Noninvasive imaging of pediatric pancreatitis: joint recommendations from the North American Society for Pediatric Gastr
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COMMENTARY
Noninvasive imaging of pediatric pancreatitis: joint recommendations from the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition and the Society for Pediatric Radiology Andrew T. Trout 1,2,3
&
Sudha A. Anupindi 4 & Sohail Z. Husain 5 & Veronique D. Morinville 6 & Maisam Abu-El-Haija 3,7
Received: 13 April 2020 / Revised: 13 April 2020 / Accepted: 11 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
In a recent article in Journal of Pediatric Gastroenterology and Nutrition, members of the Society for Pediatric Radiology (SPR) Abdominal Imaging Committee and the Pancreas Committee under the umbrella of the North American Society for Pediatric Gastroenterology, Hepatology & Nutrition (NASPGHAN) published joint recommendations for noninvasive imaging of pancreatitis in children [1]. The project, titled “NASPGHAN and the Society for Pediatric Radiology Joint Position Paper on Non-Invasive Imaging of Pediatric Pancreatitis: Literature Summary and Recommendations,”
* Andrew T. Trout [email protected] 1
Department of Radiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave., MLC 5031, Cincinnati, OH 45229-3026, USA
2
Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
3
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
4
Department of Radiology, The Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
5
Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Stanford School of Medicine, Stanford, CA, USA
6
Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Quebec, Canada
7
Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
grew out of a perceived need for current guidance for pediatric gastroenterologists on imaging of pancreatitis and capitalized on collaboration between the two societies. The incidence of pancreatitis is increasing in children and is now approximately 1:10,000 for acute pancreatitis and 2:100,000 for chronic pancreatitis [2–4]. Imaging plays a substantial role in the evaluation, classification of severity and management of both acute and chronic pancreatitis [5]. In this work, the authors reviewed the existing pediatric literature and drew from the adult literature when necessary to describe the current state of noninvasive imaging for pediatric pancreatitis and to generate consensus recommendations (Table 1) [6]. A modified GRADE (grades of recommendation assessment, development and evaluation) procedure that weighs the quality of available evidence and the clarity of risk/benefit was used to classify the recommendations put forth. Specific diagnostic criteria exist for both acute and chronic pancreatitis, and both include imaging findings [7]. Imaging contributes not only to making or confirming a diagnosis (when needed), but al
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