title: The Spanish Pancreatic Club's recommendations for the diagnosis and treatment of chronic pancreatitis: part 2 (treatment).
abstract: Chronic pancreatitis (CP) is a complex disease with a wide range of clinical manifestations. This range comprises from asymptomatic patients to patients with disabling symptoms or complications. The management of CP is frequently different between geographic areas and even medical centers. This is due to the paucity of high quality studies and clinical practice guidelines regarding its diagnosis and treatment. The aim of the Spanish Pancreatic Club was to give current evidence-based recommendations for the management of CP. Two coordinators chose a multidisciplinary panel of 24 experts on this disease. These experts were selected according to clinical and research experience in CP. A list of questions was made and two experts reviewed each question. A draft was later produced and discussed with the entire panel of experts in a face-to-face meeting. The level of evidence was based on the ratings given by the Oxford Centre for Evidence-Based Medicine. In the second part of the consensus, recommendations were given regarding the management of pain, pseudocysts, duodenal and biliary stenosis, pancreatic fistula and ascites, left portal hypertension, diabetes mellitus, exocrine pancreatic insufficiency, and nutritional support in CP.
authors: Pancreatic Unit, University General Hospital of Alicante, Spain. madaria@hotmail.com
authors: E
authors: E
authors: de-Madaria
authors: A
authors: A
authors: Abad-González
authors: J R
authors: JR
authors: Aparicio
authors: L
authors: L
authors: Aparisi
authors: J
authors: J
authors: Boadas
authors: E
authors: E
authors: Boix
authors: G
authors: G
authors: de-Las-Heras
authors: E
authors: E
authors: Domínguez-Muñoz
authors: A
authors: A
authors: Farré
authors: L
authors: L
authors: Fernández-Cruz
authors: L
authors: L
authors: Gómez
authors: J
authors: J
authors: Iglesias-García
authors: K
authors: K
authors: García-Malpartida
authors: L
authors: L
authors: Guarner
authors: J
authors: J
authors: Lariño-Noia
authors: F
authors: F
authors: Lluís
authors: A
authors: A
authors: López
authors: X
authors: X
authors: Molero
authors: O
authors: O
authors: Moreno-Pérez
authors: S
authors: S
authors: Navarro
authors: J M
authors: JM
authors: Palazón
authors: M
authors: M
authors: Pérez-Mateo
authors: L
authors: L
authors: Sabater
authors: Y
authors: Y
authors: Sastre
authors: E C
authors: EC
authors: Vaquero
authors: J
authors: J
authors: Martínez
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003251:Constriction, Pathologic / Q000628:therapy; D004322:Drainage; D019317:Evidence-Based Medicine; D010188:Exocrine Pancreatic Insufficiency / Q000628:therapy; D009752:Nutritional Status; D059408:Pain Management; D010192:Pancreatic Pseudocyst / Q000628:therapy; D050500:Pancreatitis, Chronic / Q000178:diet therapy / Q000601:surgery / Q000628:therapy*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000082:Acetaminophen