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Pancreatitis, Pediatric

Amit S. Grover, MB BCh BAO, MSc Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Inflammation within the pancreas characterized by three phases: (i) early trypsin activation within acinar cells; followed by (ii) surrounding intrapancreatic inflammation; and final...

DIAGNOSIS

HISTORY

  • Pain

    • Onset, location, and severity can be variable in children.

    • Aggravated by food intake

    • Nonverbal patients (i.e., younger age, developmental delay) may present with increased irritabil...

TREATMENT

Fluid resuscitation 
  • Aggressive volume resuscitation with isotonic solutions is the cornerstone of therapy for AP.

  • Adult data supports the use of lactated Ringer solution (has not been studied...

ONGOING CARE

PROGNOSIS

AP is usually a self-limiting disorder in children. 

COMPLICATIONS

  • Pancreatic edema

  • Peripancreatic fat necrosis

  • Acute pancreatic fluid collections

  • Pancreatic necrosis

  • Pancreatic pseudo...

ADDITIONAL READING

  • Bai HX, Lowe ME, Husain SZ. What have we learned about acute pancreatitis in children? J Pediatr Gastroenterol Nutr.  2011;52(3):262–270. [View Abstract on OvidInsights]

  • Banks P...

CODES

ICD9

  • 577.0 Acute pancreatitis

  • 577.1 Chronic pancreatitis

ICD10

  • K85.9 Acute pancreatitis, unspecified

  • K86.1 Other chronic pancreatitis

  • K85.8 Other acute pancreatitis

  • K85.0 Idiopathic acute pancreatitis

SNOMED

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