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A Case of Chronic Pancreatitis with Pancreatic Stones in Childhood

Journal of the Korean Pediatric Society 1995;38(7):1012-1017.
Published online July 15, 1995.
A Case of Chronic Pancreatitis with Pancreatic Stones in Childhood
Young Kyoo Shin1, Chan Wook Woo1, Kee Hyoung Lee1, Young Chang Tockgo1, Chang Duck Kim2
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
2Department of Gastroenterology, College of Medicine, Korea University, Seoul, Korea
췌장 결석을 동반한 소아의 만성 췌장염 1례
신영규1, 우찬욱1, 이기형1, 독고영창1, 김창덕2
1고려대학교 의과대학 소아과학교실
2고려대학교 의과대학 소화기내과학교실
Abstract
Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcif-ication. The most common symptom is chronic recurrent upper abdominal pain, with waves of crampy pain that increase in severity, with or without associated nausea or vomiting. Although the diagnosis is made or considered infrequently hereditary or other metabolic factors, the cau-se remains largely idiopathic. Endoscopic retrograde cholangiopancreatography(ERCP) has been demonstrated to be a useful diagnostic tool in the investigation of adult patients with pan-creatic disease. However the use of ERCP in the management of children with pancreatic dis-ease has not been as widespread as in adult population beacuse of its technical difficulties in children. ERCP is valuable in confirming the diagnosis and decision making process for further medical or surgical management. We experienced a case of chronic pancreatitis with pancreatic stones in 10-year-old boy who suffered from acute upper abdominal pain and vomiting. He was investigated with ERCP and treated by endoscopic sphincterotomy of sphincter of Oddi and by some stone removal with endoscopic basket. We report this case with a brief review of the related literatures.
Key Words: Chronic Pancreatitis, Pancreatic Stone, Endoscopic retrograde cholangiopancre-atography (ERCP), Childhood


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