title: Acute pancreatitis following scoliosis surgery: description and clinical course in 14 adolescents.
abstract: 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.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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.
authors.affiliation: Surgical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France. maalik.elbouyousfi@gmail.com.
authors.forename: Maalik
authors.initials: M
authors.lastname: El Bouyousfi
authors.affiliation: Mobile Team of Palliative Care and Pain Consultation, Nanterre Hospital (Adults), Nanterre, France.|Nursery Paul Parquet Neuilly/Seine (Children), Paris, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Leveque
authors.affiliation: Pediatric Orthopaedic Service, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France.
authors.forename: Lotfi
authors.initials: L
authors.lastname: Miladi
authors.affiliation: Paediatric Surgery Department, Trousseau Hospital, Paris, France.|Sorbonne Universités, UPMC, Paris 06 University, Paris, France.
authors.forename: Sabine
authors.initials: S
authors.lastname: Irtan
authors.affiliation: Surgical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France.
authors.forename: Jamil
authors.initials: J
authors.lastname: Hamza
authors.affiliation: Surgical and Medical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes, Paris, France.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Oualha
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis*; D012189:Retrospective Studies; D012600:Scoliosis / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Abdominal complication; Clinical signs; Pancreatitis; Scoliosis surgery