Acute pancreatitis in pediatrics: a systematic review of the literature

Show simple item record Mekitarian Filho, Eduardo [UNIFESP] Carvalho, Werther Brunow de [UNIFESP] Silva, Felipe Duarte 2016-01-24T14:26:51Z 2016-01-24T14:26:51Z 2012-03-01
dc.identifier.citation Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 88, n. 2, p. 101-114, 2012.
dc.identifier.issn 0021-7557
dc.description.abstract Objective: To describe the main epidemiological, clinical, diagnostic and treatment aspects of children with acute pancreatitis.Sources: Systematic review of MEDLINE and SciELO databases in the last 5 years about acute pancreatitis in children, as well as consultation of relevant references on the texts obtained.Summary of the findings: Cases of acute pancreatitis in children have received growing attention in recent years, and an increase in the number of cases has been reported in several studies. the main etiologies in children involve biliary disease, drug-induced pancreatitis, recurrent hereditary pancreatitis and trauma, and up to 30% of cases have no defined etiology. the diagnosis is based on the combination of clinical and laboratory aspects with the increase of acinar enzymes and radiologic tests. Initial support treatment, with proper volume replacement and correction of the metabolic disturbances, besides specific nutritional therapy, are the fundamental points in the handling of acute conditions. Long term complications are unusual, and mortality rates are inferior to the rates for the adult population.Conclusions: the early diagnosis and the appropriate handling can contribute to a better outcome for the child with pancreatitis and to prevent the immediate and late complications related to the disease. More studies are required to better explain aspects related to the clinical and radiological diagnosis of pancreatitis in children, as well as aspects related to the nutritional therapy for this age group. en
dc.format.extent 101-114
dc.language.iso eng
dc.publisher Soc Brasil Pediatria
dc.relation.ispartof Jornal de Pediatria
dc.rights Acesso aberto
dc.subject Pancreatitis en
dc.subject pediatrics en
dc.subject nutritional support en
dc.subject morbidity en
dc.subject enteral nutrition en
dc.title Acute pancreatitis in pediatrics: a systematic review of the literature en
dc.title.alternative Pancreatite aguda em pediatria: revisão sistemática da literatura pt
dc.type Resenha
dc.contributor.institution Universidade de São Paulo (USP)
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Hosp Israelite Albert Einstein
dc.contributor.institution Hosp Santa Catarina
dc.description.affiliation Univ São Paulo, Fac Med, Hosp Clin, Inst Crianca, BR-05403000 São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliation Univ São Paulo, BR-05403000 São Paulo, Brazil
dc.description.affiliation Hosp Israelite Albert Einstein, Unidade Pronto Atendimento, São Paulo, Brazil
dc.description.affiliation Hosp Santa Catarina, Unidade Terapia Intens Pediat, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.identifier.file S0021-75572012000200002-en.pdf
dc.identifier.file S0021-75572012000200002-pt.pdf
dc.identifier.scielo S0021-75572012000200002
dc.identifier.doi 10.2223/JPED.2163
dc.description.source Web of Science
dc.identifier.wos WOS:000303906000002


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