Italian consensus guidelines for chronic pancreatitis

Abstract This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements re...

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Bibliographic Details
Published in:Digestive and liver disease 2010-11, Vol.42, p.S381-S406
Main Authors: Frulloni, Luca, Falconi, Massimo, Gabbrielli, Armando, Gaia, Ezio, Graziani, Rossella, Pezzilli, Raffaele, Uomo, Generoso, Andriulli, Angelo, Balzano, Gianpaolo, Benini, Luigi, Calculli, Lucia, Campra, Donata, Capurso, Gabriele, Cavestro, Giulia Martina, De Angelis, Claudio, Ghezzo, Luigi, Manfredi, Riccardo, Malesci, Alberto, Mariani, Alberto, Mutignani, Massimiliano, Ventrucci, Maurizio, Zamboni, Giuseppe, Amodio, Antonio, Vantini, Italo
Format: Article
Language:English
Subjects:
Cholangiopancreatography
chronic
Complications
Diagnostic imaging
endoscopic retrograde
Gastroenterology and Hepatology
Humans
Italy
Pain
Pancreatic supplements
Pancreatitis
Pancreatitis, Chronic - diagnosis
Pancreatitis, Chronic - therapy
Quality of life
Radiography
Sphincterotomy
Steatorrhea
Surgery
Therapy
Ultrasonography
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Summary:Abstract This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery.
ISSN:1590-8658
1878-3562
DOI:10.1016/S1590-8658(10)60682-2