Maalik El Bouyousfi1, Christine Leveque2,3, Lotfi Miladi4, Sabine Irtan5,6, Jamil Hamza7, Mehdi Oualha8. 1. Surgical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France. maalik.elbouyousfi@gmail.com. 2. Mobile Team of Palliative Care and Pain Consultation, Nanterre Hospital (Adults), Nanterre, France. 3. Nursery Paul Parquet Neuilly/Seine (Children), Paris, France. 4. Pediatric Orthopaedic Service, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France. 5. Paediatric Surgery Department, Trousseau Hospital, Paris, France. 6. Sorbonne Universités, UPMC, Paris 06 University, Paris, France. 7. Surgical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France. 8. Surgical and Medical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes, Paris, France.
Abstract
PURPOSE: Acute pancreatitis is a possible complication after scoliosis surgery. Although some risk factors have been documented in the literature, clinical description of pancreatitis diagnosis and ensuing course still remain very poor. The aim of this study was to describe characteristics of acute pancreatitis after scoliosis surgery. METHODS: A descriptive, retrospective and single-center study of fourteen adolescents with postoperative acute pancreatitis after spine fusion surgery in scoliosis management between April 2003 and August 2012 was performed. RESULTS: Acute pancreatitis occurred within 9.5 days (4-51) after surgery. Abdominal pain was atypical and was expressed in only half of the children. Ileus, nausea and vomiting were the most frequent signs. None of the acute pancreatitis cases was severe. CONCLUSION: Acute pancreatitis is an early complication of scoliosis surgery. Clinical signs are atypical and non-severe and can induce misleading forms. Presence of delayed digestive problems should alert the clinician to the risk of pancreatitis in the aftermath of scoliosis surgery.
PURPOSE: Acute pancreatitis is a possible complication after scoliosis surgery. Although some risk factors have been documented in the literature, clinical description of pancreatitis diagnosis and ensuing course still remain very poor. The aim of this study was to describe characteristics of acute pancreatitis after scoliosis surgery. METHODS: A descriptive, retrospective and single-center study of fourteen adolescents with postoperative acute pancreatitis after spine fusion surgery in scoliosis management between April 2003 and August 2012 was performed. RESULTS: Acute pancreatitis occurred within 9.5 days (4-51) after surgery. Abdominal pain was atypical and was expressed in only half of the children. Ileus, nausea and vomiting were the most frequent signs. None of the acute pancreatitis cases was severe. CONCLUSION: Acute pancreatitis is an early complication of scoliosis surgery. Clinical signs are atypical and non-severe and can induce misleading forms. Presence of delayed digestive problems should alert the clinician to the risk of pancreatitis in the aftermath of scoliosis surgery.
Entities:
Keywords:
Abdominal complication; Clinical signs; Pancreatitis; Scoliosis surgery
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