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Volume 6, Issue 7(Suppl) J Gastrointest Dig Syst 2016
ISSN: 2161-069X JGDS, an open access journal
Page 54
Notes:
Gastro Congress 2016
October 24-25, 2016
conferenceseries.com
October 24-25, 2016 Valencia, Spain
9th Euro Global
Gastroenterology Conference
Multidisciplinary approach to the treatment of chronic pancreatitis in children – Institutional
experience
Vijay Kumar
Kasturba Medical College, Manipal University, India
C hronic Pancreatitis is a chronic inflammatory disease characterized by fibrosis and destruction of exocrine pancreatic tissue.
It is prevalent in many parts of the world with varying epidemiological profiles in different areas. There is a relatively high
prevalence of such disorders in southern India. In most series, the etiologies are trauma, biliary tract distension are unknown.
In majority of CP in children, medical therapy alone suffices and surgical intervention is reserved for complications. This study
was conducted to establish the clinical profile of pancreatic disorders in pediatric patients ranging in age from 1 to 19 years
in a tertiary care hospital in southern India. The records of the patients up to 19 years of age diagnosed to have pancreatitis at
our institution for the last 12 years were reviewed with a proforma to record the following parameters: Age, gender, presenting
complaints, examination findings, investigations, management with medical treatment, surgical intervention or both and
complications. There were 50 patients ranging from age group 3 to 19 years, out of which 30 were males and 20 were females.
41 patients were between the ages of 11-19 years, 5 were between the age of 6-10 years, and 4 were between the ages of 1-5
years. 28 patients presented with acute on chronic pancreatitis and 22 patients had calcific chronic pancreatitis. The etiology
of CP in 42 patients was idiopathic, in 4 was biliary tract disease, 2 were alcoholic, and 2 were congenital (pancreatic divisum).
Complications like pseudo cyst was seen in 19 patients, ascites in 4, diabetes in 3, pleural effusion in 3, splenic thrombosis
in one, acute necrotizing pancreatitis in one, retroperitoneal abscess in one and acute renal failure in one patient. Apart from
medical line of management, 12 patients underwent stenting of pancreatic duct and 10 underwent surgical treatment for
complications. Among the complications, acute relapses of chronic pancreatitis were the most common. 38% of the patients
had pseudocysts, 44% had calcific pancreatitis, 6% developed diabetes, 8% had ascites, 6% had pleural effusion and there were
3 deaths due to sepsis.
Biography
Vijay Kumar is a Professor and Head of Dept. of Pediatric Surgery in Kasturba Medical College, Manipal University . He had 41 scientific articles in various
international and national journals. He presented 12 scientific papers at various international conferences held at Bangkok, Malaysia, Srilanka, Nepal, Dubai, UK,
USA, etc. He presented more than 60 scientific papers at various national conferences, workshops held in different parts of India. He gave more than 30 scientific
deliberations at various national, international conferences, workshops, scientific congresses, medical associations and chapters. He attended 15 pediatric surgery
and pediatric urology workshops at national and international level as a resource person. He is an active member and office bearer in many social organizations.
He organized and participated in many free medical camps in the community. He gave many talks on health awareness in the Radio and TV shows.
Vijay Kumar, J Gastrointest Dig Syst 2016, 6:7(Suppl)