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

Chronic pancreatitis Endoscopy Medical treatment Surgery

Journal

GE Portuguese journal of gastroenterology
ISSN: 2341-4545
Titre abrégé: GE Port J Gastroenterol
Pays: Switzerland
ID NLM: 101685861

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 14 12 2018
accepted: 31 01 2019
entrez: 14 12 2019
pubmed: 14 12 2019
medline: 14 12 2019
Statut: ppublish

Résumé

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

Identifiants

pubmed: 31832495
doi: 10.1159/000497389
pii: pjg-0026-0404
pmc: PMC6876592
doi:

Types de publication

Journal Article

Langues

eng

Pagination

404-413

Informations de copyright

Copyright © 2019 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

All authors disclose no personal conflicts of interest or financial relationships relevant to this publication.

Références

Gastroenterology. 1988 Oct;95(4):1063-8
pubmed: 3410221
Clin Nutr. 2006 Apr;25(2):275-84
pubmed: 16678943
HPB (Oxford). 2017 Nov;19(11):978-985
pubmed: 28821411
Gastrointest Endosc. 1991 Sep-Oct;37(5):511-7
pubmed: 1936826
Chirurg. 1995 Apr;66(4):350-9
pubmed: 7634946
Curr Treat Options Gastroenterol. 2007 Oct;10(5):369-75
pubmed: 17897575
Am J Gastroenterol. 1999 Apr;94(4):900-5
pubmed: 10201454
Surgery. 2015 Oct;158(4):872-8; discussion 879-80
pubmed: 26173686
Gastrointest Endosc. 2004 Dec;60(6):945-52
pubmed: 15605010
Gastrointest Endosc Clin N Am. 2013 Oct;23(4):863-92
pubmed: 24079795
Gastroenterology. 2011 Aug;141(2):536-43
pubmed: 21683078
Arch Surg. 2012 Oct;147(10):925-32
pubmed: 23117832
Pancreatology. 2014 Jan-Feb;14(1):27-35
pubmed: 24555976
United European Gastroenterol J. 2016 Oct;4(5):697-705
pubmed: 27733912
Gut. 2017 Aug;66(8):1354-1355
pubmed: 27941156
World J Surg. 2003 Nov;27(11):1258-70
pubmed: 14534824
Dig Dis Sci. 1999 Jun;44(6):1107-16
pubmed: 10389680
Gastroenterol Clin North Am. 2016 Mar;45(1):45-65
pubmed: 26895680
Pancreas. 1995 Jul;11(1):77-85
pubmed: 7667246
Gut. 2005 Jul;54 Suppl 6:vi1-28
pubmed: 15951527
Mayo Clin Proc. 2001 Mar;76(3):242-51
pubmed: 11243270
Clin Gastroenterol Hepatol. 2011 Jul;9(7):541-6
pubmed: 21377551
Nat Rev Dis Primers. 2017 Sep 07;3:17060
pubmed: 28880010
Gastroenterology. 2008 May;134(5):1406-11
pubmed: 18471517
Gastrointest Endosc. 1996 Jun;43(6):547-55
pubmed: 8781931
Gastroenterol Res Pract. 2017;2017:8418372
pubmed: 28819358
Gastroenterology. 2008 May;134(5):1605-7
pubmed: 18471528
Ann Surg. 1993 May;217(5):430-5; discussion 435-8
pubmed: 8098202
Endoscopy. 2006 Apr;38(4):355-9
pubmed: 16680634
Ann Surg. 1990 Apr;211(4):447-58
pubmed: 2322039
Pancreas. 2014 Nov;43(8):1143-62
pubmed: 25333398
Pancreas. 2015 Jul;44(5):819-23
pubmed: 25882695
BMC Gastroenterol. 2009 Dec 17;9:96
pubmed: 20017920
Surg Gynecol Obstet. 1970 Jun;130(6):1049-53
pubmed: 4192028
Gastrointest Endosc. 2006 Jun;63(7):933-7
pubmed: 16733106
J Gastrointest Surg. 2002 Mar-Apr;6(2):173-9; discussion 179-80
pubmed: 11992802
Pancreatology. 2017 Sep - Oct;17(5):720-731
pubmed: 28734722
Gastrointest Endosc. 2006 Mar;63(3):409-16
pubmed: 16500388
PLoS One. 2013;8(2):e55460
pubmed: 23405154
Ann Oncol. 2012 Jul;23(7):1880-8
pubmed: 22104574
Pancreas. 2012 Mar;41(2):264-70
pubmed: 21792080
Pancreatology. 2013 May-Jun;13(3):238-42
pubmed: 23719594
Ann Surg. 1960 Dec;152:1037-43
pubmed: 13733040
Pancreatology. 2005;5(6):547-52
pubmed: 16110253
Endoscopy. 2002 Oct;34(10):765-71
pubmed: 12244496
N Engl J Med. 1993 May 20;328(20):1433-7
pubmed: 8479461
Pancreas. 2012 Nov;41(8):1219-24
pubmed: 23086245
Pancreas. 1994 Jan;9(1):42-6
pubmed: 8108370
Digestion. 1993;54(3):148-55
pubmed: 8359556
J Clin Gastroenterol. 2002 Jul;35(1):71-4
pubmed: 12080230
United European Gastroenterol J. 2017 Mar;5(2):153-199
pubmed: 28344786
Acta Gastroenterol Belg. 2014 Mar;77(1):47-65
pubmed: 24761691
Gastrointest Endosc. 1995 Nov;42(5):461-7
pubmed: 8566639
J Pediatr Pharmacol Ther. 2007 Apr;12(2):115-28
pubmed: 23055848
Lancet. 2009 Oct 10;374(9697):1252-61
pubmed: 19796802
Gut. 2005 Apr;54(4):510-4
pubmed: 15753536
Am J Gastroenterol. 2001 Feb;96(2):409-16
pubmed: 11232683
Aust N Z J Surg. 1996 Apr;66(4):210-3
pubmed: 8611126
Clin Gastroenterol Hepatol. 2011 Mar;9(3):266-73; quiz e27
pubmed: 21029787
Z Gastroenterol. 2015 Dec;53(12):1447-95
pubmed: 26666283
Gastrointest Endosc. 1996 Jun;43(6):556-60
pubmed: 8781932
Pancreatology. 2013 Jul-Aug;13(4):336-42
pubmed: 23890130
Dig Liver Dis. 2013 Feb;45(2):129-33
pubmed: 23036185
Endoscopy. 2012 Aug;44(8):784-800
pubmed: 22752888

Auteurs

Eduardo Rodrigues-Pinto (E)

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

Ana Caldeira (A)

Gastroenterology Department, Hospital Amato Lusitano, Castelo Branco, Portugal.

João Bruno Soares (JB)

Gastroenterology Department, Hospital de Braga, Braga, Portugal.

Teresa Antunes (T)

Gastroenterology Department, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.

Joana Rita Carvalho (JR)

Gastroenterology Department, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.

José Costa-Maia (J)

Surgery Department, Centro Hospitalar de São João, Porto, Portugal.

Pedro Oliveira (P)

Radiology Department, Hospital de Braga, Braga, Portugal.

Richard Azevedo (R)

Gastroenterology Department, Hospital Amato Lusitano, Castelo Branco, Portugal.

Rodrigo Liberal (R)

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

Tiago Bouça Machado (T)

Surgery Department, Centro Hospitalar de São João, Porto, Portugal.

Vitor Magno-Pereira (V)

Gastroenterology Department, Hospital Central do Funchal, Funchal, Portugal.

Pedro Moutinho-Ribeiro (P)

Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.

Classifications MeSH