Vascular Complications in Pediatric Pancreatitis: A Case Series.
J Pediatr Gastroenterol Nutr
; 73(4): e94-e97, 2021 10 01.
Article
en En
| MEDLINE
| ID: mdl-34224489
ABSTRACT
ABSTRACT We reviewed INSPPIRE (International Study Group of Pediatric Pancreatitis In Search for a Cure) database for splanchnic venous thrombosis or arterial pseudoaneurysms to determine the incidence, risk factors and outcomes of peripancreatic vascular complications in children with acute recurrent pancreatitis (ARP) or chronic pancreatitis (CP). Of 410 children with diagnostic imaging studies, vascular complications were reported in five (1.2%); two had ARP, three CP. The vascular events were reported during moderately severe or severe acute pancreatitis (AP) in four, mild AP in one. Venous thrombosis occurred in four, arterial pseudoaneurysm (left gastric artery) in one. Two patients with venous thrombosis were treated with anticoagulant, one achieved recanalization (splenic vein). In two patients who did not receive anticoagulants, one re-canalized. No adverse effects were observed with anticoagulants. The child with pseudoaneurysm underwent aneurysmal coiling. Anti-coagulants appear to be safe in children with acute pancreatitis, their long-term benefit needs to be further investigated.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trombosis de la Vena
/
Pancreatitis Crónica
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Child
/
Humans
Idioma:
En
Revista:
J Pediatr Gastroenterol Nutr
Año:
2021
Tipo del documento:
Article
País de afiliación:
Níger