Prevalence of Pancreatic Steatosis at a Pediatric Tertiary Care Center.

Abstract:

OBJECTIVES:Pancreatic steatosis in adults has been proposed to be associated with obesity; however, data on pancreatic steatosis in children are lacking. Our study aimed to measure the prevalence of pancreatic steatosis in children and to examine its association with obesity and nonalcoholic fatty liver disease. METHODS:This is a retrospective chart review study of 232 patients 2 to 18 years old who underwent abdominal computed tomographic imaging in the emergency department or inpatient ward within a 1-year time span and from whom demographics, anthropometrics, and medical history were obtained. Our radiologist determined mean Hounsfield unit (HU) measurements for the pancreas, liver, and spleen. A difference of -20 between the pancreas and spleen (psHU) and between the liver and spleen was used to determine fatty infiltration. RESULTS:Of the 232 patients, 11.5% had a psHU less than -20. The prevalence of pancreatic steatosis was more than double among obese children (19%) than that in nonobese groups (8%). There is a significant correlation between the psHU and liver-spleen HU (r = 0.50, P < 0.001). CONCLUSIONS:Pancreatic steatosis was identified in 10% of the study population and is associated with obesity. Also, pancreatic steatosis is significantly associated with nonalcoholic fatty liver disease. This is the first study assessing the prevalence of pancreatic steatosis in children.

journal_name

South Med J

journal_title

Southern medical journal

authors

Pham YH,Bingham BA,Bell CS,Greenfield SA,John SD,Robinson LH,Eissa MA

doi

10.14423/SMJ.0000000000000432

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

196-8

issue

3

eissn

0038-4348

issn

1541-8243

pii

SMJ50162

journal_volume

109

pub_type

杂志文章
  • Religion in the clinic: the role of physician beliefs.

    abstract:BACKGROUND:Although studies have identified physician beliefs that may cause them to avoid spiritual topics in the clinic (eg, lack of time), it is unknown to what extent these beliefs predict behavior. The purpose of the present study was to identify physician beliefs about religion and medicine that predict attention...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Chibnall JT,Brooks CA

    更新日期:2001-04-01 00:00:00

  • Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium.

    abstract:OBJECTIVES:To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. M...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001132

    authors: Detweiler MB,Lutgens BW,Choudhury D,Kenneth A,Kalafat N,Sherigar RM,Bader G

    更新日期:2020-08-01 00:00:00

  • Impact of a maternal transport program on a newborn service.

    abstract::We reviewed the maternal transfers for one year (1980) to the Emory Perinatal Center, a tertiary care center for North Georgia. Of 445 telephone consultations or patient referrals, 150 women gave birth at the tertiary center. Indications for maternal transfer were predominantly based on the needs or anticipated needs ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198307000-00004

    authors: Kanto WP Jr,Bryant J,Thigpen J,Ahmann M,Randall H

    更新日期:1983-07-01 00:00:00

  • Splenic arteriovenous fistula with portal hypertension, ascites, and diarrhea.

    abstract::A 66-year-old woman had sudden onset of portal hypertension manifested by diarrhea, ascites, and varices. When a splenic arteriovenous fistula was found to be the cause, the fistula was resected. Her signs and symptoms did not recur. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198805000-00033

    authors: Schmidt JH,Howard RJ,Herrera MA,Hawkins IF

    更新日期:1988-05-01 00:00:00

  • Acute calcareous deposits of the hand and wrist.

    abstract::Acute calcareous deposits of the hand and wrist have been infrequently reported. A review of the literature and five recent cases indicate that these painful lesions will respond rapidly to immobilization and medication. Differentiation from infection is important. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198002000-00009

    authors: Watson FM Jr,Purvis JM

    更新日期:1980-02-01 00:00:00

  • Tetany in a child with AIDS receiving intravenous tobramycin.

    abstract::Aminoglycosides have been reported to cause tetany by inducing renal wasting of magnesium and secondary hypocalcemia. A 9-year-old girl with AIDS was brought to the emergency department because of tetany. She had just finished a 3-week course of intravenous tobramycin for bronchiectasis and had an elevated serum tobra...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199611000-00019

    authors: Slayton W,Anstine D,Lakhdir F,Sleasman J,Neiberger R

    更新日期:1996-11-01 00:00:00

  • Clinical experience with amphotericin B in acute myelogenous leukemia.

    abstract::The empirical use of amphotericin B in febrile leukemic patients not responding to antimicrobial agents has previously led to a significant decrease in fatal fungal infections and a significant increase in complete remissions. In this series of 66 patients receiving induction therapy for acute myelogenous leukemia (AM...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198607000-00020

    authors: Stein RS,Greer JP,Ferrin W,Lenox R,Baer MR,Flexner JM

    更新日期:1986-07-01 00:00:00

  • Emergency liver resection for combined biliary and vascular injury following laparoscopic cholecystectomy: case report and review of the literature.

