Vázquez-Frias R, Rivera-Suazo Y, Aguayo-Elorriaga A K, Alfaro-Bolaños J E, Argüello-Arévalo G A, Cadena-León J F, Chávez-Sáenz J A, Consuelo-Sánchez A, Cruz-Romero E V, Espinosa-Saavedra D, Espriu-Ramírez M X, Flores-Calderón J, González-Ortiz B, Hernández-Rosiles V, Ignorosa-Arellano K R, Jaramillo-Esparza C M, Lozano-Hernández F R, Larrosa-Haro A, Leal-Quiroga U, Macias-Flores J A, Martínez-Leo B A, Martínez-Vázquez A, Mendoza-Tavera N M J, Pacheco-Sotelo S, Reyes-Apodaca M, Sánchez-Ramírez C A, Sifuentes-Vela C A, Sosa-Arce M, Zárate-Mondragón F E
Departamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Instituto Nacional de Salud, Mexico City, Mexico.
Hospital Star Médica Infantil Privado, Mexico City, Mexico.
Rev Gastroenterol Mex (Engl Ed). 2023 Jul-Sep;88(3):267-281. doi: 10.1016/j.rgmxen.2023.04.011. Epub 2023 Jun 17.
Acute pancreatitis (AP) and recurrent acute pancreatitis (RAP) are conditions, whose incidence is apparently on the rise. Despite the ever-increasing evidence regarding the management of AP in children and adults, therapeutic actions that could potentially affect having a poor prognosis in those patients, especially in the pediatric population, continue to be carried out. Therefore, the Asociación Mexicana de Gastroenterología convened a group of 24 expert pediatric gastroenterologists from different institutions and areas of Mexico, as well as 2 pediatric nutritionists and 2 specialists in pediatric surgery, to discuss different aspects of the epidemiology, diagnosis, and treatment of AP and RAP in the pediatric population. The aim of this document is to present the consensus results. Different AP topics were addressed by 6 working groups, each of which reviewed the information and formulated statements considered pertinent for each module, on themes involving recommendations and points of debate, concerning diagnostic or therapeutic approaches. All the statements were presented and discussed. They were then evaluated through a Delphi process, with electronic and anonymous voting, to determine the level of agreement on the statements. A total of 29 statements were formulated, all of which reached above 75% agreement in the first round of voting.
急性胰腺炎（AP）和复发性急性胰腺炎（RAP）的发病率明显呈上升趋势。尽管关于儿童和成人AP管理的证据不断增加，但那些可能影响患者预后不良的治疗措施，尤其是在儿科人群中，仍在继续实施。因此，墨西哥胃肠病学协会召集了来自墨西哥不同机构和领域的24位儿科胃肠病学专家、2位儿科营养师和2位儿科外科专家，讨论儿科人群中AP和RAP的流行病学、诊断和治疗的不同方面。本文档的目的是展示共识结果。6个工作组讨论了不同的AP主题，每个工作组都审查了相关信息，并就涉及诊断或治疗方法的建议和辩论要点等主题，制定了各模块相关的声明。所有声明都进行了展示和讨论。然后通过德尔菲法进行评估，采用电子匿名投票来确定对声明的一致程度。共制定了29项声明，所有声明在第一轮投票中均获得了超过75%的同意率。
