Title

EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis

Document Type

Article

Peer Reviewed

1

Publication Date

3-2018

NLM Title Abbreviation

Pancreatology

Journal/Book/Conference Title

Pancreatology

PubMed ID

29398347

DOI of Published Version

10.1016/j.pan.2018.01.001

Start Page

146

End Page

160

Abstract

BACKGROUND: Pediatric pancreatitis is an underdiagnosed disease with variable etiology. In the past 10-15 years the incidence of pediatric pancreatitis has increased, it is now 3.6-13.3 cases per 100,000 children. Up-to-date evidence based management guidelines are lacking for the pediatric pancreatitis. The European Pancreatic Club, in collaboration with the Hungarian Pancreatic Study Group organized a consensus guideline meeting on the diagnosis and management of pancreatitis in the pediatric population.

METHODS: Pediatric Pancreatitis was divided into three main clinical categories: acute pancreatitis, acute recurrent pancreatitis and chronic pancreatitis. Fifteen relevant topics (acute pancreatitis: diagnosis; etiology; prognosis; imaging; complications; therapy; biliary tract management; acute recurrent pancreatitis: diagnosis; chronic pancreatitis: diagnosis, etiology, treatment, imaging, intervention, pain, complications; enzyme replacement) were defined. Ten experts from the USA and Europe reviewed and summarized the available literature. Evidence was classified according to the GRADE classification system.

RESULTS: Within fifteen topics, forty-seven relevant clinical questions were defined. The draft of the updated guideline was presented and discussed at the consensus meeting held during the 49th Meeting of European Pancreatic Club, in Budapest, on July 1, 2017.

CONCLUSIONS: These evidence-based guidelines provides the current state of the art of the diagnosis and management of pediatric pancreatitis.

Keywords

Acute pancreatitis, Chronic pancreatitis, Evidence-based management guidelines, Pediatric pancreatitis, Recurrent acute pancreatitis, pediatrics, EBM

Rights

© 2017 the authors

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URL

https://ir.uiowa.edu/pediatrics_pubs/17