GP184 The GerdQ questionnaire for diagnosis of gastro-esophageal reflux disease in children

Abstract

guided fine needle biopsy (FNB) was performed. An ERCP was performed in the same session with insertion of a double pigtail stent into the CBD. However over the following days the patient remained icteric.Histological samples were reviewed by both the adult and paediatric histopathology departments. The FNB specimens showed benign acinar groups and predominantly neutrophilic inflammatory infiltrate, acinar inflammation and fibrosis. There was no positive IgG4 staining in the few plasma cells.Once prednisolone was commenced the patient clinically and biochemically improved. A diagnosis of acute autoimmune pancreatitis was made. Discussion P-AIP presents with very different clinical and biochemical signs compared to adult type. This case report discusses the challenging issue of diagnosing P-AIP in Ireland and worldwide. Currently in Ireland there is no dedicated paediatric EUS service. International expert group consensus statements recommend that ideally P-AIP be confirmed by welldescribed and pathognomonic histopathological features in a pancreatic biopsy. This case report demonstrates how paediatric patients can benefit from adult subspecialist PB expertise allowing further radiological and histopathological information to achieve a definitive diagnosis of P-AIP. It is important that paediatricians and paediatric surgeons in Ireland and abroad be aware of the benefits of this collaboration in the P-AIP setting.