Pancreatitis: revisión de nuestra casuística en los últimos 10 años

Zusammenfassung

Objective Pancreatitis is a rare cause of abdominal pain in child-hood. Advances in imaging techniques for pancreatic disease have enabled earlier clinical and etiological diagnosis,thus improving treatment possibilities. The aim of thisstudy was to analyze the etiology, diagnostic methods, andmanagement in patients with pancreatitis diagnosed inour hospital in the last 10 years. Material and methods We reviewed the children aged 0–16 years with a diagnosis of pancreatitis admitted to our hospital between1990 and 2000. Diagnostic criteria were symptoms suggestive of pancreatitis and hyperamylasemia. Results There were 8 females and 1 male. The median age was 11.5 years (range: 7–16 years). Laboratory findings were as follows: mean amylase level was 1601 U/l and mean lipase level was 506 U/l. Imaging tests: ultrasonography, abdominal computed tomography (CT), and endoscopicretrograde cholangiopancreatography (ERCP) were performed in 1 patient, and magnetic resonance cholangiopancreatography (MRCP) was performed in 2. Etiologywas cholelithiasis (2 patients), secondary to antioncological therapy (3 patients), hypercholesterolemia (1 patient),and idiopathic (3 patients). Medical treatment consisted of diet, analgesia, and octreotide in 1 patient, and antioxidants in 1 patient. Surgery was required in 2 patients. Complications consisted of pancreatic pseudocyst in 2 patients.