Chronic pancreatitis: an overview of diagnosis and management

Andrea Tringali, Giuseppe Quero, Guido Costamagna, Ivo Boskoski, Theodor Voiosu, Andrei Voiosu

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Introduction: Chronic pancreatitis entails a heavy burden on the healthcare system because of its often protracted evolution, requiring complex diagnostic and therapeutic procedures. Areas covered: This review focuses on novel imaging and endoscopic diagnostic and therapeutic interventions that have changed the management of patients with chronic pancreatitis. We have conducted an extensive search of original papers and guidelines, in order to provide a comprehensive and up to date review of available evidence in these areas of interest. Expert opinion: The traditional challenges in managing chronic pancreatitis patients stemmed from the limitations of diagnostic modalities, which could not correctly identify patients in an early stage of the disease, as well as from the scarcity of therapeutic options available. Advances in imaging of CTscan, MRI, and EUS have opened the way for early diagnosis and staging. This has allowed more aggressive and tailored therapeutic modalities, particularly in endoscopic therapy and minimally invasive surgical interventions. Although high-quality data from large RCTs is still scarce, evidencebased algorithms for diagnosis and therapy are now changing the way we address this chronic disease. In the near future, we can expect a tailored approach based on patient and disease-related predictive factors, relying on a vast armamentarium of endoscopic and surgical solutions.
Lingua originaleEnglish
pagine (da-a)1-11
Numero di pagine11
RivistaEXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
Volume2020
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Chronic pancreatitis
  • endoscopic retrograde cholangiopancreatography
  • endoscopic stenting
  • endoscopic ultrasound
  • magnetic resonance imaging
  • pain management
  • surgery

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