“The diagnosis of pediatric pancreatitis has been increasing over the last 15 years but the etiology of this is uncertain. The population of pre-adolescent patients with pancreatitis in the emergency department has not been specifically described.” (Randall, McDaniels, et al). Many cases of acute pancreatitis occur in children who have a separate illness.
While there is no single test to diagnose pancreatitis, the diagnosis is clinical and depends on the presence of symptoms consistent with acute pancreatitis, abnormal blood tests, or radiographic images showing inflammation in the pancreas.
There remains a need for a sensitive and accurate test to be performed in a pediatric population for diagnosing exocrine pancreatic insufficiency and disease.
Secretin Stimulated Endoscopic Pancreatic Function Test
ePFT is now preferred due to relative technical ease, shorter duration, and comparable efficacy. Pediatric-specific considerations include the potential need for age-specific interpretation, especially for infants and toddlers, as a result of enzyme maturation occurring throughout the early years of life.
The ePFT can be a valuable test for EPI to complement the use of non-stimulatory pancreatic function tests. It is a safe procedure that can be performed when routine EGD is performed for investigation of children suspected of having pancreatic exocrine dysfunction.
NOTE: Atropine use should be avoided before sample collections
Refer to the requisition form for shipping information. To set up account and reporting results, and for any questions regarding tests or sample shipping, please call 321-841-7820.
KIMBERLY-CLARK* Aspiration Catheters are designed for gentle aspiration of the duodenal fluid and facilitate collection and evaluation of the cholesterol crystal content of the biliary drainage.
Rounded, sealed catheter tip | Slit lateral openings with suction area | Disposable | Non-Sterile
Source: Endoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas Committee – PubMed (nih.gov)
Arnold Palmer Hospital for Children | Orlando Health
Endoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas Committee
Endoscopic Pancreatic Function Testing (ePFT) in Children: A… : Journal of Pediatric Gastroenterology and Nutrition (lww.com
Chronic Pancreatitis in Children – National Pancreas Foundation
Pancreatitis in pre-adolescent children: a 10 year experience in the pediatric emergency department | BMC Emergency Medicine | Full Text (biomedcentral.com)