@article {Bhanote001487, author = {A Bhanot and AA Majbar and Toby Candler and LP Hunt and E Cusick and Paul R V Johnson and Julian PH Shield}, title = {Acute pancreatitis in children {\textendash} morbidity and outcomes at 1 year}, volume = {6}, number = {1}, elocation-id = {e001487}, year = {2022}, doi = {10.1136/bmjpo-2022-001487}, publisher = {BMJ Specialist Journals}, abstract = {Objective To establish short-term and medium-term complications 1-year postdiagnosis, of acute pancreatitis (AP) in children aged 0{\textendash}14 years.Design One-year follow-up of a prospective monthly surveillance of new cases of AP in children under 15 years through the British Paediatric Surveillance Unit (BPSU) from April 2013 to April 2014.Setting A monthly surveillance of \>3700 consultant paediatricians and paediatric surgeons in the UK and Ireland using the BPSU.Patients Children aged 0{\textendash}14 years with a new diagnosis of AP.Main outcome measures The outcomes following AP, including the incidence of complications and comorbidity at diagnosis and at 1 year.Results Of the 94 new confirmed cases of AP identified in the UK during the study period, 90 cases (96\%) were included in the 1-year follow-up. 30 patients (32\%) developed further episode(s) of AP. Over one-fifth of patients developed one or more major complication. At initial admission, the most common of these was pancreatic necrosis (n=8, 9\%), followed by respiratory failure (n=7, 7\%). Reported complications by 1 year were pseudocyst formation (n=9, 10\%), diabetes requiring insulin therapy (n=4, 4\%) and maldigestion (n=1, 1\%). At 1-year postdiagnosis, only 59\% of children made a full recovery with no acute or chronic complications or recurrent episodes of AP. Two patients died, indicating a case fatality of ~2.0\%.Conclusions AP in childhood is associated with significant short-term and medium-term complications and comorbidities including risk of recurrence in approximately a third of cases.Data may be obtained from a third party and are not publicly available.}, URL = {https://bmjpaedsopen.bmj.com/content/6/1/e001487}, eprint = {https://bmjpaedsopen.bmj.com/content/6/1/e001487.full.pdf}, journal = {BMJ Paediatrics Open} }