We have a six year old boy who has had pancreatitis for over five weeks now. His Lipase has been sitting at 3500 for the last 10 days(we have had numbers over 6500) and his amylase has been around 650 (we have has numbers over 1000). He has had an ultrasound, MRCP and a CAT scan and so far we have only come up with sludging in the gallbladder. We have been draining his stomach thru a N/G tube for 3 weeks, he has been NPO for the last 6 weeks. He is TPN dependent, has reflux, delayed gastric emptying, psydo obstruction and has ependymoma brain cancer which is in remission. He currently is on Zantac, TPN, hydrocortizone, Zophran, prilosec, Diludid PCA pump(for pain),
Vancomycin for a bacteria blood infection, levsin and flugonizal(?) for thrush. Is there anything else we should be doing besides draining his stomach and pain control? We don't see an end in site. He has had pancreatitis in the past. Any suggestions would be appreciated. Thanks!