    abstract::A 75-year-old woman suffering from symptomatic cholelithiasis was admitted to our hospital for elective laparoscopic cholecystectomy (LC). Intraoperatively, because of severe inflammation and dense adhesions in the region of the Calot triangle and bleeding arising from the porta hepatis which obscured the operating fi...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000242793.15923.1a

    authors: Felekouras E,Megas T,Michail OP,Papaconstantinou I,Nikiteas N,Dimitroulis D,Griniatsos J,Tsechpenakis A,Kouraklis G

    更新日期:2007-03-01 00:00:00

  • Statin therapy in rheumatoid arthritis.

    abstract::Rheumatoid arthritis, a chronic inflammatory polyarthritis that destroys synovial joints, is associated with systemic as well as local inflammation and with an increased risk of cardiovascular disease and death not fully explained by traditional cardiac risk factors. Statins (HMG-coA reductase inhibitors), medications...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000161755.22998.f7

    authors: Costenbader KH,Coblyn JS

    更新日期:2005-05-01 00:00:00

  • Unexpected economics of ulcer care protocols.

    abstract::The cost of managing chronic ulcers, both venous leg and decubiti (sacral pressure), was reviewed using 36 randomized, controlled studies with a focus on saline, hydrocolloid, and a human skin construct. When one includes the labor intensiveness of dressing changes three to four times per day, the application of hydro...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000082011.70728.8C

    authors: Kerstein MD

    更新日期:2004-02-01 00:00:00

  • Accuracy of interpretation of full-length pediatric echocardiograms transmitted over an integrated services digital network telemedicine link.

    abstract:BACKGROUND:Transmission of echocardiograms via telemedicine links has allowed remote hospitals direct access to pediatric cardiology subspecialty care. This study assessed the accuracy of echocardiogram interpretation across an integrated services digital network (ISDN) telemedicine link. METHODS:Telemedicine systems ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Cotton JL,Gallaher KJ,Henry GW

    更新日期:2002-09-01 00:00:00

  • A national survey of physicians' behaviors regarding sexual contact with patients.

    abstract::To determine the prevalence of sexual contact between physicians and patients, we mailed a survey to a nationwide, randomized sample of 1,600 physicians, including internists, family medicine physicians, obstetrician-gynecologists, and ophthalmologists. The response rate was 52% (n = 787). Of all respondents, 4.5% rep...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199610000-00008

    authors: Bayer T,Coverdale J,Chiang E

    更新日期:1996-10-01 00:00:00

  • Chest pain: a rheumatologist's perspective.

    abstract::Chest pain is a frequent patient complaint that requires a careful history and physical examination to determine its cause. Cardiac and esophageal causes of chest pain are common, but musculoskeletal disorders such as Tietze's syndrome, chest wall pain syndromes, fibrositis, inflammatory arthritic conditions, cervical...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198801000-00014

    authors: Semble EL,Wise CM

    更新日期:1988-01-01 00:00:00

  • Cytosine arabinoside for varicella zoster: a second look.

    abstract::Herpes zoster and disseminated herpes zoster, or varicella (V-Z), continue to be dreaded complications of patients with immunosuppression. Currently, there is no available therapy for V-Z, except for general supportive measures. Seven cases of V-Z are presented, showing the results of cytosine arabinoside administrati...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197808000-00011

    authors: DuBois RE

    更新日期:1978-08-01 00:00:00

  • Spectrum of biliary disease in childhood.

    abstract::Obstructive biliary disease in childhood is not common, but should be considered in the differential diagnosis of a child with jaundice, abdominal pain, or an abdominal mass. We have reviewed the experience at Vanderbilt Children's Hospital from 1970 to 1985, during which 87 children 18 years of age or younger with bi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00007

    authors: Frexes M,Neblett WW 3rd,Holcomb GW Jr

    更新日期:1986-11-01 00:00:00

  • Ultrasonic measurement of lumbar canal diameter: a screening tool for low back disorders?

    abstract::Preventive screening measures for low back pain are limited. Despite considerable evidence that anatomic narrowing of the lumbar spinal canal is a risk factor for specific back problems, difficulty in measuring the canal without unacceptable radiation exposure, cost, or discomfort has limited the assessment of its cli...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198908000-00012

    authors: Chovil AC,Anderson DJ,Adcock DF

    更新日期:1989-08-01 00:00:00

  • Laparoscopic management of ectopic pregnancy in a resident training program.

    abstract::The range of procedures now routinely done through the laparoscope has continued to expand due to improved equipment for insufflation, hemostasis, and tissue manipulation, and to imaginative approaches to otherwise "routine" gynecologic problems traditionally treated by laparotomy. As with all new technologies, advoca...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199306000-00005

    authors: Wagner J,Droesch J,Mann WJ

    更新日期:1993-06-01 00:00:00

  • Methemoglobinemia caused by benzocaine topical spray.

    abstract::Acute methemoglobinemia is a medical emergency that can rapidly become fatal. A substantial number of drugs, including topical preparations, can precipitate this condition. I report a rare example of severe, acute methemoglobinemia caused by oropharyngeal anesthesia with topical benzocaine spray for orogastric intubat...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199709000-00018

    authors: Cooper HA

    更新日期:1997-09-01 00:00:00

  • The impact of rheumatology in the primary care setting: one rheumatologist's odyssey.

