Acute pancreatitis in children – morbidity and outcomes at 1 year

Bhanot, A; Majbar, A; Candler, T; Hunt, L; Cusick, E; Johnson, PRV; Shield, JP

Journal article

Acute pancreatitis in children – morbidity and outcomes at 1 year

Abstract:: Acute pancreatitis (AP) is an inflammation of the pancreas that can be severe in the pediatric population. The main cause of this disease is cholelithiasis and the main risk factor linked to BP is genetic mutations. Diagnosis is made based on clinical symptoms, laboratory tests, and diagnostic imaging. Initial treatment includes early nutrition, aggressive hydration with crystalloid solutions, and administration of analgesics, such as morphine. In some cases, endoscopic intervention may be necessary. Patients should be carefully monitored during the first 48 hours of hospitalization for any signs of complications. Patients should be carefully monitored during the first 48 hours of hospitalization for any signs of complications. After discharge, further evaluation is recommended to identify possible underlying causes and prevent future episodes of PA. After discharge, further evaluation is recommended to identify possible underlying causes and prevent future episodes of PA. In general, adequate and timely management can prevent serious complications and improve the prognosis of AP in the pediatric population, however, there are cases where pseudocysts, pancreatic necrosis and abscesses are observed as sequelae of this disease.La pancreatitis aguda (PA) es una inflamación del páncreas que puede ser grave en la población pediátrica. La principal causa de esta enfermedad es la colelitiasis, y el principal factor de riesgo vinculado con la PA son las mutaciones genéticas. El diagnóstico se realiza con base en los síntomas clínicos, los exámenes de laboratorio y las imágenes de diagnóstico. El tratamiento inicial incluye la nutrición temprana, hidratación agresiva con soluciones cristaloides y la administración de analgésicos, como la morfina. En algunos casos, puede ser necesaria la intervención endoscópica. Los pacientes deben ser monitoreados cuidadosamente durante las primeras 48 horas de hospitalización para detectar cualquier signo de complicaciones. Después del alta médica, se recomienda realizar una evaluación adicional para identificar posibles causas subyacentes y prevenir futuros episodios de PA. En general, un manejo adecuado y oportuno puede prevenir complicaciones graves y mejorar el pronóstico de la PA en la población pediátrica, sin embargo, hay casos donde se observan pseudoquistes, necrosis pancreática y abscesos como secuelas de esta enfermedad

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Bhanot, A., Majbar, A., Candler, T., Hunt, L., Cusick, E., Johnson, P. R. V., & Shield, J. P. (2022). Acute pancreatitis in children – morbidity and outcomes at 1 year. BMJ Paediatrics Open, 6(1), e001487–e001487.

MLA Style

Bhanot, A, et al. “Acute Pancreatitis in Children – Morbidity and Outcomes at 1 Year.” BMJ Paediatrics Open, vol. 6, no. 1, 2022, pp. e001487–e001487.

Chicago Style

Bhanot, A, A Majbar, T Candler, et al. 2022. “Acute Pancreatitis in Children – Morbidity and Outcomes at 1 Year.” BMJ Paediatrics Open 6 (1): e001487–e001487.
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