TY - CHAP M1 - Book, Section TI - Pancreatitis A1 - Shad, Javaid A. A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. PY - 2014 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - The most common etiologies of pancreatitis are trauma, systemic disease, structural anomalies of the pancreatic-biliary system, drugs, infections, and idiopathic causes.The most common symptoms are abdominal pain, nausea, and irritability.Amylase and lipase levels are low at birth and slowly increase over several months.The mainstay of treatment is to provide supportive care through fluid resuscitation, pain control, and nutritional support.Ranson criteria, Glasgow score, and pediatric acute pancreatitis severity (PAPS) scoring system show limited ability to predict severity in children with acute pancreatitis.Approximately 25% of children with acute pancreatitis develop a complication, but less than 6% of children develop multiorgan dysfunction.The mortality rate reported in children with pancreatitis varies between 4% and 10%.Hypercalcemia, hypertriglyceridemia, structural abnormalities, and genetic mutations can cause recurrent pancreatitis.Chronic pancreatitis often presents as acute pancreatitis followed by recurring abdominal pain. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1105683945 ER -