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Pediatric chronic pancreatitis: current perspectives in diagnosis, risk factors, and management
Sagar J Pathak1,2, Amit S Grover3
1Center for Interventional Endoscopy, AdventHealth Orlando, Orlando.
Insights
Pediatric chronic pancreatitis (PCP) is increasingly recognized. Advances in genetics, imaging, and therapies like endoscopy and surgery are improving care for children with this condition.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Pancreatology
Background:
- Pediatric chronic pancreatitis (PCP) is a growing concern with significant impacts on children's well-being.
- Increased awareness has led to more research into risk factors, diagnosis, and treatment.
Purpose of the Study:
- To review recent advancements in diagnosing and treating pediatric chronic pancreatitis.
- To highlight progress in understanding risk factors, imaging, and therapeutic interventions.
Main Methods:
- Literature review of recent developments in pediatric chronic pancreatitis.
- Analysis of diagnostic and therapeutic strategies, including pharmacologic, endoscopic, and surgical approaches.
Main Results:
- Rising incidence of PCP necessitates improved management strategies.
- Advances in genetics, standardized imaging, and expanded endoscopic/surgical therapies have improved pediatric care.
- Increased vigilance and study are key to managing the disease paradigm.
Conclusions:
- Recognition of PCP has spurred advancements in diagnosis and management.
- Ongoing needs include early diagnosis, progression prevention, pain management, and enhanced therapeutic outcomes.
- Comprehensive care for children with PCP is an evolving goal.
Purpose Of Review:
Pediatric chronic pancreatitis is an increasingly recognized condition with devastating impacts on a child's quality of life. This review explores recent developments in the diagnosis and treatment strategies of pediatric chronic pancreatitis, emphasizing the expanded awareness of risk factors, refined imaging techniques, and evolving therapeutic approaches, including pharmacologic, endoscopic, and surgical, interventions.
Recent Findings:
The rising incidence of pediatric chronic pancreatitis has been met with increased vigilance and study of how to approach and manage the disease paradigm. Greater understanding and advances in the role of genetics, efforts to standardize and optimize imaging techniques, and the expansion of access, applications, and outcomes of pediatric endoscopic therapy and surgery have all played an integral role in the improvement of care in children with chronic pancreatitis.
Summary:
With increased recognition of pediatric chronic pancreatitis, efforts to diagnose and manage the disease have expanded in kind. Though additional needs exist, particularly in the diagnosis of early chronic pancreatitis and prevention of progression, pain management, and continued expansion of therapeutic outcomes and management, we continue to approach the goal of the comprehensive care of children with chronic pancreatitis.
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