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Acute pancreatitis following scoliosis surgery: description and clinical course in 14 adolescents

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusion

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.

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Abbreviations

AP:

Acute pancreatitis

BMI:

Body mass index

CT:

Computed tomography

CRP:

C-Reactive Protein

CVC:

Central venous catheter

GERD:

Gastroesophageal reflux disease

MOF:

Multiple organ failure

NVGR:

Nausea, vomiting or gastric residuals

RAD:

Reactive airway disease

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Authors and Affiliations

  1. Surgical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France

    Maalik El Bouyousfi & Jamil Hamza

  2. Mobile Team of Palliative Care and Pain Consultation, Nanterre Hospital (Adults), Nanterre, France

    Christine Leveque

  3. Nursery Paul Parquet Neuilly/Seine (Children), Paris, France

    Christine Leveque

  4. Pediatric Orthopaedic Service, Necker-Enfants Malades Hospital, Paris Descartes University, Paris, France

    Lotfi Miladi

  5. Paediatric Surgery Department, Trousseau Hospital, Paris, France

    Sabine Irtan

  6. Sorbonne Universités, UPMC, Paris 06 University, Paris, France

    Sabine Irtan

  7. Surgical and Medical Pediatric Intensive Care Unit, Necker-Enfants Malades Hospital, Paris Descartes, Paris, France

    Mehdi Oualha

Authors
  1. Maalik El Bouyousfi
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  2. Christine Leveque
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  3. Lotfi Miladi
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  4. Sabine Irtan
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  5. Jamil Hamza
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  6. Mehdi Oualha
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Corresponding author

Correspondence to Maalik El Bouyousfi.

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El Bouyousfi, M., Leveque, C., Miladi, L. et al. Acute pancreatitis following scoliosis surgery: description and clinical course in 14 adolescents. Eur Spine J 25, 3316–3323 (2016). https://doi.org/10.1007/s00586-016-4595-0

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  • DOI: https://doi.org/10.1007/s00586-016-4595-0

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