Chronic Pancreatitis
Everything in the library about chronic 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
Chronic Pancreatitis - Pancreatic Pathologies by Cincinnati Children's Pancreas Care Center
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In this educational video, experts from Cincinnati Children’s Pancreas Care Center discuss the complexities of diagnosing and managing chronic pancreatitis. Dr. Maisam Abu-El-Haija and Dr. Andrew Trout cover the condition’s impact on pancre
video8:32 · Nov 2024
Diagnosis & Workup
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Function Tests & Pain Management: Pancreatic Disease
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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
Surgical Management
3 items
Total Pancreatectomy with Islet Autotransplantation: Pancreatic Disease
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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
Update Course Rewind: Management of Chronic Pancreatitis 2023
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We are back with another Update Course Rewind video from the Update course in Pediatric Surgery 2023.
This time we are presenting you “Management of Chronic Pancreatitis" with Dr. Juan Gurría.
Host: Cecilia Gigena
Brought to you by
video8:30 · Apr 2024
Total pancreatectomy with islet autotransplantation (TPIAT) - Cincinnati Children's Pancreas Care Center
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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
Evidence & Research
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Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
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Stephen J Hartman, Nicolas Noriega, Raphael M Parrado, Emily Vore, Andrew Trout, David Vitale, Maisam Abu-El-Haija, Juan P GurriaBackground: Though rare, solid pseudopapillary neoplasms (SPN) are one of the most common, low-grade, malignant
video0:59 · Apr 2026
Case-Based Learning
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Update Course Rewind: Management of Recurrent Pancreatitis
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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
3 items
Chronic Pancreatitis, Function Tests, & Pain Management: Pancreatic Disease
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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
Update Course 2023 - Updates in Pancreatitis
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This session is on Updates in Pancreatitis with Dr. Juan Gurria.
The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is desig
video32:50 · Oct 2023
Overview of the Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria
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Join us for a virtual webinar on Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria.This session will provide a practical overview of surgical approaches, decision-making, and management strategies for pe
video66:03 · Apr 2026
Summaries and takeaways+ Show
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All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
epidemiologicalLizzie Lee0:09 ↗
Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
clinicalLizzie Lee0:15 ↗
In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
clinicalLizzie Lee0:22 ↗
3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
clinicalLizzie Lee0:25 ↗
Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
clinicalLizzie Lee0:32 ↗
Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
clinicalLizzie Lee0:40 ↗
Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
opinionLizzie Lee0:48 ↗
Overview of the Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria
85% of 1000+ pediatric pancreatitis patients at Cincinnati Children's have genetic mutations
epidemiologicalJuan Gurria7:23 ↗
PRSS1 mutation causes autoactivation of trypsinogen, leading to aggressive early-onset pancreatitis in children as young as 1–3 years
clinicalJuan Gurria8:01 ↗
Hereditary pancreatitis markedly increases lifetime risk of pancreatic cancer
clinicalJuan Gurria9:32 ↗
Diagnosis of acute pancreatitis requires serum lipase ≥3× upper limit of normal plus imaging findings (ultrasound, MRCP, or CT)
guidelineJuan Gurria5:44 ↗
Most pediatric pancreatitis fluid collections are self-limited and do not require intervention
clinicalJuan Gurria10:15 ↗
Early necrosectomy (before 4 weeks) increases mortality; wait for walled-off necrosis to mature
guidelineJuan Gurria18:40 ↗
Transgastric endoscopic necrosectomy reduces major complications compared to open surgery
clinicalJuan Gurria20:11 ↗
Asymptomatic pseudocysts, regardless of size, do not require intervention
guidelineJuan Gurria21:36 ↗
Early enteral nutrition (as soon as tolerated) prevents bacterial translocation and reduces complications in acute pancreatitis
clinicalJuan Gurria23:29 ↗
Lactated Ringer's solution is superior to normal saline for initial resuscitation in acute pancreatitis
clinicalJuan Gurria23:48 ↗
~50% of pediatric patients with hereditary or anatomic pancreatitis develop chronic pancreatitis
epidemiologicalJuan Gurria25:18 ↗
Segmental pancreatic resections in genetic pancreatitis discard islet-cell mass and leave remaining pancreas vulnerable to ongoing disease
opinionJuan Gurria28:57 ↗
TPIAT is indicated for patients with refractory chronic pain, failed maximal medical/endoscopic therapy, and severe quality-of-life impairment
guidelineJuan Gurria34:11 ↗
The primary goal of TPIAT is pain control and quality-of-life restoration, not diabetes prevention
opinionJuan Gurria36:03 ↗
Insulin independence after TPIAT is ~70% overall and approaches 92% when ≥5000 islet equivalents/kg are transplanted
clinicalJuan Gurria53:03 ↗
Younger age at TPIAT, higher islet yield, and absence of pre-op insulin use predict better glycemic outcomes
clinicalJuan Gurria51:45 ↗
Over 80% of TPIAT patients achieve sustained reduction in opioid use within 1–2 months
clinicalJuan Gurria50:58 ↗
Spleen-sparing TPIAT is now performed in 80% of cases without compromising islet yield or glycemic outcomes
clinicalJuan Gurria43:36 ↗
Pyloric botulinum toxin injection during TPIAT reduces gastroparesis and shortens length of stay
clinicalJuan Gurria45:00 ↗
TPIAT patients are extubated in the operating room and maintained on insulin drip to rest islet cells during engraftment
clinicalJuan Gurria50:04 ↗
Pseudocyst drainage should not be performed before 4 weeks; wall maturation is required to avoid spillage and infection
guidelineJuan Gurria62:22 ↗
Chronic pain in pediatric pancreatitis involves central sensitization and brain plasticity, requiring multidisciplinary pain management
clinicalJuan Gurria26:54 ↗
Medications causing pediatric pancreatitis include L-asparaginase, steroids, valproic acid, and furosemide
clinicalJuan Gurria8:55 ↗
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