Classification of Acute Pancreatitis in the Pediatric Population: Clinical Report from the NASPGHAN Pancreas Committee

Maisam Abu-El-Haija, Soma Kumar, Flora Szabo, Steven Werlin, Darwin Conwell, Peter Banks, Veronique D. Morinville

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

Abstract

Introduction: Acute pancreatitis (AP) is an emerging problem in pediatrics, with most cases resolving spontaneously. Approximately 10% to 30%, however, are believed to develop "severe acute pancreatitis" (SAP). Methods: This consensus statement on the classification of AP in pediatrics was developed through a working group that performed an evidence-based search for classification of AP in adult pancreatitis, definitions and criteria of systemic inflammatory response syndrome, and organ failure in pediatrics. Results and Discussion: Severity in pediatric AP is classified as mild, moderately severe, or severe. Mild AP is defined by AP without organ failure, local or systemic complications, and usually resolves in the first week. Moderately SAP is defined by the presence of transient organ failure that resolves in no >48&hairsp;hours, or local complications or exacerbation of co-morbid disease. SAP is defined by persistent organ failure that lasts <48&hairsp;hours. The presence of systemic inflammatory response syndrome is associated with increased risk for persistent organ dysfunction. Criteria to define organ failure must be pediatric-and age-based. Conclusions: Classifying AP in pediatrics in a uniform fashion will help define outcomes and encourage the development of future studies in the field of pediatric pancreatitis.

Original languageEnglish
Pages (from-to)984-990
Number of pages7
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume64
Issue number6
DOIs
StatePublished - Jun 1 2017

Bibliographical note

Publisher Copyright:
Copyright © 2017 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

Keywords

  • consensus statement
  • mild acute pancreatitis
  • moderately severe acute pancreatitis
  • organ failure
  • pediatrics
  • severe acute pancreatitis
  • systemic inflammatory response syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

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