Clinical characteristics of acute pancreatitis in children: a single-center experience in Western China

Abstract Background The diagnosis of pediatric pancreatitis has been increasing over the last 20 years. We aimed to compare clinical characteristics for acute (AP) with adult AP, and investigate risk factor recurrent (ARP) in children. Method From June 2013 2019, a total 130 patients AP at inpatient database were enrolled. Univariate analysis multivariate Cox regression performed identify factors ARP Result Major etiologic biliary (31.5%), idiopathic (28.5%). etiology children was markedly different from that adults ( p < 0.001). Compared patients, had significantly lower severity = 0.018) occurrence rate pancreatic necrosis 0.041), SIRS 0.021), peripancreatic fluid collection 0.014). Multivariate showed female 0.020; OR 3.821; 95% CI 1.231–11.861), hypertriglyceridemia 0.045; 3.111; 1.024–9.447), 0.023; 5.768; 1.278–26.034) independent ARP. Hypertriglyceridemia highest recurrence compared other 0.035). Conclusion Biliary disease major etiologies Children have simpler conditions than adults. Female, hypertriglyceridemia, associated onset