**5. Conclusions**

The incidence of acute pancreatitis is increasing in children and it should be considered as part of differential diagnosis in case of abdominal pain. The etiology of acute pancreatitis in this subpopulation is related to several conditions and risk factors, such as drugs, obesity, infections, trauma and anatomic abnormalities but genetic predisposition represents the master causative factor.

Rapid and accurate assessment of severity is useful for selecting an appropriate initial treatment and predicting the prognosis. The International Study Group for Pediatric Pancreatitis: In Search for a Cure (INSPPIRE) focused on ARP and CP in pediatrics and we can delineate more accurately clinical presentations, risk factors and natural history of pediatric pancreatitis to define a more appropriate therapeutic strategy, often considering that a children is not a small adult.

*Pancreatitis*
