Trapnell J E
Royal Victoria Hospital, Boscombe, Bournemouth, England, United Kingdom.
World J Surg. 1990 Jan-Feb;14(1):48-52. doi: 10.1007/BF01670545.
Chronic relapsing pancreatitis in adolescence is a most uncommon clinical problem and has received minimal separate recognition in the literature. Adolescence is an age when the causes of the disease, which may operate from birth, overlap with the major etiological factors in the generality of pancreatitis in adult life. A personal series of 32 patients with pancreatitis, aged 11-20 years, is reported. Twenty-four followed a chronic relapsing course. There was, therefore, a marked reversal of the normal preponderance of acute over chronic relapsing cases. Those with underlying biliary disease, and the group in whom no etiological factors could be identified, ran an unexpectedly severe and troublesome course. This, coupled with the reversal of the acute versus chronic disease ratio, raises the question as to whether adolescent pancreatitis is a distinct subgroup in the overall spectrum of this disease.
青少年慢性复发性胰腺炎是一个极为罕见的临床问题，在文献中受到的单独关注极少。青少年时期，可能从出生起就起作用的该疾病病因，与成年期胰腺炎常见的主要病因相互重叠。本文报告了一组32例年龄在11至20岁之间的胰腺炎患者。其中24例呈慢性复发性病程。因此，急性病例多于慢性复发性病例的正常优势明显逆转。患有潜在胆道疾病的患者，以及无法确定病因的患者组，病情发展出人意料地严重且棘手。这一点，再加上急性与慢性疾病比例的逆转，引发了一个问题，即青少年胰腺炎在该疾病的整体范畴内是否为一个独特的亚组。
