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- Slide 1: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | A 5yo's pain from chronic pancreatitis is refractory to medicines, scopes, and even opioids... | SHOULD YOU CONSIDER PARTIAL RESECTION OR TOTAL PANCREATECTOMY? | 1/7
- Slide 2: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | THE ANSWER | REMOVE THE WHOLE PANCREAS | When every other option is exhausted, the pancreas itself, the source of the pain, may need to be removed. | 2/7
- Slide 3: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | THE CATCH | BUT, NO PANCREAS MEANS → DIABETES | The pancreas makes insulin. Take it out, and a child would normally be left insulin-dependent for life. | 3/7
- Slide 4: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | THE INNOVATION | MOVE INSULIN-MAKING CELLS INTO THE LIVER | TPIAT: total pancreatectomy with islet autotransplantation. | Islet cells (the ones that make insulin) are salvaged from the pancreas and infused into the liver. | 4/7
- Slide 5: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | Juan Pablo Gurria, MD, MSc | Surgical Director, Pancreas Care Center, Cincinnati Children's | 5/7
- Slide 6: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | THE TAKEAWAY | TPIAT is one of the most advanced options for chronic pancreatitis. | For the right child who is out of options, it can improve quality of life, reduce opioids, and potentially restore insulin function. | 6/7
- Slide 7: Pancreas | Expert-to-Expert | Made possible by Cincinnati Children's | FOLLOW FOR MORE EXPERT-TO-EXPERT PEDIATRIC SURGERY EDUCATION. | 7/7
Refractory Chronic Pancreatitis: Partial Resection or Total Pancreatectomy?
Topic overview
Educational carousel comparing surgical approaches for refractory chronic pancreatitis in children. Reviews indications for partial pancreatic resection versus total pancreatectomy with islet autotransplantation, including patient selection criteria and outcomes for pain control and metabolic management.
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