The Spanish Pancreatic Club recommendations for the diagnosis and treatment of chronic pancreatitis: Part 1 (diagnosis)

• Published in: Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] Vol. 13; no. 1; pp. 8 - 17
• Main Authors: Martínez, J, Abad-González, A, Aparicio, J.R, Aparisi, L, Boadas, J, Boix, E, de las Heras, G, Domínguez-Muñoz, E, Farré, A, Fernández-Cruz, L, Gómez, L, Iglesias-García, J, García-Malpartida, K, Guarner, L, Lariño-Noia, J, Lluís, F, López, A, Molero, X, Moreno-Pérez, O, Navarro, S, Palazón, J.M, Pérez-Mateo, M, Sabater, L, Sastre, Y, Vaquero, E, de-Madaria, E
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Switzerland Elsevier B.V 01.01.2013; Elsevier Limited
• Subjects: Alcoholism - complications; Autoimmune Diseases; Biopsy; Blood Glucose - metabolism; Chronic pancreatitis; Cysts; Diabetes Mellitus - etiology; Diagnosis; Endocrinology & Metabolism; Exocrine pancreatic insufficiency; Gastroenterology and Hepatology; Glycated Hemoglobin A - metabolism; Guidelines; Histology; Humans; Inflammatory diseases; Medical diagnosis; Medical imaging; Morphology; Pain; Pancreas; Pancreas - diagnostic imaging; Pancreatitis, Chronic - complications; Pancreatitis, Chronic - diagnosis; Pancreatitis, Chronic - diagnostic imaging; Smoking - adverse effects; Therapy; Ultrasonic imaging; Ultrasonography; Therapy; Diagnosis; Exocrine pancreatic insufficiency; Chronic pancreatitis; Guidelines
• ISSN: 1424-3903; 1424-3911
• DOI: 10.1016/j.pan.2012.11.309

Abstract Chronic pancreatitis (CP) is a relatively uncommon, complex and heterogeneous disease. The absence of a gold standard applicable to the initial phases of CP makes its early diagnosis difficult. Some of its complications, particularly chronic pain, can be difficult to manage. There is much variability in the diagnosis and treatment of CP and its complications amongst centers and professionals. The Spanish Pancreatic Club has developed a consensus on the management of CP. Two coordinators chose a multidisciplinary panel of 24 experts on this disease. A list of questions was drafted, and two experts reviewed each question. Then, a draft was produced and shared with the entire panel of experts and discussed in a face-to-face meeting. This first part of the consensus addresses the diagnosis of CP and its complications.