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. 2019 Oct;26(6):404-413.
doi: 10.1159/000497389. Epub 2019 Mar 28.

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

Eduardo Rodrigues-Pinto  1 , Ana Caldeira  2 , João Bruno Soares  3 , Teresa Antunes  4 , Joana Rita Carvalho  4 , José Costa-Maia  5 , Pedro Oliveira  6 , Richard Azevedo  2 , Rodrigo Liberal  1 , Tiago Bouça Machado  5 , Vitor Magno-Pereira  7 , Pedro Moutinho-Ribeiro  1
Affiliations

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

Eduardo Rodrigues-Pinto et al. GE Port J Gastroenterol. 2019 Oct.

Abstract

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.

Keywords: Chronic pancreatitis; Endoscopy; Medical treatment; Surgery.

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Conflict of interest statement

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

Figures

Fig. 1
Fig. 1
Algorithm approach to therapy of chronic pancreatitis.
See this image and copyright information in PMC

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