Italian consensus guidelines for chronic pancreatitis

作者：Frulloni Luca^*; Falconi Massimo; Gabbrielli Armando; Gaia Ezio; Graziani Rossella; Pezzilli Raffaele; Uomo Generoso; Andriulli Angelo; Balzano Gianpaolo; Benini Luigi; Calculli Lucia; Campra Donata; Capurso Gabriele; Cavestro Giulia Martina; De Angelis Claudio; Ghezzo Luigi; Manfredi Riccardo; Malesci Alberto; Mariani Alberto; Mutignani Massimiliano; Ventrucci Maurizio; Zamboni Giuseppe; Amodio Antonio; Vantini Italo

来源：Digestive and Liver Disease, 2010, 42: S381-S406.

DOI：10.1016/S1590-8658(10)60682-2

• Pancreatitis, chronic
• Complications
• Surgery
• Radiography
• Therapy
• Ultrasonography
• Cholangiopancreatography, endoscopic retrograde
• Sphincterotomy
• Diagnostic imaging
• Pain
• Quality of life
• Steatorrhea
• Pancreatic supplements

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.

• 出版日期2010-11