Department of Medicine, University of Verona, Verona, Italy.
Dig Liver Dis. 2010 Nov;42 Suppl 6:S381-406. doi: 10.1016/S1590-8658(10)60682-2.
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.
本文为慢性胰腺炎的诊断和治疗提供了实用指南。这些声明是由专家工作组通过搜索和分析文献，并通过使用改良 Delphi 程序进行共识过程提出的。这些声明报告了关于临床和营养方法、胰腺功能评估、外分泌胰腺功能衰竭和继发性糖尿病治疗、疼痛治疗和预防疼痛复发的建议。此外，还考虑了内镜在处理胰腺疼痛、胰腺结石、胆管狭窄和扩张以及并发症方面的作用。报告了各种成像技术和超声内镜的最佳使用建议。最后，一组建议涉及手术治疗，包括明确适应证、时机、不同临床情况下最合适的手术程序和技术以及手术前后的临床和功能结果。
