Acute Recurrent Pancreatitis
Everything in the library about acute recurrent pancreatitis — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
1 item
Welcome and Introductions: Pancreatic Disease
Watch →
Dr. Todd Ponsky introduces the event onacute pancreatitis, recurrent and chronic pancreatitis, exocrine insufficiency, interventional procedures as well as surgical indications for the diseased pancreas in children, culminating with a state
video6:04 · Jan 2019
Diagnosis & Workup
1 item
Function Tests & Pain Management: Pancreatic Disease
Watch →
Dr. Maisam Abu-El-Haija discusses pancreatic function testing, exocrine pancreatic function testing, and the double lumen tube test. Dr. Joe Palermo discusses chronic pancreatitis management as well as pain management. Dr. Kenneth R. Godsch
video26:27 · Jan 2019
Acute Management
1 item
Acute Pancreatitis
Listen →
In this podcast, extracted from GlobalCast presentation, Dr. Maisam A. Abu-El-Haija discusses acute pancreatitis, along with participation from Drs Andrew Taut, Jaimie Nathan, Tom Lin and the audience. Dr. Abu-El-Haija is the medical direct
podcast45:24 · Dec 2020
Surgical Management
3 items
Total Pancreatectomy with Islet Autotransplantation: Pancreatic Disease
Watch →
Dr. Jaimie Nathan introduces the session, covering indications for total pancreatectomy with islet auto-transplantation(TPIAT), pre-TPIAT evaluation, pre- and post-operative management, and long-term follow-up.Dr. Joe Palermopresents a chro
video47:20 · Jan 2019
ERCP: Pancreatic Disease
Watch →
Dr.Tom K. Lin, MD, a pediatric gastroenterologist at Cincinnati Children’s Hospital Medical Center, discusses endoscopic retrograde cholangiopancreatography (ERCP) management in acute and acute recurring pediatric pancreatitis. Dr. Lin pres
video9:11 · Jan 2019
Total pancreatectomy with islet autotransplantation (TPIAT) - Cincinnati Children's Pancreas Care Center
Watch →
In this video, we take you through a Total Pancreatectomy with Islet Autotransplantation (TPIAT)—one of the most complex abdominal surgeries performed in children. Learn about who qualifies for TPIAT, the surgical process, and the critical
video10:19 · Dec 2024
Case-Based Learning
1 item
Update Course Rewind: Management of Recurrent Pancreatitis
Watch →
We're back with another Update Course Rewind from the 11th annual update Course held in Cleveland on August 2023
This time we have "Management of Recurrent Pancreatitis"
with Dr. Juan Gurria, the surgical director of the Pancreas Care cen
video6:37 · May 2024
In-Depth Reviews
2 items
Acute and Acute Recurrent Pancreatitis: Pancreatic Disease
Watch →
Dr. Abu-El-Haija gives a presentation on acute and acute recurrent pancreatitis. Her discussion includes diagnosis, imaging, and management. Dr.Tom K. Lin discusses endoscopic retrograde cholangiopancreatography (ERCP) management in acute a
video56:45 · Jan 2019
Chronic Pancreatitis, Function Tests, & Pain Management: Pancreatic Disease
Watch →
Dr. Jaimie Nathan introduces the nextsession on chronic pancreatitis and exocrine pancreatitis insufficiency.Dr. Joe Palermo discusses chronic pancreatitis disease management, pediatric genetic implications, and pancreatic function testing.
