Multidisciplinary Approach to the Care of Children With Acute Recurrent Pancreatitis and Chronic Pancreatitis

Abstract

ObjectivesThe aim of this article is to provide guidance to centers and organizations on the personnel (both physician and nonphysician) needed to create and sustain an optimal team, along with potential alternatives, to provide care to children with acute recurrent pancreatitis and chronic pancreatitis.MethodsThis document was developed in collaboration with the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) Pancreas Committee and the National Pancreas Foundation (NPF) after several meetings.ResultsThis document highlights both physician and nonphysician personnel needed to provide multidisciplinary care to children with pancreatitis per the recommendation of the NASPGHAN Pancreas Committee members in year 2021 and added to the currently published NPF criteria. We summarize how the NPF criteria would fit with the recently published pediatric pancreatitis society articles from the NASPGHAN.ConclusionsIt is important to manage children with acute recurrent pancreatitis and chronic pancreatitis in a multidisciplinary setting. There is need to study the impact of these personnel on the outcomes of children with pancreatitis.

Long‐term effects of asparaginase‐associated pancreatitis

“…34 However, early diagnosis and sufficient management are central to avoid diabetic complications. 35 Persisting IDDM is a known long-term sequelae to AP and AAP (Figure 1), 10,36 and is classified as type 3c diabetes mellitus (T3cDM), although patients with T3cDM are often misdiagnosed as having type 2 diabetes. 27 In a large pediatric cohort of non-ASNase AP, 7.7% of patients were diagnosed with IDDM within 6 years from AP diagnosis.…”