title: [Acute pancreatitis in children].
abstract: BACKGROUND
  Acute pancreatitis in children is mostly due to abdominal trauma, diseases or congenital anomalies of the biliary-pancreatic tree. Both exogenous and endogenous functions of the gland could be disturbed by various levels of damage. CLINICAL FINDING AND DIAGNOSTICS: Acute abdominal pain, gastrointestinal signs and general deterioration are the main clinical findings. The examination can be completed by blood and urine tests of amylase, electrolytes level, and the C-reactive protein. In addition to these tests, ultrasound, computed tomography and endoscopy are required as well.
  
  
  METHODS
  The therapy of choice is non-operative treatment using medicaments to control the pain, decrease the pancreatic activity and prevent further complications. If the conservative treatment fails, the surgical approach is necessary: drainage, resections, by-pass procedures, etc.
  
  
  CONCLUSIONS
  Acute pancreatitis is a very serious disease in childhood. Clinical experience and rational approach are very important in the diagnostic and therapeutic methods.
authors.affiliation: Institut za zdravstvenu zastitu dece i omladine Vojvodine, Novi Sad. jokic_rs@eunet.yu
authors.forename: Radoica
authors.initials: R
authors.lastname: Jokić
authors.forename: Pavle
authors.initials: P
authors.lastname: Milosević
mesh_terms: D002648:Child; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy