23 / 25
allied
academies
Page 56
Notes:
Journal of Nutrition and Human Health | Volume 3
May 23-24, 2019 | Vienna, Austria
Joint Event
2
nd
International Conference on
Gastroenterology and Digestive Disor
ders
17
th
International Conference on
Nutrition and Fitness
&
Clinical profile and outcome of acute pancreatitis in children admitted in Philippine
Children’s Medical Center
Emaluz Z Parian, Marilou G Tan, Maria Estela R Nolasco
and
Randy P Urtula
Philippine Children’s Medical Center, Philippines
Introduction:
Pediatric acute pancreatitis has been
reported to show an increasing incidence worldwide.
Determining local data on clinical profile, factors, severity
and outcome would help improve recognition, diagnosis
and management of this emerging disease.
Objectives: To determine the clinical profile of Pediatric
Acute Pancreatitis and the factors associated with their
outcome and severity.
Methods:
This was a retrospective chart review of children
0-18 years old with diagnosis of Acute Pancreatitis.
Demographic, clinical and diagnostic data gathered were
compared among severity classification and outcome.
Results:
Thirty-five cases were identified in a period
of 18 years but only 28 were reviewed. Mean age was
11.5 years old 4.1 SD (range 4–18) with slight male
predominance. Ninety-three percent presented with
abdominal pain. Most common etiology was idiopathic
(44%). Gallstones and choledochal cyst post-excision
were the most common of the co-morbidities seen. Most
common imaging findings was edematous/enlarged
pancreas. Five cases of acute recurrent pancreatitis noted.
Most common local complications seen were pseudocyst
formation and fluid collection (11% each). One death was
due to hemorrhagic pancreatitis. Of the factors reviewed,
presence of gallstones was associated with non-mild
severity classification (p<0.028) and 3-10 years age group
with incomplete enzymatic/radiologic resolution upon
discharge (p<0.04).
Conclusion:
Presence of gallstones and 3-10 years old
age group were found to affect severity and outcome
and should be considered closely during management of
pediatric acute pancreatitis.
e
:
emaparian@gmail.com