hospital mortality rate of AP ranged from 0.35% to 4.2% in the last 14 years (Table 3), without a significant trend or gender difference. The most common risk factor or comorbidity was systemic disease, which was consistent with previous studies (5,11–13).…”

Section: Discussionsupporting

confidence: 91%

Epidemiology of Pediatric Acute Pancreatitis in Taiwan

Cheng

Yang²,

Tsai³

et al. 2019

J. pediatr. gastroenterol. nutr.

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Objective:Pediatric acute pancreatitis (AP) may be different from adult AP in various respects. This study focuses on the epidemiology and medical resource use of pediatric AP in Taiwan.Methods:Patients aged 0 to 18 years with AP were identified from the Taiwan National Health Insurance Research Database based on the International Classification of Diseases, Ninth Revision code of AP 577.0. The medical resource use was measured by length of hospital stay and hospital charges.Results:Between 2000 and 2013, a total of 2127 inpatient cases of pediatric AP were collected, which represented a hospitalization rate of 2.83 per 100,000 population. The incidence by age had 2 peaks, the first peak was at age 4 to 5 years old, and the second one started rising from 12 to 13 years old until adulthood. The incidence by year increased from 2.33 to 3.07 cases per 100,000 population during the study period. The average hospital stay is steady, but the medical cost is increasing. Girls have longer hospital stays, higher medical expenditures, more use of endoscopic retrograde cholangiopancreatography possibly due to more comorbidities with biliary tract diseases than boys (P < 0.05). The mortality in cases of AP is mostly associated with systemic diseases rather than AP itself.Conclusions:The incidence of pediatric AP in Taiwan is in a rising trend. There are gender differences in length of hospital stay, medical costs, use of endoscopic retrograde cholangiopancreatography and comorbidities.

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Section: Discussionsupporting

confidence: 91%

Epidemiology of Pediatric Acute Pancreatitis in Taiwan

Cheng

Yang²,

Tsai³

et al. 2019

J. pediatr. gastroenterol. nutr.

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“…Bolia et al [ 24 ] reported that 38% of PAP patients developed PCs, and half of them required drainage. Poddar et al [ 1 ] retrospectively reviewed 320 pediatric pancreatitis patients, including 160 patients with AP, 67 with acute recurrent pancreatitis, and 93 with chronic pancreatitis, and found that 60 patients (18.7%) developed PCs. History of abdominal trauma was documented in 27.2% to 100% of children with PC, but whether traumatic or nontraumatic PCs are more likely to resolve spontaneously is conflicting [ 21 22 23 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…History of abdominal trauma was documented in 27.2% to 100% of children with PC, but whether traumatic or nontraumatic PCs are more likely to resolve spontaneously is conflicting [ 21 22 23 24 ]. Putting together nine studies mentioning pediatric PCs, a total of 212 cases were reported [ 1 6 21 22 23 24 25 26 27 ]. Among the 152 cases with predisposing factor reported, 112 (73.7%) had a history of abdominal trauma and 24 (15.8%) were idiopathic.…”

Section: Discussionmentioning

confidence: 99%

“…It is recommended that PCs be drained if either symptoms or complications developed, regardless of the size [ 1 ]. More than half of the PCs presenting in children required drainage, ranging from 50% to 70.8% [ 1 21 23 24 ]. Neither symptom nor complication was found during the follow-up period including repeated USG in this case; thus, drainage was withheld.…”

Section: Discussionmentioning

confidence: 99%

“…Acute pancreatitis (AP) in children has gained more attention in the past decades, and an increase in incidence was documented [ 1 2 3 ]. Pseudocysts (PCs), which are a well-known late complication of AP, mostly take 4 weeks to develop, but can also encapsulate earlier [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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A 7-Year-Old Girl with Early Developed Pseudocyst After Acute Pancreatitis: A Case Report and Literature Review

Weng

Jiang

Chi

et al. 2017

Journal of Medical Ultrasound

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We report a 7-year-old Taiwanese girl with acute pancreatitis (AP) complicated with pseudocyst (PC). The girl was found to have a PC by ultrasonograpgy (USG) and magnetic resonance imaging 14 days after the onset of AP. The girl was discharged 21 days after management with an asymptomatic PC. The diagnostic criteria of AP included abdominal pain, serum amylase or lipase level, and imaging findings. Transabdominal USG after appropriate preparation with adequate fasting, intake of some liquids during the scanning, and right decubitus position enhance the demonstration of pancreas and peripancreatic structures. PC could be seen in up to 38% of pediatric AP patients. It can form within 2 weeks after the onset of symptoms, although most are late complications. Pancreatic PCs have to be differentiated from other intra-abdominal cysts on USG according to their image character and anatomic location. A well-prepared USG examination in combination with liquid intake and right decubitus position is of value in the diagnosis and follow-up of PC.Abbreviations: ANC, acute necrotic collection; AP, acute pancreatitis; APFC, acute peripancreatic fluid collection; CECT, contrast-enhanced computed tomography; CRP, C-reactive protein; CT, computed tomography; MRI, magnetic resonance imaging; PAP, pediatric acute pancreatitis; PC, pseudocyst; USG, ultrasonography.

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