Ultrasound findings of acute pancreatitis in children.
Ultrasound findings of acute pancreatitis in children.
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DOI：
10.1007/s00247-022-05381-z
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发表时间：
2022-11
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
系统记录儿童急性胰腺炎超声检查结果的研究有限。胰管扩张被认为是急性胰腺炎最可靠的表现，但尚未在儿童中进行严格的检查。系统记录儿童急性胰腺炎的超声检查结果，并确定观察者对这些结果的一致性。在这项横断面研究中，我们回顾性审查了2013年3月至2020年7月期间前瞻性入选急性胰腺炎索引入院患者登记的所有<18岁儿科患者的图像。两名设盲观察员（R1、R2）审查了每例患者在胰腺炎发作后2周内进行的首次经腹超声检查。在141名儿童中，在急性发作后中位数1天（四分位距[IQR]：0，1）进行US检查。33名（23%，R1）和38名（27%，R2）儿童在US上没有异常发现。胰周水肿是两位审查员记录的最常见结果（63% R1，54% R2）。仅35%的儿童胰管可见，仅12%（R1）和14%（R2）扩张。评价者对急性胰腺炎的结果（κ=0.62-1）（包括胰管可见性）基本一致。胰周水肿是儿童急性胰腺炎最常见的发现，高达63%，观察者之间几乎完全一致。导管扩张，在文献中被引用为急性胰腺炎的可靠发现，在我们的样本中很少发现。
Studies systematically documenting US findings in children with acute pancreatitis are limited. Pancreas duct dilation is described as the most reliable finding of acute pancreatitis but this has not been rigorously examined in children. To systematically document US findings in children with acute pancreatitis and to define interobserver agreement on those findings. In this cross-sectional study we retrospectively reviewed images for all pediatric patients <18 years of age who had been prospectively enrolled in a registry of patients with index admissions for acute pancreatitis between March 2013 and July 2020. Two blinded observers (R1, R2) reviewed the first transabdominal US examination performed within 2 weeks of the pancreatitis attack for each patient. In 141 children, US was performed at a median of 1 day (interquartile range [IQR]: 0, 1) following acute attack. Thirty-three (23%, R1) and 38 (27%, R2) children had no abnormal findings on US. Peripancreatic edema was the most frequent finding documented by both reviewers (63% R1, 54% R2). The pancreatic duct was visible in only 35% of the children and was dilated in only 12% (R1) and 14% (R2). There was substantial to almost-perfect agreement between reviewers on findings of acute pancreatitis (κ=0.62–1), including duct visibility. Peripancreatic edema was the most frequently identified finding in children with acute pancreatitis, present in up to 63%, with almost perfect interobserver agreement. Duct dilation, cited in the literature as a reliable finding of acute pancreatitis, was rarely identified in our sample.
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影响因子：
2.9
作者：
Vitale, David S.;Hornung, Lindsey;Abu-El-Haija, Maisam
通讯作者：
Abu-El-Haija, Maisam
影响因子：
5
作者：
WORTHEN, NJ;BEABEAU, D
通讯作者：
BEABEAU, D
影响因子：
5
作者：
Restrepo, Ricardo;Hagerott, Heidi E.;Lee, Edward Y.
通讯作者：
Lee, Edward Y.
DOI：
10.1097/mpg.0000000000002145
发表时间：
2019-01
影响因子：
2.9
作者：
Sweeny KF;Lin TK;Nathan JD;Denson LA;Husain SZ;Hornung L;Thompson T;Abu-El-Haija M
通讯作者：
Abu-El-Haija M
DOI：
10.2214/ajr.21.25508
发表时间：
2021-08
期刊：
AJR. American journal of roentgenology
影响因子：
--
作者：
Trout AT;Ayyala RS;Murati MA;Squires JH;Callahan MJ;Chavhan GB;Abu-El-Haija M;Anupindi SA
通讯作者：
Anupindi SA