Collection
Pancreatitis
Also covers: chronic pancreatitis · acute recurrent pancreatitis · acute pancreatitis · gallstone pancreatitis · exocrine pancreatic insufficiency · necrotizing pancreatitis · pancreas divisum · portal vein thrombosis
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
Before sending genetic testing, it is advised to work closely with a genetic counselor to help the family choose the test and interpret it afterwards. — Maisaabel Haija, Chronic Pancreatitis - Pancreatic Pathologies by Cincinnati Children's Pancreas Care Center · 4:06
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
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
There is no reason to give antibiotics for pancreatitis, even in the face of necrosis or necrotizing pancreatitis, unless there are signs of sepsis or infected pancreatitis — Juan Gurria, Update Course Rewind: Management of Acute Pancreatitis 2023 · 2:29
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
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
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
Earlier surgical intervention is recommended for gallstone pancreatitis — Ray, Enteral Nutrition in Pancreatitis: 2018 Pediatric Surgery Practice Gap #9 · 0:26
Enteral Nutritional Support For Pancreatitis: Practice Gap discussion at...
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At the 6th Annual Pediatric Surgery Update Course, Drs Charles Snyder, Craig Lillehei and David Powell discussthe top ten practice gaps of 2018. Here they discuss enteral nutritional support for pancreatitis, focusing on early enteral feedi
video16:15 · Sep 2018
Enteral Nutrition in Pancreatitis: 2018 Pediatric Surgery Practice Gap #9
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Drs Todd Ponsky, Alex Casar, Alex Gibbons and Rae Hanke review Practice Gap #9 from 2018, as identified by APSA's Professional Development Committee.
video1:00 · Jun 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
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
Update Course Rewind: Pediatric Biliary Stones - Surgery First Mindset 2024
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Welcome to the 12th Annual Update Course in Pediatric Surgery recap series, hosted by Dr. Em Gootee from Cincinnati Children’s Hospital. In this Green Circle (established practice) session, Drs. David Vitale, Luke Neff, and Jeff Ponsky expl
video7:31 · Jul 2025
Most stones can be cleared, some stones pass spontaneously, and good clinical judgment with local resources must be factored into management decisions. — Luke Neff, Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024 · 2:59
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: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024
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In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. David Vitale, Luke Neff, and Jeffrey Ponsky explore strategies for preventing gallstone pancreatitis in pediatric patients with biliary stones. This session is cl
video3:53 · Jul 2025
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
Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024
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Update Course Rewind: Pediatric Biliary Stones - Preventing Gallstone Pancreatitis 2024 | Podcast Episode on RSS.com Sign up free Features Resources Pricing Podcasts Sign up free Sign In Stay Current in Pediatric Surgery... Update Course Re
podcast3:53 · Jul 2026
The INSPPIRE consortium defines acute recurrent pancreatitis in children as at least two distinct episodes with complete resolution of pain and a one-month pain-free interval, or normalization of enzymes with complete pain resolution in less than one month. — Maisam Abu-El-Haija, Acute Pancreatitis · 34:34
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
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
Case-Based Journal Review: Cholelithiasis 2024
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It is already public knowledge that thousands of articles on different pathologies are published every day and that it is very difficult to follow them.
In this format we bring you a different way of knowing what is the most up-to-date o
podcast18:12 · Jul 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
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
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
Direct pancreatic function testing means directly obtaining pancreatic function from the pancreas, not relying on stool testing like fecal elastase. Chronic Pancreatitis, Function Tests, & Pain Management: Pancreatic Disease · 24:40
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
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
Featured picks for families are being prepared — the summaries above are written for you.
- Cholecystectomy during index admission for gallstone pancreatitis prevents 60% recurrence seen with delayed surgery; IOC with transcystic exploration clears 86% of CBD stones, avoiding ERCP risk.
- Walled-off necrosis matures at 4–6 weeks; early necrosectomy increases mortality. Asymptomatic pseudocysts self-resolve; drain only if symptomatic (obstruction, pain).
