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Paediatric pancreatitis
Journal article   Peer reviewed

Paediatric pancreatitis

John F Pohl and Aliye Uc
Current opinion in gastroenterology, Vol.31(5), pp.380-386
09/2015
DOI: 10.1097/MOG.0000000000000197
PMCID: PMC4732740
PMID: 26181572

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Abstract

The purpose of this review is to describe recent developments in paediatric pancreatitis and to discuss causes and current management. Although recent studies have estimated the annual incidence of paediatric acute pancreatitis approaching that of adults, there are no established guidelines about its diagnosis and treatment in children. Genetic and structural/congenital abnormalities are emerging as the primary risk factors for paediatric acute recurrent and chronic pancreatitis. Specifically, chronic pancreatitis is associated with a significant socioeconomic burden in children. Both medical and surgical therapies are proposed for paediatric chronic pancreatitis, but there is little evidence that they are beneficial. Acute recurrent and chronic pancreatitis create significant health issues in the paediatric population. Medical and surgical therapies exist to potentially treat these conditions, but the paediatric data are limited and the cohorts are small. A multidisciplinary and multicentre approach is necessary to better determine pancreatic disease processes and treatment options in children.
Enteral Nutrition - methods Analgesics - therapeutic use Pancreatitis, Chronic - etiology Recurrence Humans Pancreatitis, Chronic - diagnosis Risk Factors Child, Preschool Cholangiopancreatography, Endoscopic Retrograde Pancreas - pathology Treatment Outcome Hospitalization Pancreatitis, Chronic - psychology Evidence-Based Medicine Disease Progression Incidence Pancreas - abnormalities Pain - psychology Pain - drug therapy Pancreatitis, Chronic - therapy Quality of Life - psychology Enteral Nutrition - psychology Child Practice Guidelines as Topic

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