Evidence map›Paper›PMID 41245044›Full record

ArticleJPGN reports2025

Nutrition management of children with acute necrotizing pancreatitis following asparaginase: A case series.

Jodie Greear, Lauren Steele, Hope D Swanson, Nickhill Bhakta, Hiroto Inaba, Ching-Hon Pui, Karen Smith, Seth E Karol

Abstract read
In one paragraph

Article in JPGN reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jodie GreearDepartment of Clinical Nutrition Services St. Jude Children's Research Hospital Memphis Tennessee USA.
Lauren SteeleDepartment of Clinical Nutrition Services St. Jude Children's Research Hospital Memphis Tennessee USA.
Hope D SwansonDepartment of Pharmacy & Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA.
Nickhill BhaktaDepartment of Global Pediatric Medicine St. Jude Children's Research Hospital Memphis Tennessee USA.
Hiroto InabaDepartment of Oncology St. Jude Children's Research Hospital Memphis Tennessee USA.
Ching-Hon PuiDepartment of Global Pediatric Medicine St. Jude Children's Research Hospital Memphis Tennessee USA.
Karen SmithDepartment of Clinical Nutrition Services St. Jude Children's Research Hospital Memphis Tennessee USA.
Seth E KarolDepartment of Oncology St. Jude Children's Research Hospital Memphis Tennessee USA.ORCID https://orcid.org/0000-0001-8113-8180

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Gregory Armstrong · 1985 to 2026
$166.9M
Hypertension Intervention to Reduce Osteonecrosis in Children with Acute Lymphoblastic LeukemiaK08CA250418 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KAROL, SETH EVAN · 2020 to 2024
$1.1M
NCI NIH HHS K08 CA250418NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

Asparaginase is a critical component of modern therapy for acute lymphoblastic leukemia (ALL). Its use has improved cure rates for both children and adults with this disease. However, asparaginase therapy can be complicated by significant toxicities, including acute pancreatitis (AP). Such pancreatitis can be severe and result in life-threatening or fatal complications. Here, we describe five cases of severe asparaginase-induced pancreatitis in children receiving therapy for ALL. Despite maximal supportive care, these patients experienced severe symptoms and were unable to tolerate enteral nutrition (EN) initially after presentation. This case series highlights clinical features associated with intolerance to EN in this population. Providers should be mindful of these features when considering EN trials in patients with severe asparaginase-associated AP. Some patients may require total parenteral nutrition to adequately support nutrition and recovery in severe asparaginase-associated AP.

Indexed as

exocrine pancreatic insufficiencyleukemiapediatrictotal parenteral nutrition

Identifiers

PMID41245044
PMCPMC12611604

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.