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Hereditary Pancreatitis and Chronic Pancreatitis

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Textbook of Pediatric Gastroenterology, Hepatology and Nutrition
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Abstract

Chronic pancreatitis (CP) is a progressive inflammatory disorder of the pancreas characterized by irreversible structural changes and fibrotic replacement of the pancreatic parenchyma leading to permanent loss of exocrine and endocrine function (Lowe, Curr Gastroenterol Rep 6(3):240–246, 2004; Pediatric practice gastroenterology, McGraw Hill, New York, pp. 428–440, 2010; Morinville et al., J Pediatr Gastroenterol Nutr 55(3):261–265, 2012; Nydegger et al., J Gastroenterol Hepatol 21(3):499–509, 2006). The overall incidence of CP in adults is 2–4 per 100,000 persons per year and has increased over the years (Yadav et al., Am J Gastroenterol 106(12):2192–2199, 2011; Spanier et al., World J Gastroenterol. 19(20):3018–3026, 2013). The prevalence of CP in childhood is unknown, but estimated to be low. This chapter outlines the main forms of CP in children, with an emphasis on the hereditary forms.

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References

  1. Lowe ME. Pancreatitis in childhood. Curr Gastroenterol Rep. 2004;6(3):240–6.

    Article  PubMed  Google Scholar 

  2. Lowe ME. Acute and chronic pancreatitis. In: Bishop WP, editor. Pediatric practice gastroenterology. New York: McGraw Hill; 2010. p. 428–40.

    Google Scholar 

  3. Morinville VD, Husain SZ, Bai H, Barth B, Alhosh R, Durie PR, et al. Definitions of pediatric pancreatitis and survey of present clinical practices. J Pediatr Gastroenterol Nutr. 2012;55(3):261–5.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Nydegger A, Couper RT, Oliver MR. Childhood pancreatitis. J Gastroenterol Hepatol. 2006;21(3):499–509.

    Article  PubMed  Google Scholar 

  5. Yadav D, Timmons L, Benson JT, Dierkhising RA, Chari ST. Incidence, prevalence, and survival of chronic pancreatitis: a population-based study. Am J Gastroenterol. 2011;106(12):2192–9.

    Article  PubMed  Google Scholar 

  6. Spanier B, Bruno MJ, Dijkgraaf MG. Incidence and mortality of acute and chronic pancreatitis in the Netherlands: a nationwide record-linked cohort study for the years 1995–2005. World J Gastroenterol. 2013;19(20):3018–26.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001;120(3):682–707.

    Article  CAS  PubMed  Google Scholar 

  8. Lowe ME, Greer JB. Pancreatitis in children and adolescents. Curr Gastroenterol Rep. 2008;10(2):128–35.

    Article  PubMed  Google Scholar 

  9. Witt H, Apte MV, Keim V, Wilson JS. Chronic pancreatitis: challenges and advances in pathogenesis, genetics, diagnosis, and therapy. Gastroenterology 2007;132(4):1557–73.

    Article  CAS  PubMed  Google Scholar 

  10. Cote GA, Yadav D, Slivka A, Hawes RH, Anderson MA, Burton FR, et al. Alcohol and smoking as risk factors in an epidemiology study of patients with chronic pancreatitis. Clin Gastroenterol Hepatol. 2011;9(3):266–73 (quiz e27).

    Article  PubMed Central  PubMed  Google Scholar 

  11. Kandula L, Whitcomb DC, Lowe ME. Genetic issues in pediatric pancreatitis. Curr Gastroenterol Rep. 2006;8(3):248–53.

    Article  PubMed  Google Scholar 

  12. Witt H, Becker M. Genetics of chronic pancreatitis. J Pediatr Gastroenterol Nutr. 2002;34(2):125–36.

    Article  CAS  PubMed  Google Scholar 

  13. Lee YJ, Kim KM, Choi JH, Lee BH, Kim GH, Yoo HW. High incidence of PRSS1 and SPINK1 mutations in Korean children with acute recurrent and chronic pancreatitis. J Pediatr Gastroenterol Nutr. 2011;52(4):478–81.

