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Author Notes:

Correspondence: A. Jay Freeman, MD, MSc, Associate Professor of Pediatrics, Director of Digestive Health for the Emory+Children’s Pediatric CF Program Director Advanced Pancreatic Care Program @ CHOA, Medical Director GA Chapter of the National Pancreas Foundation, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Emory University School of Medicine, Children’s Healthcare of Atlanta, 2015 Uppergate Dr. NE, Atlanta, GA 30322, afreem6@emory.edu

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Research Funding:

This position paper was supported through NASPGHAN. No additional funding was received.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Gastroenterology & Hepatology
  • Nutrition & Dietetics
  • Pediatrics
  • chronic pancreatitis
  • nutrition
  • pain management
  • position paper
  • sequelae of chronic pancreatitis
  • Intestinal bacterial growth
  • Quality of life (QoL)
  • Functional abdominal pain
  • Risk factors
  • Diabetes-mellitus
  • Endoscopic ultrasound
  • Antioxidants
  • Alcohol consumption

Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee

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Journal Title:

Journal of Pediatric Gastroenterology and Nutrition

Volume:

Volume 72, Number 2

Publisher:

, Pages 324-340

Type of Work:

Article | Post-print: After Peer Review

Abstract:

This position paper summarizes the current understanding of the medical management of chronic pancreatitis (CP) in children in light of the existing medical literature, incorporating recent advances in understanding of nutrition, pain, lifestyle considerations, and sequelae of CP. This article complements and is intended to integrate with parallel position papers on endoscopic and surgical aspects of CP in children. Concepts and controversies related to pancreatic enzyme replacement therapy (PERT), the use of antioxidants and other CP medical therapies are also reviewed. Highlights include inclusion of tools for medical decision-making for PERT, CP-related diabetes, and multimodal pain management (including an analgesia ladder). Gaps in our understanding of CP in children and avenues for further investigations are also reviewed.

Copyright information:

© ESPGHAN and NASPGHAN. All rights reserved.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/rdf).
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