Related Experiment Video

Updated: Sep 16, 2025

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
03:42

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

708

Management of gallstone pancreatitis in children

Arianna Kahler-Quesada1, Insiyah Campwala1, Stefan Scholz2

  • 1Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA.

Seminars in Pediatric Surgery
|July 6, 2025
PubMed

Insights

Pediatric gallstone pancreatitis is rising, often linked to obesity. Current management adapts adult protocols, but specialized pediatric guidelines are still needed.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatology
  • Surgical Management

Background:

  • Gallstone pancreatitis is a growing concern in children.
  • Etiologies are shifting from hemolytic diseases to obesity, oral contraceptive use, and pregnancy.
  • Existing pediatric guidelines are primarily adapted from adult protocols.

Purpose of the Study:

  • To review current management strategies for pediatric gallstone pancreatitis.
  • To highlight the need for pediatric-specific consensus guidelines.

Main Methods:

  • Review of current literature and management protocols for pediatric gallstone pancreatitis.
  • Adaptation of adult management strategies including fluid resuscitation, enteral feeding, choledocholithiasis management (ERCP or surgery-first approach), and cholecystectomy during index admission.

Main Results:

  • Adult protocols for fluid resuscitation, early enteral feeding, and cholecystectomy during index admission are effective in pediatric cases.
  • Management of choledocholithiasis involves ERCP or a surgery-first approach with potential common bile duct exploration.

Conclusions:

  • Current management of pediatric gallstone pancreatitis relies on adapted adult protocols.
  • Further research is required to develop precise, evidence-based guidelines tailored for the pediatric population.

Keywords:
ChildrenERCPGallstonePancreatitisPediatricUltrasound

More Related Videos

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

221
Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique13:38

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Published on: June 24, 2022

5.5K

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
131
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
184
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
962
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
148
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
33
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
166