1. Akut Pankreatit.
- Author
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Bükülmez, Ayşegül
- Subjects
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CHRONIC pancreatitis , *PANCREATIC diseases , *THERAPEUTICS , *DIAGNOSIS , *PAIN management , *METABOLIC disorders , *NECROTIZING pancreatitis - Abstract
Pancreatitis is an increasingly common pancreatic disease in children in recent years. Since the etiology, epidemiology and risk factors of adult and pediatric pancreatitis are different, the management of the disease and its response to treatment are also different. Acute pancreatitis is an important cause of acute abdominal pain in children that requires urgent treatment and is a self-limiting, inflammatory pancreatic disease with reversible systemic inflammation. The diagnosis of acute pancreatitis is made according to the INSPPIRE criteria by having two of the criteria "abdominal pain compatible with pancreatitis, amylase and/or lipase level higher than three times normal and having findings compatible with pancreatitis in radiological imaging". Biliary and obstructive causes, systemic diseases, drugs, trauma, metabolic diseases, idiopathic causes play a role in the etiology of pancreatitis in children. Acute pancreatitis in children usually has a mild course and although it heals without complications, it may progress to acute recurrent pancreatitis with recurrent attacks in some cases. Early recognition is important in acute recurrent pancreatic as there is a risk of progression to chronic pancreatitis. Supportive treatment is generally used in the treatment of acute pancreatitis in children. Early nutrition and aggressive appropriate fluid therapy and pain control are very important in treatment. In addition, development of complications should be followed clinically. However, it is still necessary to develop multi-center standard diagnosis and treatment protocols in the diagnosis and treatment of acute pan creatitis in childhood. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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