Manejo de la pancreatitis aguda grave en niñosSerie de 3 casos

  1. Diana Folgado Toledo
  2. F. Delgado Ledesma
  3. C. Pérez-Caballero Macarrón
  4. Ana Coca Pérez
  5. J.L. Vázquez Martínez
Journal:
Acta pediátrica española

ISSN: 0001-6640

Year of publication: 2018

Volume: 76

Issue: 5-6

Pages: 69-72

Type: Article

More publications in: Acta pediátrica española

Abstract

Acute pancreatitis is a rare entity among pediatric population, whose incidence has increased in the last two decades. However, there are few studies on this condition, so its therapeutic management is unsteady, especially in severe cases. In this article, we describe our experience in a pediatric intensive care unit in the management of 3 clinical cases with pancreatitis occured in the last months. We applied the guidelines extracted from the clinical guides about management of acute pancreatitis in adult patients, based on improving analgesia, administration of intensive fluid therapy and initial pancreatic rest with early reintroduction of enteral nutrition, which showed a good subsequent clinical evolution. Our main purpose, given the increase in the incidence of this entity, is to emphasize the importance of a high level of clinical suspicion when facing a case of abdominal pain that may allow an early diagnosis and a quick establishment of a proper treatment in these cases, as well as to highlight the most important facts of its management.