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J Pediatr Gastroenterol Nutr. 2018 Aug;67(2):232-236. doi: 10.1097/MPG.0000000000002028.

Recommendations for Diagnosis and Management of Autoimmune Pancreatitis in Childhood: Consensus From INSPPIRE.

Author information

1
Hospital for Sick Children, Toronto, Ontario, Canada.
2
Cliniques Universitaires St Luc, Brussels, Belgium.
3
Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
4
Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA.
5
Hadassah Hebrew University Hospital, Jerusalem, Israel.
6
Harvard Medical School, Massachusetts General Hospital for Children, Boston, MA.
7
University of Texas Southwestern Medical School, Dallas.
8
Baylor College of Medicine, Houston, TX.
9
Nationwide Children's Hospital, Columbus, OH.
10
Seattle Children's Hospital, Seattle, WA.
11
University of California at San Francisco, San Francisco, CA.
12
Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
13
Cedars-Sinai Medical Center, Los Angeles, CA.
14
Washington University School of Medicine, St-Louis, MO.
15
The Children's Hospital of Philadelphia, Philadelphia, PA.
16
Montreal Children's Hospital, McGill University, Montreal, QC, Canada.
17
Discipline of Paediatrics, School of Women's and Children's Health Medicine, University of New South Wales and Sydney Children's Hospital Randwick, Sydney, Australia.
18
University of Utah, Salt Lake City, UT.
19
University of Minnesota, Masonic Children's Hospital, Minneapolis, MN.
20
Medical College of Wisconsin, Milwaukee, WI.
21
University of Iowa, Carver College of Medicine, Iowa City, IA.

Abstract

OBJECTIVES:

Autoimmune pancreatitis (AIP) represents a complex immune-mediated pancreas disorder. Pediatric AIP (P-AIP) is rare. We have recently summarized the characteristic features of P-AIP. We now aim to develop recommendation statements to standardize the diagnostic and therapeutic approach to P-AIP and facilitate future research in the field.

METHODS:

A panel of pediatric gastroenterologists participating in the International Study Group of Pediatric Pancreatitis: In search for a cuRE was formed to discuss and then vote on 15 recommendation statements. A consensus of at least 80% was obtained following 3 voting rounds and revision of the statements.

RESULTS:

We have now generated 15 statements to help standardize the approach to diagnosis and management of P-AIP.

CONCLUSIONS:

The first P-AIP recommendation statements developed by the International Study Group of Pediatric Pancreatitis: In search for a cuRE group are intended to bring standardization to the diagnosis and treatment of this rare childhood disorder. These statements may help guide a uniform approach to patient care and facilitate future research studies.

PMID:
29746340
PMCID:
PMC6059991
[Available on 2019-08-01]
DOI:
10.1097/MPG.0000000000002028

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