Open AccessMedical Management of Chronic Pancreatitis in Children
Author(s) -
Freeman A. Jay,
Maqbool Asim,
Bellin Melena D.,
Goldschneider Kenneth R.,
Grover Amit S.,
Hartzell Cheryl,
Piester Travis L.,
Szabo Flora,
Kiernan Bridget Dowd,
Khalaf Racha,
Kumar Rakesh,
Rios Mirta,
Husain Sohail Z.,
Morinville Veronique D.,
AbuElHaija Maisam
Publication year - 2021
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/mpg.0000000000003001
Subject(s) - medicine , pancreatitis , pediatric gastroenterology , position paper , hepatology , gastroenterology , position (finance) , medical literature , pancreas , general surgery , intensive care medicine , pathology , finance , economics
This position paper summarizes the current understanding of the medical management of chronic pancreatitis (CP) in children in light of the existing medical literature, incorporating recent advances in understanding of nutrition, pain, lifestyle considerations, and sequelae of CP. This article complements and is intended to integrate with parallel position papers on endoscopic and surgical aspects of CP in children. Concepts and controversies related to pancreatic enzyme replacement therapy (PERT), the use of antioxidants and other CP medical therapies are also reviewed. Highlights include inclusion of tools for medical decision‐making for PERT, CP‐related diabetes, and multimodal pain management (including an analgesia ladder). Gaps in our understanding of CP in children and avenues for further investigations are also reviewed.