Abstract
BackgroundThe diagnosis of pediatric pancreatitis has been increasing over the last 20 years. We aimed to compare the clinical characteristics for pediatric acute pancreatitis (AP) with adult AP, and investigate the risk factor for acute recurrent pancreatitis (ARP) in children.MethodFrom June 2013 to June 2019, a total of 130 pediatric patients with AP at the inpatient database were enrolled. Univariate analysis and multivariate Cox regression analysis were performed to identify the risk factors for ARP in children.ResultMajor etiologic factors in 130 patients were biliary (31.5%), idiopathic (28.5%). The etiology of pancreatitis in children was markedly different from that in adults (p < 0.001). Compared with the adult patients, the pediatric patients had significantly lower severity (p = 0.018) and occurrence rate of pancreatic necrosis (p = 0.041), SIRS (p = 0.021), acute peripancreatic fluid collection (p = 0.014). Univariate and Multivariate Cox regression analysis showed that female (p = 0.020; OR 3.821; 95% CI 1.231–11.861), hypertriglyceridemia (p = 0.045; OR 3.111; 95% CI 1.024–9.447), pancreatic necrosis (p = 0.023; OR 5.768; 95% CI 1.278–26.034) were the independent risk factors of ARP. Hypertriglyceridemia AP had the highest risk of recurrence compared to other etiology (p = 0.035).ConclusionBiliary and idiopathic disease were the major etiologies of AP in children. Children have simpler conditions than adults. Female, hypertriglyceridemia, and pancreatic necrosis were associated with the onset of ARP.
Highlights
The diagnosis of pediatric pancreatitis has been increasing over the last 20 years
Biliary and idiopathic disease were the major etiologies of acute pancreatitis (AP) in children
Hypertriglyceridemia, and pancreatic necrosis were associated with the onset of acute recurrent pancreatitis (ARP)
Summary
The diagnosis of pediatric pancreatitis has been increasing over the last 20 years. We aimed to compare the clinical characteristics for pediatric acute pancreatitis (AP) with adult AP, and investigate the risk factor for acute recurrent pancreatitis (ARP) in children. Acute pancreatitis (AP) is an inflammatory reaction that causes the digestion, edema, bleeding, and necrosis of pancreatic tissue after activation of various trypsin enzymes in pancreatic tissue, caused by a variety of. Zhong et al BMC Gastroenterol (2021) 21:116 prognosis of AP, compare to adult AP, and to investigate the risk factors for acute recurrent pancreatitis (ARP) in children in southwest China
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