Chronic pancreatitis for the clinician: complications and special forms of the disease. Interdisciplinary position paper of the Catalan Society of Digestology (SCD) and the Catalan Pancreatic Society (SCPanc).

التفاصيل البيبلوغرافية
العنوان:	Chronic pancreatitis for the clinician: complications and special forms of the disease. Interdisciplinary position paper of the Catalan Society of Digestology (SCD) and the Catalan Pancreatic Society (SCPanc).
المؤلفون:	Molero X; Unit of Exocrine Pancreas Research, Department of Gastroenterology, VHIR, CIBERehd, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Barcelona, Spain - xavier.molero@vhir.org., Ayuso JR; Department of Radiology, CDI, IDIBAPS, Hospital Clínic Barcelona, Barcelona, Spain., Balsells J; Department of Hepato-Pancreato-Biliary and Transplantation Surgery, University Hospital Vall d'Hebron, Barcelona, Spain., Boadas J; Department of Gastroenterology, Consorci Sanitari de Terrassa, Terrassa, Spain., Busquets J; Department of Hepatobiliary and Pancreatic Surgery, IDIBELL, Bellvitge University Hospital, University of Barcelona, L'Hospitalet de Llobregat, Spain., Casteràs A; Unit of Diabetes and Metabolism Research, VHIR, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Barcelona, Spain., Concepción M; Department of Gastroenterology, Santa Creu i Sant Pau Hospital, Autonomous University of Barcelona, Barcelona, Spain., Cuatrecasas M; Department of Pathology, CIBEREHD, IDIBAPS, Hospital Clínic Barcelona, University of Barcelona, Barcelona, Spain., Fernàndez Esparrach G; Unit of Endoscopy, Department of Gastroenterology, CIBEREHD IDIBAPS, Hospital Clínic Barcelona, University of Barcelona, Barcelona, Spain., Fort E; Department of Gastroenterology, Doctor Josep Trueta University Hospital, Girona, Spain., Garcia Borobia F; Department of General and Digestive Surgery, Parc Taulí University Hospital, Sabadell, Spain., Ginès À; Unit of Endoscopy, Department of Gastroenterology, CIBEREHD IDIBAPS, Hospital Clínic Barcelona, University of Barcelona, Barcelona, Spain., Ilzarbe L; Department of Gastroenterology, Hospital del Mar Parc Salut Mar, Barcelona, Spain., Loras C; Department of Gastroenterology, CIBERehd, University of Barcelona, Terrassa, Spain., Masachs M; Department of Endocopy, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Terrassa, Spain., Merino X; Department of Radiodiagnostic, Vall d'Hebron University Hospital, Barcelona, Spain., Olsina JJ; Department of General Surgery, Institute for Research in Biomedicine of Lleida (IRBLleida), University Hospital Arnau de Vilanova, Lleida, Spain., Puig-Diví V; Department of Gastroenterology, Parc Taulí Research and Innovation Institute I3PT, Parc Taulí University Hospital, Sabadell, Spain., Salord S; Unit of Hepato-Bilio-Pancreatic, Department of Digestive Diseases, IDIBELL, Bellvitge University Hospital, University of Barcelona, L'Hospitalet de Llobregat, Spain., Serrano T; Department of Pathology, IDIBELL, CIBERehd, Bellvitge University Hospital, L'Hospitalet de Llobregat, Spain., Vaquero EC; Department of Gastroenterology, CIBEREHD IDIBAPS, Hospital Clínic Barcelona, University of Barcelona, Barcelona, Spain.
المصدر:	Minerva gastroenterology [Minerva Gastroenterol (Torino)] 2024 Jun; Vol. 70 (2), pp. 208-224. Date of Electronic Publication: 2022 Mar 08.
نوع المنشور:	Journal Article; Practice Guideline; Review
اللغة:	English
بيانات الدورية:	Publisher: Minerva Medica Country of Publication: Italy NLM ID: 101777280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2724-5365 (Electronic) Linking ISSN: 27245985 NLM ISO Abbreviation: Minerva Gastroenterol (Torino) Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Torino : Minerva Medica, [2021]-
مواضيع طبية MeSH:	Pancreatitis, Chronic/diagnosis , Pancreatitis, Chronic/therapy , Pancreatitis, Chronic*/complications, Humans ; Pancreatic Neoplasms/diagnosis ; Pancreatic Neoplasms/therapy ; Autoimmune Pancreatitis/diagnosis ; Autoimmune Pancreatitis/therapy
مستخلص:	Chronic pancreatitis tends to develop a number of complications that may constitute the form of presentation of the disease. Some societies have issued guidelines for diagnosis and treatment of chronic pancreatitis complications, but the level of evidence for any topic is usually low and recommendations tend to be weak. We aimed to provide defined position statements for the clinician based on updated review of published literature and on multidisciplinary expert agreement. The goal was to propose defined terminology and rational diagnostic/therapeutic circuits based on current knowledge. To this end 14 sections related to complications and special forms of chronic pancreatitis (early chronic, groove and autoimmune pancreatitis) were reviewed by 21 specialists from 6 different fields to generate 32 statements. Featured statements assert common bile duct stenosis does not require invasive treatment (endoscopic or surgical) unless cholestasis, cholangitis, lithiasis or other symptoms develop. Pancreatic duct strictures and calculi should be approached (after ruling out malignancy) if causing pain, pancreatitis, pseudocysts or other complications. Treatment of symptomatic pseudocysts must be individualized, considering associated main duct stenosis, vascular and pericystic complications. Higher risk conditions for pancreatic cancer are advance age, smoking, genetic background, recent diagnosis of chronic pancreatitis or diabetes, and appearance of new symptoms. Groove pancreatitis can initially be treated with conservative measures. Both prednisolone or rituximab can induce remission and maintenance of autoimmune pancreatitis. Internal fistula, vascular complications, bacterial overgrowth, osteoporosis and renal lithiasis require specific therapeutic approaches.
تواريخ الأحداث:	Date Created: 20220309 Date Completed: 20240531 Latest Revision: 20240603
رمز التحديث:	20240604
DOI:	10.23736/S2724-5985.22.03127-8
PMID:	35262306
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2724-5365
DOI:	10.23736/S2724-5985.22.03127-8