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KMID : 0816119990020020194
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Korean Journal of Pediatric Gastroenterolology and Nutrition
1999 Volume.2 No. 2 p.194 ~ p.203
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Etiology and Analysis of Severity in Childhood Pancreatitis
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Park Jun-Eun
Kim Kyung-Mo
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Abstract
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Purpose : Childhood pancreatitis has more various and somewhat different etiology
than adult. Until now the analysis of severity in childhood pancreatitis were not
well-known, although several studies have been made. Therefore, we studied the
etiology and complications in childhood pancreatitis and analyzed whether Ranson and
CT criteria could be applicated to evaluate the severity of childhood pancreatitis patients.
Methods : The records of 30 patients with pancreatitis under 15 years of ages who
were diagnosed in Asan medical center were reviewed. Age, sex, history, etiology,
clinical features and treatment was reviewed in all patients but complications, Ranson
and CT criteria were available in only 12 patients. Correlation between the number of
complications and both Ranson and CT criteria were calculated with Spearman
correlation coefficient.
Results : 1. Median age at diagnosis was 7.3 years of age. 28 cases were acute
pancreatitis and 2 cases were chronic pancreatitis. 2. Etiology: choledochal cyst(8 cases),
drug (7 cases), trauma (4 cases), infection (3 cases), biliary stone or bile sludge (3
cases), idiopathic (2 cases) Hemolytic uremic syndrome, pancreatic duct obstruction,
iatrogenic (1 case). 3. Local complications were ascites (5 cases), pseudocyts (4 cases)
and systemic complications were hyperglycemia (4 cases), hypocalcemia (3 cases),
pleural effusion (3 cases), etc. 4. Positive correlation was found between the number of
complication and Ransom creteria (r=0.78, P=0.0016) and between the number of
complication and CT criteria (r=0.65, P=0.015) in 13 cases.
Conclusion : A trial to search the biliary duct anomaly may help to find the causes of
childhood idiopathic pancreatitis, and both Ranson and CT criteria can be applicated to
pediatric patients to evaluate the severity of childhood pancreatitis.
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KEYWORD
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Childhood pancreatitis, Etiology, Severity, Ranson criteria, CT criteria,
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