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Chronic Pancreatitis
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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
Problems associated with chronic pancreatitis include macro and micronutrient deficiencies, growth problems, small intestinal bacterial overgrowth, and risk for tumors later in adult life. — Maisaabel Haija, Chronic Pancreatitis - Pancreatic Pathologies by Cincinnati Children's Pancreas Care Center · 4:49
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
In chronic or acute recurrent pancreatitis patients with ductal changes, the pancreatic duct is often dilated and abnormal at baseline, so secretin may not be needed to visualize the duct. — Andrew Trout, Function Tests & Pain Management: Pancreatic Disease · 9:41
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
Dexamethasone infusion is used for the first 2 days postoperatively to decrease the instant blood mediated inflammatory response which has a potentially detrimental effect on islets. — Jamie, Total Pancreatectomy with Islet Autotransplantation: Pancreatic Disease · 33:17
Endoscopic & Surgical Interventions: Pancreatic Disease
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Dr. Tom Lin, Dr. Jaimie Nathan, Dr. Andrew Trout, and Dr. Milton Smith present on endoscopic, radiologic, and surgical interventions for pancreatic disease.
video55:54 · Jan 2019
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
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
Surgical management of the pancreas is not offered unless medical and endoscopic management have been maximized. — Juan Gurria, Update Course Rewind: Management of Recurrent Pancreatitis · 4:16
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
Genetic testing is key in pediatric pancreatitis and should be obtained for all patients with chronic or recurrent pancreatitis, and even considered after a first severe attack. — Juan Gurria, Update Course 2023 - Updates in Pancreatitis · 14:59
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
video1:06:03 · Apr 2026
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Expert statements from the recordings in this collection.
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
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:09 ↗
Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:15 ↗
In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:22 ↗
3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:25 ↗
Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:32 ↗
Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:40 ↗
Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:48 ↗
Function Tests & Pain Management: Pancreatic Disease
Direct pancreatic function testing means obtaining function directly from the pancreas, not relying on stool testing for fecal elastase.
clinical0:05 ↗
Endoscopic pancreatic function testing replaced the duodenal-tube (drilling) method by the end of the 1990s/early 2000s.
clinical2:07 ↗
Dr. Conwell and colleagues at Tyler Stevens launched endoscopic function testing, showing comparable results to duodenal-tube testing for bicarbonate and lipase measurement.
clinical2:13 ↗
Endoscopic collection became the standard because duodenal-tube testing requires the patient to be awake, placement of two tubes, and interventional radiology.
clinical2:39 ↗
The Cincinnati protocol uses secretin 0.2 mcg/kg or CCK 0.04 mcg/kg at time zero, then collects duodenal aspirates every 5 minutes for three samples using an ERCP tapered catheter.
clinical3:05 ↗
The lab at Cincinnati Children's Hospital measures activities for four enzymes: trypsin, amylase, lipase, and chemotrypsin.
clinical3:46 ↗
Pancreatic function can be abnormal if checked around an acute attack.
clinical4:25 ↗
Exocrine pancreatic maturation occurs over the first 2 to 3 years of life.
clinical4:33 ↗
MR pancreatic function testing acquires identical imaging pre- and post-secretin to quantify the volume of fluid secreted into the gastrointestinal tract.
clinicalAndrew Trout5:18 ↗
The delay between pre- and post-secretin MR imaging is about 15 minutes to allow fluid accumulation.
clinicalAndrew Trout6:27 ↗
MR-PFT can threshold images and quantify secreted fluid volume by subtracting pre-secretin from post-secretin fluid volume.
clinicalAndrew Trout7:38 ↗
Phantom studies have proven that MR can accurately quantitate fluid volume.
clinicalAndrew Trout8:13 ↗
Preliminary data in about 35 patients are examining correlation between MR-PFT and endoscopic pancreatic function testing.
clinicalAndrew Trout8:28 ↗
Qualitative MR exocrine assessment appears different between pediatric and adult patients, suggesting possible size or weight dependency.
opinionAndrew Trout8:49 ↗
In chronic or acute recurrent pancreatitis patients with ductal changes, the pancreatic duct is often dilated and abnormal at baseline, so secretin may not be needed to visualize the duct.
opinionAndrew Trout9:41 ↗
Low-fat diet, pancreatic enzyme replacement therapy (PERT), antioxidants, and steroids have never been shown to prevent recurrent pancreatitis episodes or pancreatic pain episodes.
clinical12:05 ↗
The case patient was PRSS1-positive on genetic testing.
clinical12:43 ↗
The case patient had low fecal elastase on two occasions and endoscopic PFTs showed low amylase and lipase, borderline low trypsin and chemotrypsin.
clinical12:47 ↗
The case patient had normal hemoglobin A1C and normal mixed meal test for endocrine function.
clinical13:01 ↗
The case patient showed evidence of ductal changes on ERCP, confirming chronic pancreatitis based on imaging and ERCP findings.
clinical13:09 ↗
The case patient has been pain-free on PERT treatment for several months with catch-up growth.
clinical13:17 ↗
The multidisciplinary pain consult at Cincinnati comprises three disciplines: pain physician (medical/psychosocial assessment, medication, interventional management), psychologist (100% of the time, not optional), and nurses.
clinicalGoldschneider15:00 ↗
Cognitive-behavioral therapy is the standard, state-of-the-art therapy for pain management.
guidelineGoldschneider18:16 ↗
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