Clube Português do Pâncreas Recommendations for Chronic Pancreatitis: Medical, Endoscopic, and Surgical Treatment (Part II)

Chronic pancreatitis (CP) is a complex disease that should be treated by experienced teams of gastroenterologists, radiologists, surgeons, and nutritionists in a multidisciplinary environment. Medical treatment includes lifestyle modification, nutrition, exocrine and endocrine pancreatic insufficien...

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Bibliographic Details
Published in:GE Portuguese journal of gastroenterology 2019-10, Vol.26 (6), p.404-413
Main Authors: Rodrigues-Pinto, Eduardo, Caldeira, Ana, Soares, João Bruno, Antunes, Teresa, Carvalho, Joana Rita, Costa-Maia, José, Oliveira, Pedro, Azevedo, Richard, Liberal, Rodrigo, Bouça Machado, Tiago, Magno-Pereira, Vitor, Moutinho-Ribeiro, Pedro
Format: Article
Language:English
Subjects:
Alcohol use
Chronic pancreatitis
Cysts
Diabetes
Diet
Endoscopy
Enzymes
Guidelines
Hyperglycemia
Insulin
Malnutrition
Meals
Medical treatment
Nutrition
Nutritional status
Pain management
Pancreatic cancer
Pancreatitis
Patients
Smoking
Substance abuse treatment
Surgery
Tobacco
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Summary:Chronic pancreatitis (CP) is a complex disease that should be treated by experienced teams of gastroenterologists, radiologists, surgeons, and nutritionists in a multidisciplinary environment. Medical treatment includes lifestyle modification, nutrition, exocrine and endocrine pancreatic insufficiency correction, and pain management. Up to 60% of patients will ultimately require some type of endoscopic or surgical intervention for treatment. However, regardless of the modality, they are often ineffective unless smoking and alcohol cessation is achieved. Surgery retains a major role in the treatment of CP patients with intractable chronic pain or suspected pancreatic mass. For other complications like biliary or gastroduodenal obstruction, pseudocyst drainage can be performed endoscopically. The recommendations for CP were developed by Clube Português do Pâncreas (CPP), based on literature review to answer predefined topics, subsequently discussed and approved by all members of CPP. Recommendations are separated in two parts: “chronic pancreatitis etiology, natural history, and diagnosis,” and “chronic pancreatitis medical, endoscopic, and surgical treatment.” This abstract pertains to part II.
ISSN:2341-4545
2387-1954
DOI:10.1159/000497389