Publication Date:
2010
abstract:
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.
© 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
Keywords: Pancreatitis, chronic; Complications; Surgery; Radiography; Therapy; Ultrasonography; Cholangiopancreatography
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.
© 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
Keywords: Pancreatitis, chronic; Complications; Surgery; Radiography; Therapy; Ultrasonography; Cholangiopancreatography
Iris type:
1.1 Articolo in rivista
List of contributors:
Frulloni, L; Falconi, M; Gabbrielli, A; Gaia, E; Graziani, R; Pezzilli, R; Uomo, G; Andriulli, A; Balzano, G; Benini, L; Calculli, L; Campra, D; Capurso, G; Cavestro, Gm; De Angelis, C; Ghezzo, L; Manfredi, R; Malesci, A; Mariani, A; Mutignani, M; Ventrucci, M; Zamboni, G; Amodio, A; Vantini, I; Italian Association for the Study of the
Pancreas, (AISP); Bassi, C; Delle Fave, G; Frulloni, L; Vantini, I; Falconi, M; Frulloni, L; Gabbrielli, A; Graziani, R; Pezzilli, R; Capurso, Iv; Cavestro, Gm; De
Angelis, C; Falconi, M; Gaia, E; Ghezzo, L; Gabbrielli, A; Graziani, R; Manfredi, R; Malesci, A; Mariani, A; Mutignani, M; Pezzilli, R; Uomo, G; Ventrucci, M; Zamboni, G; Vantini, I; Magarini, F; Albarello, L; Alfieri, S; Amodio, A; Andriulli, A; Anti, M; Arcidiacono, P; Baiocchi, L; Balzano, G; Benini, L; Berretti, D; Boraschi, P; Buscarini
E, ; Calculli, L; Carroccio, A; Campra, D; Celebrano, Mr; Capurso, G; Casadei, R; Cavestro, Gm; Chilovi, F; Conigliaro, R; Dall'Oglio, L; De Angelis, C; De Boni, M; De
Pretis, G; Di Priolo, S; Di Sebastiano, Pl; Doglietto, Gb; Falconi, M; Filauro, M; Frieri, G; Frulloni, L; Fuini, A; Gaia, E; Ghezzo, L; Gabbrielli, A; Graziani, R; Loriga
P, ; Macarri, G; Manes, G; Manfredi, R; Malesci, A; Mariani, A; Massucco, P; Milani, S; Mutignani, M; Pasquali, C; Pederzoli, P; Pezzilli, R; Pietrangeli, M; Rocca, R; Russello, D; Siquini, W; Traina, M; Uomo, G; Veneroni, L; Ventrucci, M; Zilli, M; Zamboni, G.
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