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
Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
Enteral Nutrition in Pancreatitis: 2018 Pediatric Surgery Practice Gap #9
Early enteral feedings when not associated with vomiting decrease morbidity, infectious risk, and mortality in pancreatitis
Ray0:17
Nasogastric feeds are equally as tolerated as nasojejunal feeds in pancreatitis
Ray0:26
Earlier surgical intervention is recommended for gallstone pancreatitis
Traditional teaching was to wait many days for amylase and lipase to normalize and for abdominal pain to resolve before starting feeds in pancreatitis
Expert opinion0:35
Enteral feeding can be provided even in the presence of infected pancreatic phlegmon
Acute Pancreatitis
Lipase half-life is about 7 days and is more specific for pancreatic pathology than amylase, which can be elevated in appendicitis, gynecologic conditions, or salivary disease.
Maisam Abu-El-Haija3:00
Amylase rises and normalizes much quicker than lipase, so in a patient presenting 2 days after symptom onset, amylase may not be the best indicator of pancreatitis.
Maisam Abu-El-Haija2:40
Ultrasound is the initial imaging modality for suspected uncomplicated acute pancreatitis in children because it is radiation-free and gives a reasonably good look at the pancreas.
Andrew Trout2:09
Ultrasound is limited in the setting of suspected complications of pancreatitis; CT is the image of choice for complicated cases to better visualize necrosis, fluid collections, hemorrhage, or masses.
Maisam Abu-El-Haija2:23
The most helpful use of ultrasound in acute pancreatitis is looking for a biliary component—CBD dilation suggesting need for early ERCP, or gallstones that change management—not documenting pancreatitis or looking for complications.
Maisam Abu-El-Haija4:03
There is no data identifying a superior pain medication for acute pancreatitis; even adult studies have not identified optimal management.
Maisam Abu-El-Haija6:21
Opioids should not be avoided in acute pancreatitis; when used appropriately, they can help advance feeds, improve outcomes, and facilitate earlier discharge.
Maisam Abu-El-Haija6:35
Early nutrition (within 24 to 72 hours) in acute pancreatitis is associated with more favorable outcomes: it maintains gut barrier function, inhibits bacterial translocation, and lowers the incidence of systemic inflammatory response.
Maisam Abu-El-Haija9:03
A 2012 meta-analysis comparing TPN versus enteral nutrition in predicted severe acute pancreatitis showed enteral nutrition was associated with decreased organ failure, reduced surgical intervention rate, lower mortality, and fewer infections.
Maisam Abu-El-Haija9:32
The Ekerwal 2007 study randomized 60 adult patients to eat on admission versus NPO and found that early feeding did not increase abdominal pain and decreased length of stay by 2 days.
Maisam Abu-El-Haija13:19
In a Cincinnati Children's study of 38 admissions for mild pancreatitis, early nutrition was safe and feasible, and patients who received feeds had similar pain scores to those kept NPO.
Maisam Abu-El-Haija14:29
Pilot analysis showed patients with the lowest pain scores were those who ate the most fat; fat intake did not increase length of stay.
Maisam Abu-El-Haija15:28
Studies comparing NG feeds versus NJ feeds in acute pancreatitis show no difference in outcomes; duration of hospital stay and mortality were very similar, even in severe acute pancreatitis.
Maisam Abu-El-Haija12:41
Aggressive IV fluid resuscitation (more than one-third of 72-hour fluid volume given in the first day) is associated with reduced mortality and reduced incidence of SIRS and organ failure at 72 hours.
Maisam Abu-El-Haija19:02
In studies of aggressive resuscitation, the late resuscitation group received more total fluid than the early resuscitation group, suggesting a critical 24-hour window for intervention.
Maisam Abu-El-Haija19:45
A 2011 study of 40 patients using goal-directed management (resuscitating to urine output of 3 mL/kg/hour) showed early resuscitation with lactated Ringer's reduced inflammation markers (CRP) compared to normal saline.
Maisam Abu-El-Haija20:18
In a Cincinnati Children's study of 201 patients, those kept NPO with low IV fluids had 35% rate of developing severe pancreatitis, versus 4.2% in those who ate early and received aggressive resuscitation.
Maisam Abu-El-Haija23:48
For CT imaging of acute pancreatitis, a single portal venous phase is sufficient; multi-phase imaging is not needed in pediatric patients as the goal is to identify complications (venous thrombosis, necrosis, fluid collections), not masses.
Andrew Trout28:19