{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:18:56Z","timestamp":1788437936130,"version":"build-2803163510"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pancreatic fluid collections (PFCs) are the most common local complications of pediatric pancreatitis. Evidence in children is limited, with most evidence extrapolated from adult studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted at a tertiary pediatric surgical center between 2013 and 2024. Children with acute pancreatitis (AP), acute recurrent pancreatitis, or acute-on-chronic pancreatitis (ACP) who developed PFCs were included. PFCs were classified according to the revised Atlanta classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fluid collections were noted in 92 (40%) children. Acute peripancreatic fluid collection (APFC) was the most common type (70%). Acute necrotic collections (ANCs) occurred more frequently in older children (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013) and presented earlier than APFCs (3.5 \u00b1 2.7 vs. 6.2 \u00b1 5.1 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04). APFCs were more commonly associated with ACP, whereas ANCs predominated in AP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004). Fifty-three percent of APFCs progressed to pancreatic pseudocysts (PPCs), and 54% of ANCs progressed to walled-off necrosis (WON). APFC diameter &gt;6 cm and pancreatitis phenotype independently predicted progression to PPC, while PPC diameter &gt;6 cm, ascites, and increasing age predicted the need for intervention. Most children were managed conservatively; symptomatic PPCs and WONs required drainage, predominantly via a percutaneous approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PFCs occurred in approximately 40% of children with pancreatitis, most commonly as APFCs. Collections &gt;6 cm in diameter were more likely to progress and require intervention. Percutaneous drainage was a safe and effective modality for symptomatic collections in this cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_467_25","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T08:00:15Z","timestamp":1779436815000},"page":"750-761","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Profile and Management of Children with Pancreatic Fluid Collections: A Retrospective Observational Study"],"prefix":"10.4103","volume":"31","author":[{"given":"Yerrabathina","family":"Gururavitheja","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghunath Bangalore","family":"Vasudeva","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, 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