    Article  CAS  PubMed  Google Scholar 

  14. Lucidi V, Alghisi F, Dall’Oglio L, D’Apice MR, Monti L, De Angelis P, et al. The etiology of acute recurrent pancreatitis in children: a challenge for pediatricians. Pancreas 2011;40(4): 517–21.

    Article  PubMed  Google Scholar 

  15. Sobczynska-Tomaszewska A, Bak D, Oralewska B, Oracz G, Norek A, Czerska K, et al. Analysis of CFTR, SPINK1, PRSS1 and AAT mutations in children with acute or chronic pancreatitis. J Pediatr Gastroenterol Nutr. 2006;43(3):299–306.

    Article  CAS  PubMed  Google Scholar 

  16. Sultan M, Werlin S, Venkatasubramani N. Genetic prevalence and characteristics in children with recurrent pancreatitis. J Pediatr Gastroenterol Nutr. 2012;54(5):645–50.

    Article  PubMed  Google Scholar 

  17. Witt H, Beer S, Rosendahl J, Chen JM, Chandak GR, Masamune A, et al. Variants in CPA1 are strongly associated with early onset chronic pancreatitis. Nat Genet. 2013;45(10):1216–20.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Raeder H, Johansson S, Holm PI, Haldorsen IS, Mas E, Sbarra V, et al. Mutations in the CEL VNTR cause a syndrome of diabetes and pancreatic exocrine dysfunction. Nat Genet. 2006;38(1): 54–62.

    Article  CAS  PubMed  Google Scholar 

  19. Whitcomb DC, Gorry MC, Preston RA, Furey W, Sossenheimer MJ, Ulrich CD, et al. Hereditary pancreatitis is caused by a mutation in the cationic trypsinogen gene. Nat Genet. 1996;14(2): 141–5.

    Article  CAS  PubMed  Google Scholar 

  20. Whitcomb DC. Hereditary pancreatitis: new insights into acute and chronic pancreatitis. Gut 1999;45(3):317–22.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Park AJ, Latif SU, Ahmad MU, Bultron G, Orabi AI, Bhandari V, et al. A comparison of presentation and management trends in acute pancreatitis between infants/toddlers and older children. J Pediatr Gastroenterol Nutr. 2010;51(2):167–70.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  22. Whitcomb DC. Genetic predispositions to acute and chronic pancreatitis. Med Clin North Am. 2000;84(3):531–47, vii.

    Article  CAS  PubMed  Google Scholar 

  23. pplebaum-Shapiro SE, Finch R, Pfutzer RH, Hepp LA, Gates L, Amann S, et al. Hereditary pancreatitis in North America: the Pittsburgh-Midwest Multi-Center Pancreatic Study Group study. Pancreatology 2001;1(5):439–43.

    Article  Google Scholar 

  24. DiMagno EP, Go VL, Summerskill WH. Relations between pancreatic enzyme ouputs and malabsorption in severe pancreatic insufficiency. N Engl J Med. 1973;288(16):813–5.

    Article  CAS  PubMed  Google Scholar 

  25. Ammann RW, Akovbiantz A, Largiader F, Schueler G. Course and outcome of chronic pancreatitis. Longitudinal study of a mixed medical-surgical series of 245 patients. Gastroenterology 1984;86(5 Pt 1):820–8.

    CAS  PubMed  Google Scholar 

  26. Layer P, Yamamoto H, Kalthoff L, Clain JE, Bakken LJ, DiMagno EP. The different courses of early- and late-onset idiopathic and alcoholic chronic pancreatitis. Gastroenterology 1994;107(5):1481–7.

    Article  CAS  PubMed  Google Scholar 

  27. Lowenfels AB, Maisonneuve P, Cavallini G, Ammann RW, Lankisch PG, Andersen JR, et al. Pancreatitis and the risk of pancreatic cancer. International Pancreatitis Study Group. N Engl J Med. 1993;328(20):1433–7.

    Article  CAS  PubMed  Google Scholar 

  28. Lowenfels AB, Maisonneuve P, DiMagno EP, Elitsur Y, Gates LK Jr, Perrault J, et al. Hereditary pancreatitis and the risk of pancreatic cancer. International Hereditary Pancreatitis Study Group. J Natl Cancer Inst. 1997;89(6):442–6.

