Özlem Tolu KENDİR, Mehmet AĞIN, Hayri YILMAZ, Sinem SARI GÖKAY, Gokhan TUMGOR

Akut Pankreatitli Olgularımız: Tek Merkez Beş Yıllık Deneyim

Amaç: Bu çalışmada; üçüncü basamak bir çocuk acil ünitesinde akut pankreatit tanısı almış hastaların klinik ve laboratuvar özelliklerinin incelenmesi, karın ağrılı çocuk hastaların ayırıcı tanısında akut pankreatitin önemine dikkat çekilmesi amaçlanmıştır. Yöntem: Çalışmaya Çukurova Üniversitesi Tıp Fakültesi Çocuk Acil Bilim Dalı’nda 5 yıllık sürede akut pankreatit tanısı almış çocuk hastalar dahil edildi. Hastalar akut ve tekrarlayan akut pankreatit olarak iki gruba ayrıldı. Hastaların klinik ve laboratuvar verileri geriye dönük incelendi. Modifiye Ranson kriterlerine göre akut pankreatit risk faktörleri belirlendi. Bulgular: Çalışma süresince akut pankreatit tanısı alan 53 hasta çalışmaya alındı. Hastalar toplamda 116 kez atak geçirmişti. Yaş ortalamaları 10,6±4,4 yıl (en küçük:0,5, en yüksek:17,5) ve 28 (%52,8)’i kız idi. 22’si (%41,5) ≥2 atak geçirmişti. Akut pankreatit etiyolojisi 20 (%38) hastada belirlenemez iken, 10 hastada (%18,8) hiperlipidemi saptandı. Sonuç: Çocuk acil servislere karın ağrısı ile başvuran hastaların ayırıcı tanısında akut pankreatit düşünülmeli, konu ile ilgili farkındalık arttırılmalıdır.

Anahtar Kelimeler:

Akut Pankreatit, , Akut Tekrarlayan Pankreatit, Karın Ağrısı

Evaluation of Acute Pancreatitis Patients: Single Center Five Years’ Experience

ABSTRACT Aim: In the present study, the purpose was to examine the clinical and laboratory characteristics of patients diagnosed with Acute Pancreatitis in a third-line Children’s Emergency Department, and to draw attention to the importance of Acute Pancreatitis in the differential diagnosis of children admitting with abdominal pain. Materials and Methods: The child patients who were diagnosed with acute pancreatitis at Çukurova University Faculty of Medicine, Department of Pediatric Emergency Medicine for a period of 5 years were included in the study. The patients were divided into two groups as Acute Pancreatitis and Recurrent Acute Pancreatitis. The clinical and laboratory data of the patients were examined retrospectively. Acute pancreatitis risk factors were determined according to the Modified Ranson Criteria. Results: A total of 53 patients who were diagnosed with acute pancreatitis were included in the study. The patients had had attacks for a total of 116 times. The mean age of the patients was 10.6±4.4 years (minimum: 0.5, maximum: 17.5), 28 (52.8%) were girls, and 22 (41.5%) had had ≥2 attacks. The etiology of Acute Pancreatitis could not be determined in 20 (38%) patients, and hyperlipidemia was detected in 10 patients (18.8%). Conclusion: Acute Pancreatitis should be considered in the differential diagnosis of patients admitting to Emergency Departments with abdominal pain, and the awareness about the subject should be increased. Keyword: Acute Pancreatitis, Acute Recurrent Pancreatitis, Abdominal Pain.

Keywords:

Acute Pancreatitis, Acute Recurrent Pancreatitis, Abdominal Pain.,

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