Italian consensus guidelines for chronic pancreatitis

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Abstract

This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery.

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      Citation Excerpt :

      There will be a need for region or resource-sensitive normative data as baseline, and linguistically and culturally validated versions as normative differences observed in populations are multifactorial, including language, culture (with religion playing an important role). The criteria mentioned in table are proposed by the American Gastroenterological Association (AGA) [242] with aspects of pain from the literature [15,231,234,243], compared with recommendations from international consensus guidelines [243–246]. Question 26: What specific aspects of pain should be included in questionnaires for patients with PACP in contrast to general questionnaires for pain assessment?

    View all citing articles on Scopus

    Promoter: Italian Association for the Study of the Pancreas (AISP)

    AISP representatives: Claudio Bassi (President) and Gianfranco Delle Fave (past President)

    Project Coordinator: Luca Frulloni

    Methodology and Process Coordinator: Italo Vantini

    Scientific Board: Massimo Falconi, Luca Frulloni, Armando Gabbrielli, Rossella Graziani, Raffaele Pezzilli, Italo Vantini

    Working party participants: Angelo Andriulli, Gianpaolo Balzano, Luigi Benini, Lucia Calculli, Donata Campra, Gabriele Capurso, Giulia Martina Cavestro, Claudio De Angelis, Massimo Falconi, Ezio Gaia, Luigi Ghezzo, Armando Gabbrielli, Rossella Graziani, Riccardo Manfredi, Alberto Malesci, Alberto Mariani, Massimiliano Mutignani, Raffaele Pezzilli, Generoso Uomo, Maurizio Ventrucci, Giuseppe Zamboni

    Consensus non-voting chairman: Italo Vantini

    Representative of the non-governmental organization for citizen and patient rights Cittadinanzattiva: Flavio Magarini

    Consensus participants: Luca Albarello (Milano), Sergio Alfieri (Roma), Antonio Amodio (Verona), Angelo Andriulli (San Giovanni Rotondo), Marcello Anti (Viterbo), Piergiorgio Arcidiacono (Milano), Luca Baiocchi (Brescia), Gianpaolo Balzano (Milano), Luigi Benini (Verona), Debora Berretti (Udine), Pietro Boraschi (Pisa), Elisabetta Buscarini (Crema), Lucia Calculli (Bologna), Antonio Carroccio (Palermo), Donata Campra (Torino), Mario Roberto Celebrano (Verona), Gabriele Capurso (Roma), Riccardo Casadei (Bologna), Giulia Martina Cavestro (Parma), Fausto Chilovi (Bolzano), Rita Conigliaro (Modena), Luigi Dall'Oglio (Roma), Claudio De Angelis (Torino), Michele De Boni (Feltre), Giovanni De Pretis (Trento), Sebastiano Di Priolo (Cagli), Pier Luigi Di Sebastiano (San Giovanni Rotondo), Giovanni Battista Doglietto (Roma), Massimo Falconi (Verona), Marco Filauro (Genova), Giuseppe Frieri (L'Aquila), Luca Frulloni (Verona), Arnaldo Fuini (Verona), Ezio Gaia (Torino), Luigi Ghezzo (Cuneo), Armando Gabbrielli (Verona), Rossella Graziani (Verona), Pietro Loriga (Cagliari), Giampiero Macarri

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