video51:02 · Jan 2019
Summaries and takeaways+ Show
The doctors in this collection+ Show
All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Update Course Rewind: Management of Recurrent Pancreatitis
Every ERCP carries a risk of post-ERCP pancreatitis, and islet cells are lost with every pancreatitis attack
clinicalJuan Gurria1:40 ↗
PRSS1 is the most common genetic mutation in pediatric pancreatitis and is a trypsinogen activator that activates trypsin inside the pancreas
clinicalJuan Gurria1:57 ↗
Cincinnati Children's genetic panel tests 10 different genetic markers for pancreatitis
clinicalJuan Gurria2:12 ↗
Genetic factors are changing the approach to pediatric chronic pancreatitis treatment
opinionJuan Gurria2:17 ↗
Patients with more than 1 episode of acute pancreatitis or a first severe episode should undergo MRCP and genetic panel testing
guidelineCecilia Gigena2:26 ↗
There is currently no medication to mediate trypsin activation in genetic pancreatitis
clinicalJuan Gurria2:48 ↗
Frey procedure requires removing the top half of the pancreas to open the duct, resulting in loss of islet cells
clinicalJuan Gurria3:09 ↗
In patients with PRSS1 mutation, drainage procedures only temporize attacks by draining the duct but do not fix the underlying problem, as the parenchyma continues to be attacked by the mutation
clinicalJuan Gurria3:19 ↗
Genetic testing is essential before any resection procedure to avoid losing pancreatic cells in pathologies that will not benefit from resection and drainage
guidelineCecilia Gigena3:37 ↗
There is no set number of ERCPs that defines when to consider chronic pancreatitis; sooner referral is better for evaluation
guidelineJuan Gurria4:09 ↗
Surgical pancreatic intervention is not offered unless medical and endoscopic management have been maximized
guidelineJuan Gurria4:16 ↗
If a stent is placed and the patient continues to have pancreatitis, there is no reason to continue with ERCPs
clinicalJuan Gurria4:31 ↗
Endoscopic treatment should be attempted first, but if it fails, transfer to a specialized center that performs TPIAT
guidelineCecilia Gigena4:37 ↗
MRCP is the best non-invasive study for the pancreas, particularly with T2 sequences
clinicalJuan Gurria4:58 ↗
ERCP is more therapeutic than diagnostic
clinicalJuan Gurria5:07 ↗
Imaging approach starts with ultrasound, then CT, and MRCP with T2 sequences for better pancreatic anatomy visualization
guidelineCecilia Gigena5:11 ↗
Pancreatic fluid collections should be drained only if symptomatic once the wall is mature at 4 to 6 weeks
guidelineJuan Gurria5:22 ↗
Asymptomatic fluid collections without gastric outlet obstruction or pain will self-resolve and do not require drainage
clinicalJuan Gurria5:29 ↗
Antibiotics are not needed for pancreatic fluid collections
guidelineJuan Gurria5:35 ↗
Recurrent pancreatitis is a rare pathology that can lead to chronic pancreatitis and is associated with genetic mutations
epidemiologicalCecilia Gigena5:40 ↗
If genetic mutations are confirmed, partial pancreatic resection (Frey procedure) should be avoided to prevent loss of pancreatic cells
guidelineCecilia Gigena5:50 ↗
If endoscopic approach fails, TPIAT should be considered sooner rather than later
guidelineCecilia Gigena6:01 ↗
Total pancreatectomy with islet autotransplantation (TPIAT) - Cincinnati Children's Pancreas Care Center
TPIAT is one of the most complex abdominal surgical procedures performed in children
clinicalJuan Gurria0:48 ↗
Surgical indications for TPIAT are for patients with either chronic or acute recurrent pancreatitis
clinicalJuan Gurria0:54 ↗
Patients are candidates for TPIAT when all medical and endoscopic therapy has failed
guidelineJuan Gurria1:02 ↗
TPIAT patients usually have a genetic mutation that drives the disease
clinical1:08 ↗
TPIAT patients typically present with chronic debilitating pain that can lead to opioid addiction or severe impairment of their mental health
clinical1:08 ↗
Full evaluation by the Pancreas Care Center team includes GI, social worker, endocrine, surgery, radiology, genetics, behavioral health, physical therapy, anesthesia and pain team
clinicalJuan Gurria1:23 ↗
Patients are prepared with vaccinations for potential splenectomy before surgery
clinicalJuan Gurria1:49 ↗
Pain catheters are placed in the transversus abdominis muscle by pain specialists
clinicalJuan Gurria2:40 ↗
What's new+ Show