Pediatric Gastroenterology, Center for Digestive Health and Nutrition, Arnold Palmer Hospital for Children of Orlando Health, Orlando, FL.
Pediatric Gastroenterology, Hepatology, and Nutrition, Stanford University, Palo Alto, CA.
J Pediatr Gastroenterol Nutr. 2021 Jan 1;72(1):144-150. doi: 10.1097/MPG.0000000000002931.
Endoscopic pancreatic function testing (ePFT) is one of the few ways to directly diagnose exocrine pancreatic insufficiency, and considerable confusion regarding indications, utility, and interpretation of the test remains. This position paper of the Pancreas Committee of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition reviews the history and indications for ePFT in children. We compare various methods in current practice and determine their strengths and limitations, and based on data from children and adults we provide guidance on a protocol on how to perform ePFT in children. Lastly, we pose areas in need of further research relating to ePFT in children.
内镜胰腺功能检测（ePFT）是直接诊断外分泌胰腺功能不全的少数方法之一，对于该检测的适应证、效用和解读仍存在诸多困惑。本文是北美儿科学胃肠病学、肝病学和营养学协会胰腺委员会的立场文件，回顾了儿童内镜胰腺功能检测的历史和适应证。我们比较了目前实践中的各种方法，并确定了它们的优缺点，根据来自儿童和成人的数据，我们为如何在儿童中进行内镜胰腺功能检测提供了一个方案指南。最后，我们提出了需要进一步研究的与儿童内镜胰腺功能检测相关的领域。
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