Nutritional Considerations in Pediatric Pancreatitis

Abu‐El‐Haija, Maisam; Uç, Aliye; Werlin, Steven L.; Freeman, A. Jay; Georgieva, Miglena; Jojkić-Pavkov, Danijela; Kalnins, Daina; Kochavi, Brigitte; Koot, Bart; Biervliet, S. Van; Walkowiak, Jarosław; Wilschanski, Michael; Morinville, Véronique D.

doi:10.1097/mpg.0000000000002023

Cited by 59 publications

(28 citation statements)

References 127 publications

(220 reference statements)

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“…Recently, NASPGHAN published management recommendations for pediatric AP (48). Also recently, a joint NASPGHAN/European Society for Paediatric Gastroenterology Hepatology and Nutrition (European sister society) working group developed recommendations in regards to the nutritional management in AP, ARP, and CP (49). This was, however, based predominantly on expert opinion and the adult literature.…”

Section: Discussionmentioning

confidence: 99%

Updates in Pediatric Pancreatology

Grover

Freeman

Abu‐El‐Haija

et al. 2019

J. pediatr. gastroenterol. nutr.

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Writing up of initial individual summaries pertinent to their respective presentations given during the symposium; editing of manuscript; approval of final manuscript Sohail Husain: Conceptualization, drafting and critically reviewing the manuscript; writing up of summary of presentation; editing and approval of final manuscript. Drs. Husain and Morinville equally served as Senior Co-Authors., Veronique Morinville: Conceptualization, drafting and critically reviewing the manuscript; writing up of summary of presentation; editing and approval of the final manuscript. Drs. Husain and Morinville equally served as Senior Co-Authors.

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Section: Discussionmentioning

confidence: 99%

Updates in Pediatric Pancreatology

Grover

Freeman

Abu‐El‐Haija

et al. 2019

J. pediatr. gastroenterol. nutr.

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“…Pediatric studies suggest early nutrition may improve length of stay and is not associated with worsened pain scores [20,27,29,30]. Enteral feeding access may be considered when patients are not able to take sufficient nutrition by mouth [31] and has been shown to be well tolerated and effective [32]. In most cases, an NG will suffice; an NJ may be needed in setting of gastroparesis/ileus or large pancreatic fluid collections causing gastric outlet obstruction.…”

Section: Nutritionmentioning

confidence: 99%

“…In most cases, an NG will suffice; an NJ may be needed in setting of gastroparesis/ileus or large pancreatic fluid collections causing gastric outlet obstruction. Parenteral nutrition can be utilized when enteral nutrition is contraindicated, such as in critically ill patients or in significant trauma cases, or when unable to tolerate NG/NJ feeds [31].…”

Section: Nutritionmentioning

confidence: 99%

Acute pancreatitis in children: risk factors, management, and outcomes

Mehta

2023

Current Opinion in Pediatrics

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Purpose of review Pediatric acute pancreatitis is an infrequent but potentially serious condition in children. Most have mild cases with spontaneous resolution, but up to one-third of patients can have moderate or severe disease or progress to recurrent or chronic pancreatitis. Recent findings Significant advances have been made in the field of pediatric pancreatology with a recognition that pediatric acute pancreatitis can vary significantly from adult disease with different risk factors and outcomes. There is better understanding of appropriate management for pediatric pancreatitis as well as growing literature in complications of pancreatitis. Summary The most common risk factors for pediatric acute pancreatitis include biliary disease, drug/toxin and idiopathic. Management involves adequate fluid resuscitation, early enteral nutrition and appropriate pain control. Systemic and local complications, including SIRS, necrosis and fluid collections, can occur in up to one-third of patients and care is largely supportive with a careful step-up approach to fluid collections and necrosis.

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“…In general, acute episodes of pancreatitis associated with ARP or CP are treated similar to a single AP event with focus on supportive care including aggressive early fluid administration, pain control, and early nutrition (45). Nutritional management of AP, ARP, and CP are discussed in a position paper from NASPGHAN/ESPGHAN (46). In summary, children should be started on a regular diet and advanced as tolerated preferably by mouth compared with the nasogastric or nasojejunal route.…”

Section: Managementmentioning

confidence: 99%

“…Enteral nutrition is preferred over parenteral nutrition and a combination of enteral and parenteral nutrition is preferred over parenteral alone. The use of specialized formula is not necessary (46).…”

Section: Managementmentioning

confidence: 99%

Recurrent Pancreatitis in Children

Ellery

Uç

2020

J. pediatr. gastroenterol. nutr.

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Recurrent acute and chronic pancreatitis are increasingly recognized in childhood. Etiologies are vastly different in children compared with adults and mostly involve genetic and anatomical factors with negligible contribution of environmental risks. Pediatric acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) have significant impact on quality of life with high healthcare costs. Children with these conditions suffer from recurrent acute or chronic abdominal pain and they endure multiple emergency room visits, hospitalizations, procedures, and surgeries. Diagnostic methods are being developed; treatment options are limited. This review summarizes the most recent developments in pediatric ARP and CP. These discoveries will help physicians provide optimal care for children with these conditions.

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Nutritional Considerations in Pediatric Pancreatitis

Cited by 59 publications

References 127 publications

Updates in Pediatric Pancreatology

Updates in Pediatric Pancreatology

Acute pancreatitis in children: risk factors, management, and outcomes

Recurrent Pancreatitis in Children

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