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

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 pancreat...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Párniczky Andrea
Abu-El-Haija Maisam
Husain Sohail Z.
Lowenberg Mark
Oracz Grzegorz
Sahin-Tóth Miklós
Szabó Flóra K.
Uc Aliye
Wilschanski Michael
Witt Heiko
Czakó László
Grammatikopoulos Tassos
Rasmussen Ib Christian
Sutton Robert
Hegyi Péter
Dokumentumtípus: Cikk
Megjelent: 2018
Sorozat:PANCREATOLOGY 18 No. 2
Tárgyszavak:
doi:10.1016/j.pan.2018.01.001

mtmt:3332419
Online Access:http://publicatio.bibl.u-szeged.hu/13201
Leíró adatok
Tartalmi kivonat: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.
Terjedelem/Fizikai jellemzők:146-160
ISSN:1424-3903