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EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis.
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2018 (English)In: Pancreatology (Print), ISSN 1424-3903, E-ISSN 1424-3911, Vol. 18, no 2, p. 146-160, article id S1424-3903(18)30001-2Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2018. Vol. 18, no 2, p. 146-160, article id S1424-3903(18)30001-2
Keywords [en]
Acute pancreatitis, Chronic pancreatitis, Evidence-based management guidelines, Pediatric pancreatitis, Recurrent acute pancreatitis
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:uu:diva-361591DOI: 10.1016/j.pan.2018.01.001ISI: 000425534000002PubMedID: 29398347OAI: oai:DiVA.org:uu-361591DiVA, id: diva2:1360372
Available from: 2019-10-12 Created: 2019-10-12 Last updated: 2019-10-30Bibliographically approved

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Rasmussen, Ib Christian

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