Chronic pancreatitis for the clinician. Part 1: Etiology and diagnosis. Interdisciplinary position paper of the Societat Catalana de Digestologia and the Societat Catalana de Pancrees
Por:
Molero, X, Ayuso, JR, Balsells, J, Boadas, J, Busquets, J, Casteras, A, Concepcion, M, Cuatrecasas, M, Esparrach, GF, Fort, E, Borobia, FG, Gines, A, Ilzarbe, L, Loras, C, Masachs, M, Merino, X, Olsina, JJ, Puig-Divi, V, Salord, S, Serrano, T, Vaquero, EC
Publicada:
1 mar 2022
Ahead of Print:
1 feb 2022
Resumen:
Chronic pancreatitis is a chronic fibroinflammatory disease of the pancreas with prevalence around 50 cases per 100,000 inhabitants. It appears to originate from diverse and yet mixed etiological factors. It shows highly variable presenting features, complication types and disease progression rates. Treatment options are as wide as the multiple personalized scenarios the disease might exhibit at a given time point. Some medical societies have developed guidelines for diagnosis and treatment based on scientific evidence. Although these efforts are to be acknowledged, the gathered level of evidence for any topic is usually low and, therefore, recommendations tend to be vague or weak.
In the present series of position papers on chronic pancreatitis from the Societat Catalana de Digestologia and the Societat Catalana de Pancrees we aimed at providing defined position statements for the clinician based on updated review of published literature and on interdisciplinary expert agreement. The final goal is to propose the use of common terminology and rational diagnostic/therapeutic circuits based on current knowledge. To this end 51 sections related to chronic pancreatitis were reviewed by 21 specialists from 6 different fields to generate 88 statements altogether. Statements were designed to harmonize concepts or delineate recommendations. Part 1 of this paper series discusses topics on aetiology and diagnosis of chronic pancreatitis. Main clinical features are abdominal pain, exocrine and endocrine insufficiency and symptoms derived from complications. Some patients remain symptom-free. Diagnosis (definitive, probable or uncertain) should be based on objective data obtained from imaging, histology, or functional tests. (C) 2021 Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Molero, X:
Hosp Univ Vall Hebron, Serv Aparell Digestiu, Barcelona, Spain
Vall Hebron Inst Recerca VHIR, Exocrine Pancreas Res Unit, Barcelona, Spain
Univ Autonoma Barcelona, Barcelona, Spain
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Ayuso, JR:
Hosp Clin Barcelona, Ctr Diagnost Imatge Clin, Serv Radiol, Barcelona, Spain
Inst Invest Biomed August Pi Sunyer, Barcelona, Spain
Balsells, J:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp Univ Vall Hebron, Serv Cirurgia Hepato Bilio Pancreat, Barcelona, Spain
Boadas, J:
Hosp Terrassa, Serv Digestol, Barcelona, Spain
Busquets, J:
Hosp Univ Bellvitge, Unitat Cirurgia Hepatobiliar & Pancreat, Barcelona, Spain
Casteras, A:
Hosp Univ Vall Hebron, Serv Endocrinol, Barcelona, Spain
Concepcion, M:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Serv Gastroenterol, Barcelona, Spain
Cuatrecasas, M:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Inst Invest Biomed August Pi Sunyer, Barcelona, Spain
Hosp Clin Barcelona, Serv Anat Patol, Barcelona, Spain
Esparrach, GF:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Inst Invest Biomed August Pi Sunyer, Barcelona, Spain
Univ Barcelona, Hosp Clin, Unitat Endoscopia, Serv Gastroenterol, Barcelona, Spain
Fort, E:
Univ Girona UdG, Girona, Spain
Hosp Univ Parc Tauli, Unitat Cirurgia Hepatobiliopancreat, Serv Cirurgia Gen & Aparell Digestiu, Barcelona, Spain
Borobia, FG:
Hosp Mar Parc Salut Mar, Serv Digestiu, Barcelona, Spain
Gines, A:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Inst Invest Biomed August Pi Sunyer, Barcelona, Spain
Univ Barcelona, Hosp Clin, Unitat Endoscopia, Serv Gastroenterol, Barcelona, Spain
Ilzarbe, L:
Hosp Univ Mutua Terrassa, Serv Gastroenterol, Unitat Endoscopia, Barcelona, Spain
Loras, C:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Hosp Univ Vall Hebron, Serv Endoscopia Digest, Barcelona, Spain
Masachs, M:
Hosp Univ Vall Hebron, Unitat Imatge Abdominal, Serv Radiol, Barcelona, Spain
Merino, X:
Hosp Arnau Vilanova, Serv Cirurgia Gerenal & Aparell Digestiu, Lerida, Spain
Olsina, JJ:
Hosp Arnau Vilanova, Serv Cirurgia Gerenal & Aparell Digestiu, Lerida, Spain
Puig-Divi, V:
Univ Autonoma Barcelona, Barcelona, Spain
Corporacio Sanit Univ Parc Tauli, Serv Digestiu, Barcelona, Spain
Salord, S:
Hosp Univ Bellvitge IDIBELL, Serv Gastroenterol, Barcelona, Spain
Serrano, T:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Hosp Univ Bellvitge, Serv Anat Patol, Barcelona, Spain
Vaquero, EC:
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Inst Invest Biomed August Pi Sunyer, Barcelona, Spain
Hosp Clin Barcelona, Serv Gastroenterol, ICMDiM, Barcelona, Spain
Hosp Clin Barcelona, Gastrointestinal & Pancreat Oncol Res Grp, Barcelona, Spain
|