EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis.
Pancreatology
; 18(2): 146-160, 2018 Mar.
Article
em En
| MEDLINE
| ID: mdl-29398347
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.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Guias de Prática Clínica como Assunto
Tipo de estudo:
Etiology_studies
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Guideline
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Prognostic_studies
/
Risk_factors_studies
Limite:
Child
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Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Pancreatology
Assunto da revista:
ENDOCRINOLOGIA
/
GASTROENTEROLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Hungria