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Recommendations from the United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis

Dominguez-Munoz, J. Enrique ; Andersson, Roland LU ; Regnér, Sara LU orcid and Hegyi, P. (2018) In Pancreatology 18(8). p.847-854
Abstract
Background: In collaboration with United European Gastroenterology, the working group on ‘Harmonizing diagnosis and treatment of chronic pancreatitis across Europe’ (HaPanEU) developed European guidelines for the management of chronic pancreatitis using an evidence-based approach. Methods: Recommendations of multidisciplinary review groups based on systematic literature reviews to answer predefined clinical questions are summarised. Recommendations are graded using the Grading of Recommendations Assessment, Development and Evaluation system. Results: Recommendations covered topics related to the clinical management of chronic pancreatitis: aetiology, diagnosis of chronic pancreatitis with imaging, diagnosis of pancreatic exocrine... (More)
Background: In collaboration with United European Gastroenterology, the working group on ‘Harmonizing diagnosis and treatment of chronic pancreatitis across Europe’ (HaPanEU) developed European guidelines for the management of chronic pancreatitis using an evidence-based approach. Methods: Recommendations of multidisciplinary review groups based on systematic literature reviews to answer predefined clinical questions are summarised. Recommendations are graded using the Grading of Recommendations Assessment, Development and Evaluation system. Results: Recommendations covered topics related to the clinical management of chronic pancreatitis: aetiology, diagnosis of chronic pancreatitis with imaging, diagnosis of pancreatic exocrine insufficiency, surgical therapy, medical therapy, endoscopic therapy, treatment of pancreatic pseudocysts, pancreatic pain, nutrition and malnutrition, diabetes mellitus and the natural course of the disease and quality of life. Conclusions: The HaPanEU/United European Gastroenterology guidelines provide evidence-based recommendations concerning key aspects of the medical and surgical management of chronic pancreatitis based on current available evidence. These recommendations should serve as a reference standard for existing management of the disease and as a guide for future clinical research. This article summarises the HaPanEU recommendations and statements. (Less)
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author
; ; and
author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Chronic pancreatitis, Development and evaluation (GRADE), Diabetes mellitus, Endoscopic therapy, Grading of recommendations assessment, Guidelines, Pain, Pancreatic exocrine insufficiency, Pseudocyst, Quality of life, analgesic agent, pancreas enzyme, analgesia, artificial embolization, calcification, chronic pancreatitis, conservative treatment, diabetes mellitus, dilated pancreatic duct, echography, endoscopic therapy, endoscopic ultrasonography, enzyme replacement, European, evidence based practice, exocrine pancreatic insufficiency, extracorporeal shock wave lithotripsy, false aneurysm, gastroenterologist, pancreatogenic diabetes, magnetic resonance cholangiopancreatography, malnutrition, nuclear magnetic resonance imaging, nutrition, nutritional assessment, practice guideline, pancreas disease, pancreas function test, pancreas pseudocyst, pancreas surgery, pancreatic duct, pancreatitis
in
Pancreatology
volume
18
issue
8
pages
8 pages
publisher
Karger
external identifiers
  • scopus:85055042635
ISSN
1424-3903
DOI
10.1016/j.pan.2018.09.016
language
English
LU publication?
yes
id
1826754e-d07f-4611-8ba5-a743f6b27582
date added to LUP
2020-01-07 18:14:28
date last changed
2023-05-09 15:03:28
@article{1826754e-d07f-4611-8ba5-a743f6b27582,
  abstract     = {{Background: In collaboration with United European Gastroenterology, the working group on ‘Harmonizing diagnosis and treatment of chronic pancreatitis across Europe’ (HaPanEU) developed European guidelines for the management of chronic pancreatitis using an evidence-based approach. Methods: Recommendations of multidisciplinary review groups based on systematic literature reviews to answer predefined clinical questions are summarised. Recommendations are graded using the Grading of Recommendations Assessment, Development and Evaluation system. Results: Recommendations covered topics related to the clinical management of chronic pancreatitis: aetiology, diagnosis of chronic pancreatitis with imaging, diagnosis of pancreatic exocrine insufficiency, surgical therapy, medical therapy, endoscopic therapy, treatment of pancreatic pseudocysts, pancreatic pain, nutrition and malnutrition, diabetes mellitus and the natural course of the disease and quality of life. Conclusions: The HaPanEU/United European Gastroenterology guidelines provide evidence-based recommendations concerning key aspects of the medical and surgical management of chronic pancreatitis based on current available evidence. These recommendations should serve as a reference standard for existing management of the disease and as a guide for future clinical research. This article summarises the HaPanEU recommendations and statements.}},
  author       = {{Dominguez-Munoz, J. Enrique and Andersson, Roland and Regnér, Sara and Hegyi, P.}},
  issn         = {{1424-3903}},
  keywords     = {{Chronic pancreatitis; Development and evaluation (GRADE); Diabetes mellitus; Endoscopic therapy; Grading of recommendations assessment; Guidelines; Pain; Pancreatic exocrine insufficiency; Pseudocyst; Quality of life; analgesic agent; pancreas enzyme; analgesia; artificial embolization; calcification; chronic pancreatitis; conservative treatment; diabetes mellitus; dilated pancreatic duct; echography; endoscopic therapy; endoscopic ultrasonography; enzyme replacement; European; evidence based practice; exocrine pancreatic insufficiency; extracorporeal shock wave lithotripsy; false aneurysm; gastroenterologist; pancreatogenic diabetes; magnetic resonance cholangiopancreatography; malnutrition; nuclear magnetic resonance imaging; nutrition; nutritional assessment; practice guideline; pancreas disease; pancreas function test; pancreas pseudocyst; pancreas surgery; pancreatic duct; pancreatitis}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{847--854}},
  publisher    = {{Karger}},
  series       = {{Pancreatology}},
  title        = {{Recommendations from the United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis}},
  url          = {{http://dx.doi.org/10.1016/j.pan.2018.09.016}},
  doi          = {{10.1016/j.pan.2018.09.016}},
  volume       = {{18}},
  year         = {{2018}},
}