    Article  CAS  PubMed  Google Scholar 

  29. Catalano MF, Sahai A, Levy M, Romagnuolo J, Wiersema M, Brugge W, et al. EUS-based criteria for the diagnosis of chronic pancreatitis: the Rosemont classification. Gastrointest Endosc. 2009;69(7):1251–61.

    Article  PubMed  Google Scholar 

  30. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 1997;20(7):1183–97.

    Google Scholar 

  31. Steer ML, Waxman I, Freedman S. Chronic pancreatitis. N Engl J Med. 1995;332(22):1482–90.

    Article  CAS  PubMed  Google Scholar 

  32. Darge K, Anupindi S. Pancreatitis and the role of US, MRCP and ERCP. PediatrRadiol. 2009;39 Suppl 2:S153–7.

    Google Scholar 

  33. Varadarajulu S, Wilcox CM, Eloubeidi MA. Impact of EUS in the evaluation of pancreaticobiliary disorders in children. Gastrointest Endosc. 2005;62(2):239–44.

    Article  PubMed  Google Scholar 

  34. Stevens T. Role of endoscopic ultrasonography in the diagnosis of acute and chronic pancreatitis. Gastrointest Endosc Clin N Am. 2013;23(4):735–47.

    Article  PubMed  Google Scholar 

  35. Hansen TM, Nilsson M, Gram M, Frokjaer JB. Morphological and functional evaluation of chronic pancreatitis with magnetic resonance imaging. World J Gastroenterol. 2013;19(42):7241–6.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Delaney L, Applegate KE, Karmazyn B, Akisik MF, Jennings SG. MR cholangiopancreatography in children: feasibility, safety, and initial experience. Pediatr Radiol. 2008;38(1):64–75.

    Article  PubMed  Google Scholar 

  37. Tipnis NA, Werlin SL. The use of magnetic resonance cholangiopancreatography in children. Curr Gastroenterol Rep. 2007;9(3):225–9.

    Article  PubMed  Google Scholar 

  38. Manfredi R, Lucidi V, Gui B, Brizi MG, Vecchioli A, Maresca G, et al. Idiopathic chronic pancreatitis in children: MR cholangiopancreatography after secretin administration. Radiology 2002;224(3):675–82.

    Article  PubMed  Google Scholar 

  39. Manfredi R, Costamagna G, Brizi MG, Maresca G, Vecchioli A, Colagrande C, et al. Severe chronic pancreatitis versus suspected pancreatic disease: dynamic MR cholangiopancreatography after secretin stimulation. Radiology 2000;214(3):849–55.

    Article  CAS  PubMed  Google Scholar 

  40. Trout AT, Podberesky DJ, Serai SD, Ren Y, Altaye M, Towbin AJ. Does secretin add value in pediatric magnetic resonance cholangiopancreatography? Pediatr Radiol. 2013;43(4):479–86.

    Article  PubMed  Google Scholar 

  41. Lee LS, Conwell DL. Update on advanced endoscopic techniques for the pancreas: endoscopic retrograde cholangiopancreatography, drainage and biopsy, and endoscopic ultrasound. Radiol Clin North Am. 2012;50(3):547–61.

    Article  CAS  PubMed  Google Scholar 

  42. Axon AT, Classen M, Cotton PB, Cremer M, Freeny PC, Lees WR. Pancreatography in chronic pancreatitis: international definitions. Gut 1984;25(10):1107–12.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  43. Kinney TP, Freeman ML. Recent advances and novel methods in pancreatic imaging. Minerva Gastroenterol Dietol. 2008;54(1): 85–95.

    CAS  PubMed  Google Scholar 

  44. Schneider A, Whitcomb DC. Hereditary pancreatitis: a model for inflammatory diseases of the pancreas. Best Pract Res Clin Gastroenterol. 2002;16(3):347–63.

    Article  PubMed  Google Scholar 

  45. Wilschanski M, Durie PR. Patterns of GI disease in adulthood associated with mutations in the CFTR gene. Gut 2007;56(8):1153–63.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  46. Durno C, Corey M, Zielenski J, Tullis E, Tsui LC, Durie P. Genotype and phenotype correlations in patients with cystic fibrosis and pancreatitis. Gastroenterology 2002;123(6):1857–64.

