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

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

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

Development and evaluation

consensus

quality

management

classification

insufficiency

strength

disease

grade

Gastroenterology & Hepatology

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