<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542022000200115</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v31.i2.20461</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute pancreatitis in children: Ten-year experience of a level II hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[Pancreatite Aguda na Idade Pediátrica: casuística de 10 anos de um hospital nível II]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manuel]]></surname>
<given-names><![CDATA[Ana Rute]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Rita Vieira de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torre]]></surname>
<given-names><![CDATA[Maria de Lurdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lemos]]></surname>
<given-names><![CDATA[Piedade Sande]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Professor Doutor Fernando Fonseca Department of Pediatrics ]]></institution>
<addr-line><![CDATA[Amadora ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,NOVA Medical School  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>115</fpage>
<lpage>122</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542022000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542022000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542022000200115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The incidence of acute pancreatitis (AP) in children is increasing, together with the awareness of the need for pediatric-specific management recommendations. This study aimed to assess the epidemiology, etiology, management, and clinical course of pediatric AP cases followed at a secondary hospital.  Methods:  Retrospective analysis of all pediatric AP cases admitted to a level II hospital in the metropolitan area of Lisbon, Portugal, between January 2009 and December 2018.  Results: Eight cases of pediatric AP were identified, with an average age of 12 years (minimum 4 years, maximum 16 years) and classified according to etiology as drug-induced (n=3), biliary (n=1), infectious (n=1), and idiopathic (n=3). Recurrent AP was identified in one patient. The median hospital stay was 6.5 days. The main symptoms at presentation were abdominal pain (100.0%) and vomiting (75.0%). All patients had increased levels of amylase activity in serum (&gt;3 times the upper limit of normal). Pancreatic image abnormalities were observed in five patients (62.5%), four in the abdominal ultrasound and one in computed tomography scan. One patient underwent endoscopic retrograde cholangiopancreatography. Two patients received a course of antibiotics. All cases were classified as mild, according to the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition classification.  Discussion:  This series showed a predominance of secondary over idiopathic AP, in agreement with recently published studies reporting a reduction in the incidence of idiopathic AP due to increased efforts to identify the underlying causes of the disease. Since the incidence of AP is increasing in pediatric age, physicians should be aware of recent recommendations for the optimal management of the condition in this age group.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A incidência de pancreatite aguda (PA) em idade pediátrica tem vindo a aumentar, havendo um reconhecimento crescente das suas particularidades neste grupo etário e da necessidade de recomendações de abordagem específicas. Este estudo teve como objetivo analisar a epidemiologia, etiologia, abordagem e evolução clínica da PA em idade pediátrica num hospital secundário.  Métodos:  Análise retrospetiva de todos os casos de PA pediátrica admitidos num hospital de nível II da área metropolitana de Lisboa, Portugal, entre janeiro de 2009 e dezembro de 2018.  Resultados:  Foram identificados oito casos de PA na população pediátrica, com uma idade média de 12 anos (mínimo 4 anos, máximo 16 anos) e as seguintes etiologias: medicamentosa (n=3), biliar (n=1), infeciosa (n=1) e idiopática (n=3). Foi identificado um caso de PA recorrente. A mediana de tempo de internamento foi de 6,5 dias. Os sintomas mais comuns na apresentação foram dor abdominal (100,0%) e vómitos (75,0%). Todos os casos apresentaram níveis elevados de amilase sérica (&gt;3 vezes o limite superior do normal). Foram observadas alterações imagiológicas sugestivas de PA em cinco casos (62,5%), quatro na ecografia abdominal e um na tomografia computorizada. Foi realizada colangiopancreatografia retrógrada endoscópica em um caso. Dois doentes receberam antibioticoterapia. Todos os casos foram classificados como ligeiros, de acordo com a classificação da Sociedade Norte-Americana de Gastroenterologia, Hepatologia e Nutrição Pediátricas.  Conclusões:  A presente casuística revelou uma predominância de PA secundária, em conformidade com estudos recentes que demonstram uma redução da incidência de PA idiopática devido a abordagens diagnósticas cada vez mais completas. Dado o aumento da incidência de PA em idade pediátrica, é importante que os profissionais de saúde estejam alerta para esta patologia e adequem a sua prática às recomendações mais recentes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[pancreatic disease]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="pt"><![CDATA[doença pancreática]]></kwd>
<kwd lng="pt"><![CDATA[pancreatite aguda]]></kwd>
<kwd lng="pt"><![CDATA[Pediatria]]></kwd>
</kwd-group>
</article-meta>
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