University of Iowa, Stead Family Children's Hospital, Iowa City, Iowa.
Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Gastroenterology. 2019 May;156(7):1969-1978. doi: 10.1053/j.gastro.2018.12.043. Epub 2019 Feb 1.
Acute, acute recurrent, and chronic forms of pancreatitis have been increasingly diagnosed in children in the past 2 decades. Risk factors in the pediatric group are broad and appear to be strikingly different compared with the adult cohort. However, the disease burden and impact on quality of life are surprisingly similar in children and adults. This review summarizes the definitions, epidemiology, risk factors, diagnosis, and management of pediatric pancreatitis, identifies features that are unique to the childhood-onset disease, identifies gaps, and proposes recommendations for future opportunities.
在过去的 20 年中,儿童中越来越多地被诊断出患有急性、复发性和慢性胰腺炎。儿科人群的危险因素广泛,与成人队列相比,这些危险因素明显不同。然而,儿童和成人的疾病负担和对生活质量的影响惊人地相似。本文综述了儿科胰腺炎的定义、流行病学、危险因素、诊断和治疗,确定了儿童发病的疾病的独特特征,确定了差距,并为未来的机会提出了建议。