Expert recommendations for pancreatitis/pancreatic necrosis treatment after L-asparaginase in children with acute lymphoblastic leukemia

Author:

Valiev T. T.1ORCID,Kumirova E. V.2ORCID,Rozinov V. M.3ORCID,Panferova T. R.4ORCID,Khvorostov I. N.5ORCID,Kondratchik K. L.5ORCID,Fuks O. Yu.5ORCID,Kerimov P. A.4ORCID,Matinyan N. V.6ORCID,Belyaeva A. V.3ORCID,Efremenkov A. M.7ORCID,Bystrova A. A.5ORCID,Kurkin A. P.5ORCID,Gorev V. V.5ORCID

Affiliation:

1. N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

2. N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; Morozov Children’s City Clinical Hospital, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

3. Yu.E. Veltishchev Research and Clinical Institute for Pediatrics and Pediatric Surgery, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

4. N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

5. Morozov Children’s City Clinical Hospital, Moscow Healthcare Department

6. N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

7. Central Clinical Hospital with Polyclinic, Presidential Administration of the Russian Federation

Abstract

L-asparaginase is one of the most effective drugs in pediatric and adult acute lymphoblastic leukemia treatment. But drug side effects are an important problem. pancreatitis and pancreatic necrosis are not common (2–18 %) complication, but high chance of severe disease with fatal outcome make to bring in careful attention of pediatric oncologists-hematologists, surgeons, intensivists, radiologists. Recognizing multidisciplinary importance of this problem, at June 21st, 2023 at Morozov Children’s Clinical hospital a Round table on pancreatitis/pancreatic necrosis after L-asparaginase use was organized. This article presents expert recommendations from federal and regional clinics in diagnosis and treatment of such severe complication.

Publisher

Publishing House ABV Press

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