Current international guidelines for the diagnosis and treatment of acute pancreatitis in children

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Abstract

The article presents current data on the etiology, diagnosis and treatment of acute pancreatitis in children. Over the past 10-15 years, the incidence of pancreatitis has increased and is 3.6-13.3 cases per 100,000 children. According to the results of an international study INSPPIRE a group of researchers involving in to the study of pediatric pancreatitis gave a definition of acute, acute recurrent and chronic pancreatitis and developed clinical guidelines for the management of this pathology in children. Acute pancreatitis is a polyetiological disease, the causes of which may be abnormalities in the development of the pancreatobiliary system, drugs, injuries, infections, systemic diseases. Diagnosis is based on clinical manifestations and laboratory and instrumental data. Clinically acute pancreatitis is manifested by abdominal, dyspeptic and asthenic syndromes. Particular attention is paid to the timely diagnosis of pancreatitis in children with unexplained abdominal pain syndrome. In such cases, it is mandatory to determine the level of amylase and lipase. Transabdominal ultrasound is the screening method among instrumental methods. Computed tomography and magnetic resonance imaging are necessary imaging techniques for suspected pancreatic necrosis. Magnetic resonance cholangiopancreatography, in turn, plays an important role in the diagnosis of anomalies and lesions of the biliary and pancreatic ducts. There are modern classification, diagnostic criteria of acute pancreatitis, laboratory and instrumental methods of the diagnosis and approaches to the treatment in children in the article.

About the authors

Aelita A. Kamalova

Kazan State Medical University

Author for correspondence.
Email: aelitakamalova@gmail.com

д-р мед. наук, профессор, кафедра госпитальной педиатрии

Russian Federation, 49, Butlerov street, Kazan, 420012

Ilmira M. Urazmanova

Kazan State Medical University

Email: aelitakamalova@gmail.com

resident, Department of Hospital Paediatrics

Russian Federation, 49, Butlerov street, Kazan, 420012

Ramilya F. Khayretdinova

Kazan State Medical University

Email: ram.bilalova1995@mail.ru

resident, Department of Hospital Paediatrics

Russian Federation, 49, Butlerov street, Kazan, 420012

Asilya N. Badretdinova

State Autonomous Healthcare Institution Muslumovskya central district hospital

Email: azilya.badretdinova@gmail.com

District Pediatrician

Russian Federation, Muslumovo

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Copyright (c) 2019 Kamalova A.A., Urazmanova I.M., Khayretdinova R.F., Badretdinova A.N.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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