    Article  PubMed  Google Scholar 

  47. Cohn JA, Friedman KJ, Noone PG, Knowles MR, Silverman LM, Jowell PS. Relation between mutations of the cystic fibrosis gene and idiopathic pancreatitis. N Engl J Med. 1998;339(10):653–8.

    Article  CAS  PubMed  Google Scholar 

  48. Cohn JA, Neoptolemos JP, Feng J, Yan J, Jiang Z, Greenhalf W, et al. Increased risk of idiopathic chronic pancreatitis in cystic fibrosis carriers. Hum Mutat. 2005;26(4):303–7.

    Article  CAS  PubMed  Google Scholar 

  49. Sharer N, Schwarz M, Malone G, Howarth A, Painter J, Super M, et al. Mutations of the cystic fibrosis gene in patients with chronic pancreatitis. N Engl J Med. 1998;339(10):645–52.

    Article  CAS  PubMed  Google Scholar 

  50. Bishop MD, Freedman SD, Zielenski J, Ahmed N, Dupuis A, Martin S, et al. The cystic fibrosis transmembrane conductance regulator gene and ion channel function in patients with idiopathic pancreatitis. Hum Genet. 2005;118(3–4):372–81.

    Article  CAS  PubMed  Google Scholar 

  51. Cohn JA. Reduced CFTR function and the pathobiology of idiopathic pancreatitis. J Clin Gastroenterol. 2005; 39 4 Suppl 2: S70–7.

    Article  PubMed  Google Scholar 

  52. Castellani C, Cuppens H, Macek M Jr, Cassiman JJ, Kerem E, Durie P, et al. Consensus on the use and interpretation of cystic fibrosis mutation analysis in clinical practice. J Cyst Fibros. 2008;7(3):179–96.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  53. Ooi CY, Gonska T, Durie PR, Freedman SD. Genetic testing in pancreatitis. Gastroenterology 2010;138(7):2202–6.

    Article  CAS  PubMed  Google Scholar 

  54. Segal I, Yaakov Y, Adler SN, Blau H, Broide E, Santo M, et al. Cystic fibrosis transmembrane conductance regulator ion channel function testing in recurrent acute pancreatitis. J Clin Gastroenterol. 2008;42(7):810–4.

    Article  CAS  PubMed  Google Scholar 

  55. Witt H, Luck W, Hennies HC, Classen M, Kage A, Lass U, et al. Mutations in the gene encoding the serine protease inhibitor, Kazal type 1 are associated with chronic pancreatitis. Nat Genet. 2000;25(2):213–6.

    Article  CAS  PubMed  Google Scholar 

  56. Pfutzer RH, Barmada MM, Brunskill AP, Finch R, Hart PS, Neoptolemos J, et al. SPINK1/PSTI polymorphisms act as disease modifiers in familial and idiopathic chronic pancreatitis. Gastroenterology. 2000;119(3):615–23.

    Article  CAS  PubMed  Google Scholar 

  57. Rosendahl J, Witt H, Szmola R, Bhatia E, Ozsvari B, Landt O, et al. Chymotrypsin C (CTRC) variants that diminish activity or secretion are associated with chronic pancreatitis. Nat Genet. 2008;40(1):78–82.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  58. Masson E, Chen JM, Scotet V, Le Marechal C, Ferec C. Association of rare chymotrypsinogen C (CTRC) gene variations in patients with idiopathic chronic pancreatitis. Hum Genet. 2008;123(1):83–91.

    Article  CAS  PubMed  Google Scholar 

  59. Chang MC, Chang YT, Wei SC, Liang PC, Jan IS, Su YN, et al. Association of novel chymotrypsin C gene variations and haplotypes in patients with chronic pancreatitis in Chinese in Taiwan. Pancreatology 2009;9(3):287–92.

    Article  PubMed  Google Scholar 

  60. Schibli S, Corey M, Gaskin KJ, Ellis L, Durie PR. Towards the ideal quantitative pancreatic function test: analysis of test variables that influence validity. Clin Gastroenterol Hepatol. 2006;4(1): 90–7.

