Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis
Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancre...
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Gastro LLC
2022-08-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/703 |
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| author | V. T. Ivashkin A. G. Kriger A. V. Okhlobystin M. A. Anischenko S. S. Kardasheva S. A. Alekseenko S. F. Bagnenko M. I. Bykov S. A. Budzinskiy I. M. Buriev V. A. Vishnevskiy E. I. Galperin V. P. Glabay V. R. Goltsov T. G. Dyuzheva G. G. Karmazanovskiy M. P. Korolev D. M. Krasilnikov Yu. A. Kucheryavy I. V. Maev N. A. Maystrenko M. F. Osipenko M. I. Prudkov V. I. Simanenkov E. G. Solonitsin A. V. Fedorov E. D. Fedorov I. B. Khlynov M. V. Chikunova A. V. Shabunin S. G. Shapovalyants A. A. Sheptulin O. S. Shifrin |
| author_facet | V. T. Ivashkin A. G. Kriger A. V. Okhlobystin M. A. Anischenko S. S. Kardasheva S. A. Alekseenko S. F. Bagnenko M. I. Bykov S. A. Budzinskiy I. M. Buriev V. A. Vishnevskiy E. I. Galperin V. P. Glabay V. R. Goltsov T. G. Dyuzheva G. G. Karmazanovskiy M. P. Korolev D. M. Krasilnikov Yu. A. Kucheryavy I. V. Maev N. A. Maystrenko M. F. Osipenko M. I. Prudkov V. I. Simanenkov E. G. Solonitsin A. V. Fedorov E. D. Fedorov I. B. Khlynov M. V. Chikunova A. V. Shabunin S. G. Shapovalyants A. A. Sheptulin O. S. Shifrin |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancreatic ducts, which cause pain and/or persistent impairment of function. Current concept on the etiology of CP is reflected by the TIGAR-O classification. The criteria for establishing the diagnosis of CP include typical attacks of abdominal pain and/or clinical and laboratory signs of exocrine, endocrine insufficiency with the mandatory detection of characteristic morphological changes (calcifications in the parenchyma and pancreatic ductal stones, dilatation of the main pancreatic duct and its branches). CT, MRCP, and pancreatobiliary endosonography are recommended as the methods of choice to verify the diagnosis of CP. Conservative treatment of patients with CP is provided for symptom relief and prevention of complications. Individual cases with severe non-interactable abdominal pain, as well as a complicated course of the disease (development of ductal hypertension due to main pancreatic duct stones or strictures, obstructive jaundice caused by compression of the common bile duct, symptomatic postnecrotic cysts, portal hypertension due to compression of the portal vein or thrombosis of the splenic vein, persistent duodenal obstruction, pseudoaneurysm of the celiac trunk basin and the superior mesenteric artery) serve as an indication for endoscopic or surgical treatment. The Guidelines set out modern approaches to the diagnosis, conservative, endoscopic and surgical treatment of CP, and the prevention of its complications.Conclusion. The implementation of clinical guidelines can contribute to the timely diagnosis and improve the quality of medical care for patients with chronic pancreatitis. |
| format | Article |
| id | doaj-art-22ed5cb870db4e9580ebe19a4c66da3f |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2022-08-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-22ed5cb870db4e9580ebe19a4c66da3f2025-02-10T16:14:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732022-08-013229915610.22416/1382-4376-2022-32-2-99-156477Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic PancreatitisV. T. Ivashkin0A. G. Kriger1A. V. Okhlobystin2M. A. Anischenko3S. S. Kardasheva4S. A. Alekseenko5S. F. Bagnenko6M. I. Bykov7S. A. Budzinskiy8I. M. Buriev9V. A. Vishnevskiy10E. I. Galperin11V. P. Glabay12V. R. Goltsov13T. G. Dyuzheva14G. G. Karmazanovskiy15M. P. Korolev16D. M. Krasilnikov17Yu. A. Kucheryavy18I. V. Maev19N. A. Maystrenko20M. F. Osipenko21M. I. Prudkov22V. I. Simanenkov23E. G. Solonitsin24A. V. Fedorov25E. D. Fedorov26I. B. Khlynov27M. V. Chikunova28A. V. Shabunin29S. G. Shapovalyants30A. A. Sheptulin31O. S. Shifrin32Sechenov First Moscow State Medical University (Sechenov University)A.V. Vishnevsky Institute of SurgerySechenov First Moscow State Medical University (Sechenov University)N.I. Pirogov Russian National Research Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Far-Eastern State Medical UniversityPavlov First Saint-Petersburg State Medical UniversityKuban State Medical UniversityN.I. Pirogov Russian National Research Medical UniversityCity Clinical Hospital No. 4, Moscow City Department of HealthA.V. Vishnevsky