Acute Pancreatitis
Everything in the library about acute 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
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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
Acute Management
3 items
Acute Pancreatitis
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In this podcast, extracted from GlobalCast presentation, Dr. Maisam A. Abu-El-Haija discussesacute pancreatitis, along with participation fromDrs Andrew Taut, Jaimie Nathan, Tom Lin and the audience. Dr. Abu-El-Haija is the medical director
podcast45:24 · Jan 2019
Misconceptions of Acute Pancreatitis: Pancreatic Disease
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Dr. Maisam Abu-El-Haija discusses common misconceptions in the management of acute pancreatitis.
video2:28 · Jan 2019
Acute Pancreatitis
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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
1 item
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
Case-Based Learning
2 items
ERCP: Pancreatic Disease
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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
Update Course Rewind: Management of Acute 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 Acute Pancreatitis" with Dr. Juan Gurría.
Host: Cecilia Gigena
Brought to you by C
video6:46 · Apr 2024
In-Depth Reviews
2 items
Acute and Acute Recurrent Pancreatitis: Pancreatic Disease
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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
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
Summaries and takeaways+ Show
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
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 ↗
Autoimmune pancreatitis can mimic chronic pancreatitis and should be ruled out before surgery; it responds to steroids
clinicalJuan Gurria17:00 ↗
ERCP is essential for diagnosis and treatment of pediatric pancreatitis but carries ~10% risk of post-ERCP pancreatitis
clinicalJuan Gurria16:10 ↗
Pancreatic trauma in children (e.g., handlebar injury) can cause ductal strictures requiring distal pancreatectomy if endoscopic therapy fails
clinicalJuan Gurria31:52 ↗
Islet-cell yield is reduced by frequent pancreatitis attacks, obesity, and prior segmental resections
clinicalJuan Gurria36:55 ↗
Portal vein thrombosis is a major complication of TPIAT; anticoagulation during surgery is mandatory
clinicalJuan Gurria44:47 ↗
Cincinnati Children's evaluates >100 chronic pancreatitis patients per year but performs TPIAT in only 25–30, reflecting careful patient selection
epidemiologicalJuan Gurria57:09 ↗
Families report dramatic quality-of-life improvements after TPIAT: children return to school, sports, and normal social activities
clinicalJuan Gurria56:09 ↗
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