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  3. 27.Incidence of Acute Pancreatitis Among Paediatric Patients
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27.Incidence of Acute Pancreatitis Among Paediatric Patients

Abid Hameed Sheikh1 Muhammad Ramzan Bhutta2 and Soofia Mustafa2

ABSTRACT

Objective: The objective of my study is to know the etiology, clinical course, incidence of acute pancreatitis (AP) among paediatric patients admitted in paediatric surgery department.

Study Design: Retrospective descriptive study

Place and Duration of Study: This study was conducted at the Department of Pediatric and Neonatal Surgery Bahawal Victoria Hospital Bahawalpur, from March 2017 to March 2022.

Materials and Methods: During the study period a total 77 patients of acute pancreatitis under 13 year of age who were managed in the department of pediatric and neonatal surgery were included in study. All those patients who fit on the definition of AP (Acute pancreatitis is a disease characterised by minimum two of the following three 1. sudden onset of pain central abdomin 2. Increased level of pancreatic enzymes that is serum amylase or serum lipase 3, radiological evidence of pancreatic changes) were included in the study. Pancreatic enzymes were done in each patient and USG and CT / MRI done as required.

Results: Out of 77 patients studied, forty-three (56%) were male and 34 (44%) female. Pain abdomin (100%), nausea/ vomiting (81%) were the most commonly observed symptoms and signs. Among the aetiologies, we found blunt abdominal trauma 31%, choledochal cyst/biliary channel anomaly 19%, biliary tract stones/sludge 13% and idiopathic (37%). acute pancreatitis were more frequently associated with complications (60%) which included pseudo cyst of pancrease (34%), peri pancreatic abscess (4%) and ascities (13%). Serum amylase and lipase done were 4 to 5 times raised in all patients. Imaging plays an important role in diagnosis, so USG Abdomen done in all patients and CT / MRI as needed. most of these patients were managed conservatively.

Conclusion: The number of pediatric acute pancreatitis is increasing among the hospitalised patients. The Children having abdominal pain and vomiting must be thought for and investigated for the acute pancreatitis. Most of the patients with acute pancreatitis can be managed conservatively Except those with congenital anatomical defects.

Key Words: Pancreatitis, pain abdomen, pancreatic abscess,

Citation of article: Sheikh AH, Bhutta RM, Mustafa S. Incidence of Acute Pancreatitis Among Paediatric Patients. Med Forum 2023;34(6):116-119.