Abousamra Oussama, Nishnianidze Tristan, Rogers Kenneth J, Er Mehmet S, Sees Julieanne P, Dabney Kirk W, Miller Freeman
Department of Orthopedics, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
J Pediatr Orthop B. 2018 Mar;27(2):163-167. doi: 10.1097/BPB.0000000000000376.
This study reports on the prevalence and risk factors of acute pancreatitis after posterior spinal fusion for cerebral palsy scoliosis. Pancreatitis diagnosis was based on elevated amylase or lipase above three times the upper normal limit. Perioperative data were compared between patients with and without pancreatitis. We included 300 patients; 55% developed acute pancreatitis. Gastrostomy dependence was more common in the pancreatitis group (P=0.048). Perioperative data were similar between groups. Patients with pancreatitis had longer duration of hospitalization (19 vs. 13 days, P<0.001). Acute pancreatitis is common after cerebral palsy scoliosis surgery. Gastrostomy dependence increases its risk. Although no mortality was reported, hospital stay was longer.
本研究报告了脑瘫性脊柱侧弯后路脊柱融合术后急性胰腺炎的患病率及危险因素。胰腺炎的诊断基于淀粉酶或脂肪酶升高至正常上限的三倍以上。对发生胰腺炎和未发生胰腺炎的患者的围手术期数据进行了比较。我们纳入了300例患者；其中55%发生了急性胰腺炎。胃造口依赖在胰腺炎组更为常见（P=0.048）。两组间围手术期数据相似。发生胰腺炎的患者住院时间更长（19天对13天，P<0.001）。急性胰腺炎在脑瘫性脊柱侧弯手术后很常见。胃造口依赖会增加其风险。虽然未报告死亡病例，但住院时间更长。
