United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU)
| Autor: | Lohr, J. M., Dominguez-Munoz, E., Rosendahl, J., Besselink, M., Mayerle, J., Lerch, M. M., Haas, S., Akisik, F., Kartalis, N., Iglesias-Garcia, J., Keller, J., Boermeester, M., Werner, J., Dumonceau, J. -M., Fockens, P., Drewes, A., Ceyhan, G., Lindkvist, B., Drenth, J., Ewald, N., Hardt, P., Madaria, E., Witt, H., Schneider, A., Manfredi, Riccardo, Brondum, F. J., Rudolf, S., Bollen, T., Bruno, M., Dimcevski, G., Giovannini, M., Pukitis, A., Petrone, M., Oppong, K., Ammori, B., Izbiki, J. R., Ganeh, P., Salvia, R., Sauvanet, A., Barbu, S., Lyadov, V., Gubergrits, N., Okhlobystiy, A. V., Arvanitakis, M., Costamagna, Guido, Pap, A., Andersson, R., Hauge, T., Mckay, C., Regner, S., Dite, P., Olesen, S., Duggan, S., Hopper, A., Phillips, M., Shvets, O., Vujasinovic, M., Czako, L., Piemonti, L., Kocher, H., Rebours, V., Stimac, D., Hegyi, P., Gheorghe, C., Lindgren, F., Boraschi, P., Friess, H., Deprez, P. |
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| Přispěvatelé: | Gastroenterology & Hepatology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
endoscopic therapy
Chronic pancreatitis Development and Evaluation Grading of Recommendations Assessment diabetes mellitus evidence-based guidelines pancreatic exocrine insufficiency medicine.medical_specialty Evidence-based practice macromolecular substances Review Review Article Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus Journal Article Medicine Settore MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA business.industry Pancreatic exocrine insufficiency medicine.disease Renal disorders Radboud Institute for Molecular Life Sciences [Radboudumc 11] Oncology 030220 oncology & carcinogenesis Pancreatitis 030211 gastroenterology & hepatology Develompent and Evaluation business |
| Zdroj: | United European Gastroenterology Journal, 5(2), 153-199. SAGE Publishing United European Gastroenterology Journal, 5, 153-199 Löhr, J-M, Dominguez-Munoz, E, Rosendahl, J, Besselink, M, Mayerle, J, Lerch, M M, Haas, S, Akisik, F, Kartalis, N, Iglesias-Garcia, J, Keller, J, Boermeester, M, Werner, J, Dumonceau, J-M, Fockens, P, Drewes, A, Ceyhan, G, Lindkvist, B, Drenth, J, Ewald, N, Hardt, P, de Madaria, E, Witt, H, Schneider, M A, Manfredi, R, Frøkjær, J B, Rudolf, S, Bollen, T, Bruno, M & HaPanEU/UEG Working Group 2017, ' United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU) ', United European Gastroenterology Journal, vol. 5, no. 2, pp. 153-199 . https://doi.org/10.1177/2050640616684695 Lohr, J M, Dominguez-Munoz, E, Rosendahl, J, Besselink, M, Mayerle, J, Lerch, M M, Haas, S, Akisik, F, Kartalis, N, Iglesias-Garcia, J, Keller, J, Boermeester, M, Werner, J, Dumonceau, J-M, Fockens, P, Drewes, A, Ceyhan, G, Lindkvist, B, Drenth, J P H, Ewald, N, Hardt, P, de Madaria, E, Witt, H, Schneider, A, Manfredi, R, Brondum, F J, Rudolf, S, Bollen, T, Bruno, M & HaPanEU UEG Working Grp 2017, ' United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU) ', United European Gastroenterology Journal, vol. 5, no. 2, pp. 153-199 . https://doi.org/10.1177/2050640616684695 United European Gastroenterology Journal, 5, 2, pp. 153-199 United European Gastroenterology Journal r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante instname |
| ISSN: | 2050-6406 |
| Popis: | Contains fulltext : 169869.pdf (Publisher’s version ) (Open Access) BACKGROUND: There have been substantial improvements in the management of chronic pancreatitis, leading to the publication of several national guidelines during recent years. In collaboration with United European Gastroenterology, the working group on 'Harmonizing diagnosis and treatment of chronic pancreatitis across Europe' (HaPanEU) developed these European guidelines using an evidence-based approach. METHODS: Twelve multidisciplinary review groups performed systematic literature reviews to answer 101 predefined clinical questions. Recommendations were graded using the Grading of Recommendations Assessment, Development and Evaluation system and the answers were assessed by the entire group in a Delphi process online. The review groups presented their recommendations during the 2015 annual meeting of United European Gastroenterology. At this one-day, interactive conference, relevant remarks were voiced and overall agreement on each recommendation was quantified using plenary voting (Test and Evaluation Directorate). After a final round of adjustments based on these comments, a draft version was sent out to external reviewers. RESULTS: The 101 recommendations covered 12 topics related to the clinical management of chronic pancreatitis: aetiology (working party (WP)1), diagnosis of chronic pancreatitis with imaging (WP2 and WP3), diagnosis of pancreatic exocrine insufficiency (WP4), surgery in chronic pancreatitis (WP5), medical therapy (WP6), endoscopic therapy (WP7), treatment of pancreatic pseudocysts (WP8), pancreatic pain (WP9), nutrition and malnutrition (WP10), diabetes mellitus (WP11) and the natural course of the disease and quality of life (WP12). Using the Grading of Recommendations Assessment, Development and Evaluation system, 70 of the 101 (70%) recommendations were rated as 'strong' and plenary voting revealed 'strong agreement' for 99 (98%) recommendations. CONCLUSIONS: The 2016 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. |
| Databáze: | OpenAIRE |
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