    Article  PubMed  Google Scholar 

  61. Daftary A, Acton J, Heubi J, Amin R. Fecal elastase-1: utility in pancreatic function in cystic fibrosis. J Cyst Fibros. 2006;5(2): 71–6.

    Article  CAS  PubMed  Google Scholar 

  62. Balci NC, Alkaade S, Magas L, Momtahen AJ, Burton FR. Suspected chronic pancreatitis with normal MRCP: findings on MRI in correlation with secretin MRCP. J Magn Reson Imaging. 2008;27(1):125–31.

    Article  PubMed  Google Scholar 

  63. Balci NC, Smith A, Momtahen AJ, Alkaade S, Fattahi R, Tariq S, et al. MRI and S-MRCP findings in patients with suspected chronic pancreatitis: correlation with endoscopic pancreatic function testing (ePFT). J Magn Reson Imaging. 2010;31(3):601–6.

    Article  PubMed  Google Scholar 

  64. Manfredi R, Perandini S, Mantovani W, Frulloni L, Faccioli N, Pozzi Mucelli R. Quantitative MRCP assessment of pancreatic exocrine reserve and its correlation with faecal elastase-1 in patients with chronic pancreatitis. Radiol Med. 2012;117(2): 282–92.

    Article  CAS  PubMed  Google Scholar 

  65. Olesen SS, Bouwense SA, Wilder-Smith OH, van Goor H, Drewes AM. Pregabalin reduces pain in patients with chronic pancreatitis in a randomized, controlled trial. Gastroenterology 2011;141(2):536–43.

    Article  CAS  PubMed  Google Scholar 

  66. Isaksson G, Ihse I. Pain reduction by an oral pancreatic enzyme preparation in chronic pancreatitis. Dig Dis Sci. 1983;28(2): 97–102.

    Article  CAS  PubMed  Google Scholar 

  67. Slaff J, Jacobson D, Tillman CR, Curington C, Toskes P. Protease-specific suppression of pancreatic exocrine secretion. Gastroenterology 1984;87(1):44–52.

    CAS  PubMed  Google Scholar 

  68. Mossner J, Secknus R, Meyer J, Niederau C, Adler G. Treatment of pain with pancreatic extracts in chronic pancreatitis: results of a prospective placebo-controlled multicenter trial. Digestion 1992;53(1–2):54–66.

    CAS  PubMed  Google Scholar 

  69. Halgreen H, Pedersen NT, Worning H. Symptomatic effect of pancreatic enzyme therapy in patients with chronic pancreatitis. Scand J Gastroenterol. 1986;21(1):104–8.

    Article  CAS  PubMed  Google Scholar 

  70. Shafiq N, Rana S, Bhasin D, Pandhi P, Srivastava P, Sehmby SS, et al. Pancreatic enzymes for chronic pancreatitis. Cochrane Database Syst Rev. 2009;(4):CD006302.

    Google Scholar 

  71. Bhardwaj P, Garg PK, Maulik SK, Saraya A, Tandon RK, Acharya SK. A randomized controlled trial of antioxidant supplementation for pain relief in patients with chronic pancreatitis. Gastroenterology 2009;136(1):149–59.

    Article  PubMed  Google Scholar 

  72. Siriwardena AK, Mason JM, Sheen AJ, Makin AJ, Shah NS. Antioxidant therapy does not reduce pain in patients with chronic pancreatitis: the ANTICIPATE study. Gastroenterology 2012;143(3):655–63, e1.

    Article  CAS  PubMed  Google Scholar 

  73. Forsmark CE. Management of chronic pancreatitis. Gastroenterology 2013;144(6):1282–91, e3.

    Article  PubMed  Google Scholar 

  74. Cremer M, Deviere J, Delhaye M, Baize M, Vandermeeren A. Stenting in severe chronic pancreatitis: results of medium-term follow-up in seventy-six patients. Endoscopy 1991;23(3):171–6.

    Article  CAS  PubMed  Google Scholar 

  75. Ponchon T, Bory RM, Hedelius F, Roubein LD, Paliard P, Napoleon B, et al. Endoscopic stenting for pain relief in chronic pancreatitis: results of a standardized protocol. Gastrointest Endosc. 1995;42(5):452–6.

