.: ORİJİNAL ARAŞTIRMA
Akut Pankreatitli Çocuk Hastaların Değerlendirilmesi: Tanımlayıcı Araştırma
Evaluation of Pediatric Patients with Acute Pancreatitis: Descriptive Research
Turkiye Klinikleri J Pediatr. 2022;31(1):19-26
doi: 10.5336/pediatr.2021-86214
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Amaç: Bu çalışmanın amacı, akut pankreatit (AP) tanısı ile izlenen çocukların etiyolojik, klinik ve laboratuvar özelliklerinin geriye dönük irdelenmesidir. Gereç ve Yöntemler: Ünitemizde, 2005-2021 yılları arasında AP nedeniyle takip edilen 7 gün olan grupta lökosit değeri daha yüksek, kalsiyum ve albumin daha düşük, enteral beslenmeye başlama zamanı daha uzundu. Transaminaz değerleri, biliyer etiyolojisi olmayan grupta yüksek; gama glutamil transferaz ve bilirubin değerleri ise biliyer etiyolojisi olan grupta yüksekti. Sonuç: Gelişen görüntüleme yöntemleri ile son yıllarda tanı konma sıklığı artan AP, en fazla karın ağrısı ve kusma yakınması olan hastalarda ayırıcı tanıda düşünülmelidir. Lökositoz, hipoalbuminemi ve hipokalsemi kötü prognostik faktörlerdir. Enteral beslenmeye erken başlanması, hastanede kalış süresini ve komplikasyonları azaltacaktır.
Anahtar Kelimeler: Akut pankreatit; çocuk; etiyoloji; tedavi
Amaç: Bu çalışmanın amacı, akut pankreatit (AP) tanısı ile izlenen çocukların etiyolojik, klinik ve laboratuvar özelliklerinin geriye dönük irdelenmesidir. Gereç ve Yöntemler: Ünitemizde, 2005-2021 yılları arasında AP nedeniyle takip edilen 7 gün olan grupta lökosit değeri daha yüksek, kalsiyum ve albumin daha düşük, enteral beslenmeye başlama zamanı daha uzundu. Transaminaz değerleri, biliyer etiyolojisi olmayan grupta yüksek; gama glutamil transferaz ve bilirubin değerleri ise biliyer etiyolojisi olan grupta yüksekti. Sonuç: Gelişen görüntüleme yöntemleri ile son yıllarda tanı konma sıklığı artan AP, en fazla karın ağrısı ve kusma yakınması olan hastalarda ayırıcı tanıda düşünülmelidir. Lökositoz, hipoalbuminemi ve hipokalsemi kötü prognostik faktörlerdir. Enteral beslenmeye erken başlanması, hastanede kalış süresini ve komplikasyonları azaltacaktır.
Anahtar Kelimeler: Akut pankreatit; çocuk; etiyoloji; tedavi
ABSTRACT
Objective: To evaluate the etiological, clinical and laboratory characteristics of children followed up with the diagnosis of acute pancreatitis (AP). Material and Methods: Children 7 days, the leukocyte value was higher, calcium and albumin were lower, and the initiation time of enteral nutrition was longer. Transaminase values were higher in the non-biliary group, and gamma glutamyl transferase and bilirubin values were higher in the biliary group. Conclusion: AP, the frequency of diagnosis of which has increased in recent years with the developing imaging methods, should be considered in the differential diagnosis of patients with the most complaints of abdominal pain and vomiting. Leukocytosis, hypoalbuminemia and hypocalcemia are poor prognostic factors. Early initiation of enteral feeding will reduce the length of hospital stay and complications.
Keywords: Acute pancreatitis; child; etiology; treatment
Objective: To evaluate the etiological, clinical and laboratory characteristics of children followed up with the diagnosis of acute pancreatitis (AP). Material and Methods: Children 7 days, the leukocyte value was higher, calcium and albumin were lower, and the initiation time of enteral nutrition was longer. Transaminase values were higher in the non-biliary group, and gamma glutamyl transferase and bilirubin values were higher in the biliary group. Conclusion: AP, the frequency of diagnosis of which has increased in recent years with the developing imaging methods, should be considered in the differential diagnosis of patients with the most complaints of abdominal pain and vomiting. Leukocytosis, hypoalbuminemia and hypocalcemia are poor prognostic factors. Early initiation of enteral feeding will reduce the length of hospital stay and complications.
Keywords: Acute pancreatitis; child; etiology; treatment
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