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Objectives:

Endoscopic ultrasound (EUS) is an established tool for evaluation of adults with acute recurrent pancreatitis (ARP) whereas data in pediatrics is limited. Our study assessed the role of EUS in identifying etiology including changes of chronic pancreatitis (CP) in children and adolescents with ARP.

Methods:

Children with ARP (≥ 2 episodes of acute pancreatitis [AP]) were prospectively evaluated with a detailed clinical proforma and EUS. Subjects with known etiology of ARP or CP on ultrasonography/computed tomography and magnetic resonance cholangiopancreatography (MRCP, Cambridge grade≥ 3) were excluded. Parenchymal and ductal changes on EUS as per minimal standards terminology (MST) features were noted.

Results:

Thirty-two children (22 boys, age 14 [8–18] years) with ARP (median of 3 [2–5] episodes of AP) were enrolled. EUS was safe and technically successful in all. Gall bladder …