Pediatric Surgery
Acute Pancreatitis
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 director of pancreas care center, division of pediatric gastroenterology at Cincinnati Children's Hospital.
Topics discussed include imaging, lab work, diet and nutrition, nasogastric (NG) versus nasojejunal (NJ) feeding, fluid management, pain management, antibiotic use, and genetic evaluation.
Topics discussed include imaging, lab work, diet and nutrition, nasogastric (NG) versus nasojejunal (NJ) feeding, fluid management, pain management, antibiotic use, and genetic evaluation.
Sections
- Introduction (00:00)
- Clinical case (01:23)
- Initial imaging tests (02:09)
- Which enzyme should be using (02:28)
- Radiological modalities (03:35)
- Pain management (05:55)
- Nuts and bolts of management (07:02)
- Nutritional aspect (08:50)
- Learning points (10:19)
- How to feed (10:59)
- Management order set (12:05)
- NG feed versus NJ feeds (12:43)
- Fat intake (15:06)
- Acute Pancreatitis (15:43)
- Fat intake and length of stay (16:06)
- IV fluid management (16:15)
- Pain order management (16:50)
- IV fluid discussion (17:29)
- Standardize order sets (21:52)
- Management of recurrent attacks (24:50)
- Radiological challenges with the recurrent attacks (25:37)
- Radiological diagnosis of the complications (27:39)
- Ranson's criteria to predict mortality in pediatric pancreatitis (30:18)
- Management of complicated pancreatitis (31:57)
- MRI findings in complicated pancreatitis (33:38)
- Acute recurrent pancreatitis (34:28)
- Genetic workup (36:06)
- Parenteral lipid (36:28)
- Feeding routes and types (37:42)
- Indications for collection aspiration (38:34)
- Antibiotic choice (40:02)
- Management of necrotic pancreatitis (41:01)
- MR after secretin stimulation (42:20)
- Relationship between BMI and recurrent pancreatitis (43:19)
- Antibiotic of choice (44:55)
