Recommendations from the United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis
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. Recommendations of multidiscip...
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| Published in: | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] Vol. 18; no. 8; pp. 847 - 854 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Switzerland
Elsevier B.V
01-12-2018
Elsevier Limited |
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| Online Access: | Get full text |
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| Abstract | 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.
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.
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.
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. |
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| AbstractList | BACKGROUNDIn 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. METHODSRecommendations 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. RESULTSRecommendations 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. CONCLUSIONSThe 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. 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. 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. 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. 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. 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. 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. (C) 2018 Published by Elsevier B.V. on behalf of IAP and EPC. |
| Author | Manfredi, Riccardo Izbiki, Jakob R. Pap, Akos Giovannini, Marc Drewes, Asbjørn M. Hegyi, Peter Arvanitakis, Marianna Lindkvist, Björn Iglesias-Garcia, Julio Salvia, Roberto Piemonti, Lorenzo Boermeester, Marja A. Kartalis, Nikolaos Witt, Heiko Boraschi, Piero Gubergrits, Natalja Schneider, Alexander Bollen, Thomas Löhr, Matthias Olesen, Søren S. Drewes, Asbjørn Pukitis, Aldis Bruno, Marco Haas, Stephan L. Lyadov, Vladimir Stimac, Davor Ammori, Basil de Madaria, Enrique Friess, Helmut Deprez, Pierre Kocher, Hemant Keller, Jutta Akisik, Fatih Lerch, Markus M. Shvets, Oleg Dominguez-Munoz, J. Enrique Sauvanet, Alain Hauge, Truls Gheorghe, Christian Andersson, Roland Hardt, Philip Lindgren, Fredrik Dite´, Peter Costamagna, Guido Okhlobystiy, Alexey V. Dumonceau, Jean-Marc Czakó, László Rebours, Vinciane Cheyan, Güralp O. Barbu, Sorin Mayerle, Julia Hopper, Andrew Rudolf, Sasa Vujasinovic, Miroslav Duggan, Sinead Werner, Jens Frøkjær, Jens B. Drenth, Joost P. Rosendahl, Jonas Löhr, J. Matthias Besselink, Marc Petrone, Mariachiara Czako, Laszlo McKay, C |
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Rossi Hospital, Verona, Italy – sequence: 51 givenname: Alain surname: Sauvanet fullname: Sauvanet, Alain organization: Chirurgie Digestive et Visceral Hopital Beaujon, Clichy, France – sequence: 52 givenname: Sorin surname: Barbu fullname: Barbu, Sorin organization: Medicale Spitalul Universitar C.F. 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| ContentType | Journal Article |
| Contributor | Manfredi, Riccardo Pap, Akos Giovannini, Marc Hegyi, Peter Arvanitakis, Marianna Iglesias-Garcia, Julio Lindkvist, Björn Salvia, Roberto Piemonti, Lorenzo Lerch, Markus M Kartalis, Nikolaos Witt, Heiko Boraschi, Piero Dite, Peter Gubergrits, Natalja Schneider, Alexander Bollen, Thomas Löhr, Matthias Drewes, Asbjørn Olesen, Søren S Pukitis, Aldis Bruno, Marco Lyadov, Vladimir Stimac, Davor Ammori, Basil de Madaria, Enrique Friess, Helmut Deprez, Pierre Kocher, Hemant Keller, Jutta Cheyan, Güralp O Akisik, Fatih Shvets, Oleg Sauvanet, Alain Hauge, Truls Gheorghe, Christian Andersson, Roland Hardt, Philip Lindgren, Fredrik Costamagna, Guido Dumonceau, Jean-Marc Rebours, Vinciane Barbu, Sorin Mayerle, Julia Dominguez-Munoz, J Enrique Hopper, Andrew Rudolf, Sasa Vujasinovic, Miroslav Izbiki, Jakob R Duggan, Sinead Werner, Jens Drenth, Joost P Okhlobystin, Alexey V Rosendahl, Jonas Boermeester, Marja A Besselink, Marc Petrone, Mariachiara Frøkjær, Jens B Czako, Laszlo Haas, Stephan L McKay, Colin Phillips, Mary Oppong, Kofi Ganeh, Paula Regnér, Sara Focke |
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| Copyright | 2018 Copyright © 2018. Published by Elsevier B.V. Copyright Elsevier Limited Dec 2018 |
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| Keywords | CPRD PRSS1 FE-1 Pseudocyst MRI Guidelines QoL PERT Pain 13C-MTG-BT US Pancreatic exocrine insufficiency CPA1 EUS SPINK1 Chronic pancreatitis Diabetes mellitus Development and evaluation (GRADE) CEL CP DPPHR Quality of life HaPanEU CT Endoscopic therapy Grading of recommendations assessment PD PEI MRCP UEG GRADE CTRC CFTR CFA |