    Article  CAS  PubMed  Google Scholar 

  76. American Gastroenterological Association. AGA Institute medical position statement on acute pancreatitis. Gastroenterology 2007;132(5):2019–21.

    Article  Google Scholar 

  77. Forsmark CE, Baillie J. AGA Institute technical review on acute pancreatitis. Gastroenterology 2007;132(5):2022–44.

    Article  CAS  PubMed  Google Scholar 

  78. Issa H, Al-Haddad A, Al-Salem AH. Diagnostic and therapeutic ERCP in the pediatric age group. Pediatr Surg Int. 2007;23(2): 111–6.

    Article  PubMed  Google Scholar 

  79. Graham KS, Ingram JD, Steinberg SE, Narkewicz MR. ERCP in the management of pediatric pancreatitis. Gastrointest Endosc. 1998;47(6):492–5.

    Article  CAS  PubMed  Google Scholar 

  80. Bhasin DK, Rana SS, Sidhu RS, Nagi B, Thapa BR, Poddar U, et al. Clinical presentation and outcome of endoscopic therapy in patients with symptomatic chronic pancreatitis associated with pancreas divisum. JOP 2013;14(1):50–6.

    PubMed  Google Scholar 

  81. DuBay D, Sandler A, Kimura K, Bishop W, Eimen M, Soper R. The modified Puestow procedure for complicated hereditary pancreatitis in children. J Pediatr Surg. 2000;35(2):343–8.

    Article  CAS  PubMed  Google Scholar 

  82. Rollins MD, Meyers RL. Frey procedure for surgical management of chronic pancreatitis in children. J Pediatr Surg. 2004;39(6):817–20.

    Article  PubMed  Google Scholar 

  83. Clifton MS, Pelayo JC, Cortes RA, Grethel EJ, Wagner AJ, Lee H, et al. Surgical treatment of childhood recurrent pancreatitis. J Pediatr Surg. 2007;42(7):1203–7.

    Article  PubMed  Google Scholar 

  84. Andersen DK, Frey CF. The evolution of the surgical treatment of chronic pancreatitis. Ann Surg. 2010;251(1):18–32.

    Article  PubMed  Google Scholar 

  85. Bellin MD, Carlson AM, Kobayashi T, Gruessner AC, Hering BJ, Moran A, et al. Outcome after pancreatectomy and islet autotransplantation in a pediatric population. J Pediatr Gastroenterol Nutr. 2008;47(1):37–44.

    Article  PubMed  Google Scholar 

  86. Bellin MD, Freeman ML, Schwarzenberg SJ, Dunn TB, Beilman GJ, Vickers SM, et al. Quality of life improves for pediatric patients after total pancreatectomy and islet autotransplant for chronic pancreatitis. Clin Gastroenterol Hepatol. 2011;9(9): 793–9.

    Article  PubMed Central  PubMed  Google Scholar 

  87. Kobayashi T, Manivel JC, Bellin MD, Carlson AM, Moran A, Freeman ML, et al. Correlation of pancreatic histopathologic findings and islet yield in children with chronic pancreatitis undergoing total pancreatectomy and islet autotransplantation. Pancreas 2010;39(1):57–63.

    Article  PubMed  Google Scholar 

  88. Wilson GC, Sutton JM, Salehi M, Schmulewitz N, Smith MT, Kucera S, et al. Surgical outcomes after total pancreatectomy and islet cell autotransplantation in pediatric patients. Surgery 2013;154(4):777–83, discussion 83–4.

    Article  PubMed  Google Scholar 

  89. Morinville VD, Lowe ME, Ahuja M, Barth B, Bellin MD, Davis H, et al. Design and Implementation of Insppire (International Study Group of Pediatric Pancreatitis: in Search for a Cure). J Pediatr Gastroenterol Nutr. 2014;59(3):360–4.

    Google Scholar 

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Uc, A., Wilschanski, M. (2016). Hereditary Pancreatitis and Chronic Pancreatitis. In: Guandalini, S., Dhawan, A., Branski, D. (eds) Textbook of Pediatric Gastroenterology, Hepatology and Nutrition. Springer, Cham. https://doi.org/10.1007/978-3-319-17169-2_34

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