The incidence of acute pancreatitis in children hospitalized with abdominal pain in Pediatric Surgery Clinic in Bydgoszcz

Abstract

Lewicka Marta, Barczykowska Ewa, Jaworska Aleksandra, Daniluk-Matraś Irena, Kurylak Andrzej. The incidence of acute pancreatitis in children hospitalized with abdominal pain in Pediatric Surgery Clinic in Bydgoszcz. Journal of Education, Health and Sport. 2015;5(10):29-42. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.31917

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Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive

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© The Author (s) 2015;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 02.08.2015. Revised 05.09.2015. Accepted: 29.09.2015.

The incidence of acute pancreatitis in children hospitalized with abdominal pain in Pediatric Surgery Clinic in Bydgoszcz

Marta Lewicka¹, Ewa Barczykowska¹, Aleksandra Jaworska², Irena Daniluk‑Matraś², Andrzej Kurylak¹

¹Zakład Pielęgniarstwa Pediatrycznego, Collegium Medicum w Bydgoszczy

²Oddział Kliniczny Chirurgii Ogólnej i Onkologicznej Dzieci i Młodzieży, SU nr 1 im. A. Jurasza w Bydgoszczy

Abstract

Introduction

The condition most frequently reported by children is abdominal pain, posing a substantial diagnostic problem. In paediatric population, acute pancreatitis occurs much less frequently than in adults.

Aim of the study

The aim of the study was to assess rate of acute pancreatitis in children accepted to hospital for abdominal pains.

Material and methods

The study was of a retrospective nature. 629 medical histories of children hospitalized in University Hospital No. 1 in Bydgoszcz for abdominal pains and/or acute pancreatitis were analyzed. Demographic data (sex, age, residence) and season of patients' admission were included in the study.

Results

The study reveals, that hospital admissions for abdominal pain more frequently regarded boys – 352 (55.96%) than girls – 277 (44.04%). Children of urban background formed 57.39% and those of rural background – 42.61%. In the studied group, acute pancreatitis concerned girls more frequently than boys (8.7% vs 3.7%). No statistical relationship was proven between the age and the acute pancreatitis occurrence. The average age of children with acute pancreatitis amounted to 11.02 years. Every third instance of acute pancreatitis was diagnosed in spring (32.4%), and every fifth (18.9%) in winter.

Conclusions

1. An increase is observed in the number of children's hospital admissions for abdominal pains. Admissions for abdominal pains formed an average of one fifth of all admissions..
2. A decrease in acute pancreatitis occurrence is observed in hospitalized children.
3. Acute pancreatitis occurred twice as often in girls than in boys.

Keywords: children, pain, abdominal pain, pain evaluation, pancreas, pancreatitis, acute pancreatitis.