Institute of SurgerySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSechenov First Moscow State Medical University (Sechenov University)A.V. Vishnevsky Institute of Surgery; N.I. Pirogov Russian National Research Medical UniversitySt. Petersburg State Paediatric Medical UniversityKazan State Medical UniversityIlyinskaya Hospital JSCA.I. Yevdokimov Moscow State University of Medicine and DentistryS.M. Kirov Military Medical AcademyNovosibirsk State Medical UniversityUral State Medical UniversityMechnikov North-Western State Medical UniversityV.A. Almazov National Medical Research CentreA.V. Vishnevsky Institute of Surgery; A.I. Yevdokimov Moscow State University of Medicine and DentistryN.I. Pirogov Russian National Research Medical UniversityUral State Medical UniversityUral State Medical UniversityBotkin HospitalN.I. Pirogov Russian National Research Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancreatic ducts, which cause pain and/or persistent impairment of function. Current concept on the etiology of CP is reflected by the TIGAR-O classification. The criteria for establishing the diagnosis of CP include typical attacks of abdominal pain and/or clinical and laboratory signs of exocrine, endocrine insufficiency with the mandatory detection of characteristic morphological changes (calcifications in the parenchyma and pancreatic ductal stones, dilatation of the main pancreatic duct and its branches). CT, MRCP, and pancreatobiliary endosonography are recommended as the methods of choice to verify the diagnosis of CP. Conservative treatment of patients with CP is provided for symptom relief and prevention of complications. Individual cases with severe non-interactable abdominal pain, as well as a complicated course of the disease (development of ductal hypertension due to main pancreatic duct stones or strictures, obstructive jaundice caused by compression of the common bile duct, symptomatic postnecrotic cysts, portal hypertension due to compression of the portal vein or thrombosis of the splenic vein, persistent duodenal obstruction, pseudoaneurysm of the celiac trunk basin and the superior mesenteric artery) serve as an indication for endoscopic or surgical treatment. The Guidelines set out modern approaches to the diagnosis, conservative, endoscopic and surgical treatment of CP, and the prevention of its complications.Conclusion. The implementation of clinical guidelines can contribute to the timely diagnosis and improve the quality of medical care for patients with chronic pancreatitis.https://www.gastro-j.ru/jour/article/view/703pancreaschronic pancreatitisdiabetes mellituspancreatic pseudocystpancreatic hypertensionendoscopic stenting of the main pancreatic ductlateral pancreatojejunostomy |
| spellingShingle | V. T. Ivashkin A. G. Kriger A. V. Okhlobystin M. A. Anischenko S. S. Kardasheva S. A. Alekseenko S. F. Bagnenko M. I. Bykov S. A. Budzinskiy I. M. Buriev V. A. Vishnevskiy E. I. Galperin V. P. Glabay V. R. Goltsov T. G. Dyuzheva G. G. Karmazanovskiy M. P. Korolev D. M. Krasilnikov Yu. A. Kucheryavy I. V. Maev N. A. Maystrenko M. F. Osipenko M. I. Prudkov V. I. Simanenkov E. G. Solonitsin A. V. Fedorov E. D. Fedorov I. B. Khlynov M. V. Chikunova A. V. Shabunin S. G. Shapovalyants A. A. Sheptulin O. S. Shifrin Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis Российский журнал гастроэнтерологии, гепатологии, колопроктологии pancreas chronic pancreatitis diabetes mellitus pancreatic pseudocyst pancreatic hypertension endoscopic stenting of the main pancreatic duct lateral pancreatojejunostomy |
| title | Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis |
| title_full | Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis |
| title_fullStr | Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis |
| title_full_unstemmed | Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis |
| title_short | Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis |
| title_sort | clinical guidelines of the russian society of surgeons the russian gastroenterological association the association of surgeons hepatologists and the endoscopic society rendo on diagnostics and treatment of chronic pancreatitis |
| topic | pancreas chronic pancreatitis diabetes mellitus pancreatic pseudocyst pancreatic hypertension endoscopic stenting of the main pancreatic duct lateral pancreatojejunostomy |
| url | https://www.gastro-j.ru/jour/article/view/703 |
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