Han Chao, Lv Yan-Wei, Hu Liang-Hao
Department of Gastroenterology, The Hospital of 91876 Troops of Chinese People's Liberation Army, Qinhuangdao, China.
Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China.
Therap Adv Gastroenterol. 2024 Feb 24;17:17562848241234480. doi: 10.1177/17562848241234480. eCollection 2024.
As a progressive fibroinflammatory disease, chronic pancreatitis (CP) often manifests as recurrent bouts of abdominal pain with or without complications, causing a heavy burden of health care. In recent years, some meaningful insights into the management of CP have been obtained from randomized controlled trials, systematic reviews, and meta-analyses, which were of great importance. Based on this research, it is shown that there are various treatments for CP. Therefore, it is of great importance to choose a suitable strategy for patients with CP individually. Relevant evidence on the management of CP was summarized in this review, including nutrition supplements, medication, endoscopy, surgery, exploration of novel therapies as well as evaluation and prediction of treatment response.
作为一种进行性纤维炎症性疾病,慢性胰腺炎(CP)常表现为伴有或不伴有并发症的反复发作的腹痛,给医疗保健带来沉重负担。近年来,从随机对照试验、系统评价和荟萃分析中获得了一些关于CP管理的有意义的见解,这些研究非常重要。基于这项研究,结果表明CP有多种治疗方法。因此,为CP患者个体化选择合适的治疗策略非常重要。本综述总结了CP管理的相关证据,包括营养补充、药物治疗、内镜检查、手术、探索新疗法以及治疗反应的评估和预测。