    abstract::I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199503000-00004

    authors: Kerr LD

    更新日期:1995-03-01 00:00:00

  • Massive hemorrhage in an ileal duplication cyst.

    abstract::We have described massive intermittent intestinal hemorrhage due to a vascular anomaly in an ileal duplication cyst in a 30-year-old man. This unusual case illustrates that these lesions disguise themselves symptomatically and must be considered in the differential diagnosis of gastrointestinal bleeding. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198412000-00039

    authors: Salameh RN,Hausner RJ,Thomas SJ,Johnson CD

    更新日期:1984-12-01 00:00:00

  • Predictive factors for septic shock in patients with ventilator-associated pneumonia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is one of the most frequent infections in intensive care units (ICUs), and nearly 50% of patients with VAP develop septic shock. Septic shock is an independent predictor for mortality in these patients. OBJECTIVE:To investigate the predictors for septic shock in VAP pat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181827891

    authors: Aydogdu M,Gursel G

    更新日期:2008-12-01 00:00:00

  • Austere, remote, and disaster medicine missions: an operational mnemonic can help organize a deployment.

    abstract::Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31827c5a2e

    authors: Macias DJ,Williams J

    更新日期:2013-01-01 00:00:00

  • The impact of global warming on health and mortality.

    abstract::Initial concern about the possible effects of global warming on infections has declined with the realization that the spread of tropical diseases is likely to be limited and controllable. However, the direct effects of heat already cause substantial numbers of deaths among vulnerable people in the summer. Action to pr...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000144635.07975.66

    authors: Keatinge WR,Donaldson GC

    更新日期:2004-11-01 00:00:00

  • Treating diseases, not patients.

    abstract::Highly trained medical specialists now possess a vast array of sophisticated technical apparatus with which to fight diseases. These tools, coupled with a growing emphasis on cost accounting and a medical paradigm emphasizing facts and depicting the human body as a machine, depersonalize health care by militating agai...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199307000-00017

    authors: Thompson LM

    更新日期:1993-07-01 00:00:00

  • Mobile Health (mHealth) Use or Non-Use by Residents of West Virginia.

    abstract:OBJECTIVE:To compare mobile health (mHealth) usage by residents of West Virginia with national estimates. METHODS:Pew Research Center data from its Internet and American Life Project were accessed for secondary data analysis. These data, available to the public, are a probability sample of Internet use in the United S...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000879

    authors: Giacobbi P Jr,Cushing P,Popa A,Haggerty T,Hansell A,Sedney C

    更新日期:2018-10-01 00:00:00

  • Courvoisier's sign revisited: two patients with palpable gallbladder.

    abstract::More than a century ago, Courvoisier published his observation on the significance of a palpable gallbladder in the differential diagnosis of obstructive jaundice. We have described two patients with newly described conditions--AIDS-associated cholangiopathy and diet-induced cholecystitis--who had a palpable gallbladd...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199205000-00018

    authors: Fournier AM,Michel J

    更新日期:1992-05-01 00:00:00

  • Adrenal incidentalomas: adrenal hemangioma in a patient with congenital adrenal hyperplasia.

    abstract::We describe a case of an adrenal incidentalomas in the setting of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The adrenal mass was shown to be a cavernous hemangioma. Such neoplasms are rare but have the risk of retroperitoneal hemorrhage and may be difficult to differentiate from malignant ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Pignatelli D,Vendeira P,Cabral AC

    更新日期:1998-08-01 00:00:00

  • Effect of stress on pregnancy outcome among women undergoing assisted reproduction procedures.

    abstract:BACKGROUND:This study was performed to examine the effect of stress on pregnancy outcome in women who underwent assisted reproductive technology (ART) procedures. METHODS:In a controlled clinical study of healthy volunteers in an academic research environment, stress was measured subjectively by administering patient ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000054567.79881.E9

    authors: Lovely LP,Meyer WR,Ekstrom RD,Golden RN

    更新日期:2003-06-01 00:00:00

  • Acute neutrophilic meningitis treated successfully with corticosteroids.

    abstract::This report describes a cocaine user who presented with polymorphonuclear pleocytosis in cerebrospinal fluid mimicking bacterial meningitis. Thorough investigation of the cerebrospinal fluid did not reveal evidence of bacteria or fungi. Clinical deterioration was observed in spite of empiric treatment with antibiotics...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000082002.66513.EA

    authors: Alexopoulou A,Deutsch M,Dourakis SP

    更新日期:2003-09-01 00:00:00

  • Cervical chlamydial infections: diagnostic accuracy of the Papanicolaou smear.

    abstract::To assess the reliability and accuracy of the Papanicolaou smear for the detection of cervical Chlamydia trachomatis infections, we obtained chlamydial cultures and cervical smears from 252 patients attending a gynecologic service during an eight-month time period. In 12 of these patients (4.8%), the cervical culture ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Clark RB,Schneider V,Gentile FG,Pechan B,Dalton HP

    更新日期:1985-11-01 00:00:00