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| References | Gheorghe, Seicean, Saftoiu (bib7) 2015; 24 Schneider, Löhr, Singer (bib14) 2007; 42 De-Madaria, Abad-Gonzalez, Aparicio (bib8) 2013; 13 Löhr, Dominguez-Munoz, Rosendahl, Besselink, Mayerle, Lerch (bib1) 2017 Mar; 5 Etemad, Whitcomb (bib13) 2001; 120 Fitzsimmons, Johnson, George (bib17) 1999; 35 Guyatt, Oxman, Vist (bib10) 2008; 336 American Diabetes Association (bib16) 2018; 41 Delhaye, Van Steenbergen, Cesmeli (bib3) 2014; 77 Hoffmeister, Mayerle, Beglinger (bib4) 2015; 53 Working Party of the Australasian Pancreatic Club, Smith, Smith, Wilson (bib2) 2016; 16 Frulloni, Falconi, Gabbrielli (bib6) 2010; 42 Shimosegawa, Chari, Frulloni (bib12) 2011; 40 Eypasch, Williams, Wood-Dauphinee (bib18) 1995; 82 Takacs, Czako, Dubravcsik (bib5) 2015; 156 Schunemann, Oxman, Brozek (bib11) 2008; 336 Gianotti, Meier, Lobo (bib15) 2009; 28 Martinez, Abad-Gonzalez, Aparicio (bib9) 2013; 13 31757740 - Pancreatology. 2020 Jan;20(1):148 Takacs (10.1016/j.pan.2018.09.016_bib5) 2015; 156 Martinez (10.1016/j.pan.2018.09.016_bib9) 2013; 13 Schneider (10.1016/j.pan.2018.09.016_bib14) 2007; 42 Hoffmeister (10.1016/j.pan.2018.09.016_bib4) 2015; 53 Eypasch (10.1016/j.pan.2018.09.016_bib18) 1995; 82 Gianotti (10.1016/j.pan.2018.09.016_bib15) 2009; 28 Guyatt (10.1016/j.pan.2018.09.016_bib10) 2008; 336 Frulloni (10.1016/j.pan.2018.09.016_bib6) 2010; 42 Schunemann (10.1016/j.pan.2018.09.016_bib11) 2008; 336 De-Madaria (10.1016/j.pan.2018.09.016_bib8) 2013; 13 Etemad (10.1016/j.pan.2018.09.016_bib13) 2001; 120 Working Party of the Australasian Pancreatic Club (10.1016/j.pan.2018.09.016_bib2) 2016; 16 Gheorghe (10.1016/j.pan.2018.09.016_bib7) 2015; 24 Löhr (10.1016/j.pan.2018.09.016_bib1) 2017; 5 Delhaye (10.1016/j.pan.2018.09.016_bib3) 2014; 77 Fitzsimmons (10.1016/j.pan.2018.09.016_bib17) 1999; 35 Shimosegawa (10.1016/j.pan.2018.09.016_bib12) 2011; 40 American Diabetes Association (10.1016/j.pan.2018.09.016_bib16) 2018; 41 |
| References_xml | – volume: 13 start-page: 8 year: 2013 end-page: 17 ident: bib9 article-title: The Spanish Pancreatic Club recommendations for the diagnosis and treatment of chronic pancreatitis: Part 1 (diagnosis) publication-title: Pancreatology contributor: fullname: Aparicio – volume: 42 start-page: 101 year: 2007 end-page: 119 ident: bib14 article-title: The MANNHEIM classification of chronic pancreatitis: introduction of a unifying classification system based on a review of previous classifications of the disease publication-title: J Gastroenterol contributor: fullname: Singer – volume: 24 start-page: 117 year: 2015 end-page: 123 ident: bib7 article-title: Romanian guidelines on the diagnosis and treatment of exocrine pancreatic insufficiency publication-title: J Gastrointestin Liver Dis contributor: fullname: Saftoiu – volume: 41 start-page: S13 year: 2018 end-page: S27 ident: bib16 article-title: 2. Classification and diagnosis of diabetes: standards of medical care – 2018 publication-title: Diabetes Care contributor: fullname: American Diabetes Association – volume: 42 start-page: S381 year: 2010 end-page: S406 ident: bib6 article-title: Italian consensus guidelines for chronic pancreatitis publication-title: Dig Liver Dis contributor: fullname: Gabbrielli – volume: 336 start-page: 1106 year: 2008 end-page: 1110 ident: bib11 article-title: Grading quality of evidence and strength of recommendations for diagnostic tests and strategies publication-title: Br Med J contributor: fullname: Brozek – volume: 120 start-page: 682 year: 2001 end-page: 707 ident: bib13 article-title: Chronic pancreatitis: diagnosis, classification, and new genetic developments publication-title: Gastroenterology contributor: fullname: Whitcomb – volume: 13 start-page: 18 year: 2013 end-page: 28 ident: bib8 article-title: The Spanish Pancreatic Club's recommendations for the diagnosis and treatment of chronic pancreatitis: Part 2 (treatment) publication-title: Pancreatology contributor: fullname: Aparicio – volume: 35 start-page: 939 year: 1999 end-page: 941 ident: bib17 article-title: Development of a disease specific quality of life (QoL) questionnaire module to supplement the EORTC core cancer QoL questionnaire, the QLQ-C30 in patients with pancreatic cancer. EORTC Study Group on Quality of Life publication-title: Eur J Canc contributor: fullname: George – volume: 40 start-page: 352 year: 2011 end-page: 358 ident: bib12 article-title: International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the International Association of Pancreatology publication-title: Pancreas contributor: fullname: Frulloni – volume: 16 start-page: 164 year: 2016 end-page: 180 ident: bib2 article-title: Summary and recommendations from the Australasian guidelines for the management of pancreatic exocrine insufficiency publication-title: Pancreatology contributor: fullname: Wilson – volume: 336 start-page: 924 year: 2008 end-page: 926 ident: bib10 article-title: GRADE: an emerging consensus on rating quality of evidence and strength of recommendations publication-title: Br Med J contributor: fullname: Vist – volume: 28 start-page: 428 year: 2009 end-page: 435 ident: bib15 article-title: ESPEN guidelines on parenteral nutrition: Pancreas publication-title: Clin Nutr contributor: fullname: Lobo – volume: 5 start-page: 153 year: 2017 Mar end-page: 199 ident: bib1 article-title: United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU) publication-title: United European Gastroenterol J contributor: fullname: Lerch – volume: 156 start-page: 262 year: 2015 end-page: 288 ident: bib5 article-title: Chronic pancreatitis. 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| Title | Recommendations from the United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis |
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