2022, Number 08
<< Back Next >>
Revista Médica Sinergia 2022; 7 (08)
Chronic pancreatitis in primary health care: a review
Castillo AR, Arriola GJ, Cascante GA
Language: Spanish
References: 21
Page:
PDF size: 135.66 Kb.
ABSTRACT
Chronic pancreatitis is a complex fibroinflammatory syndrome characterized by irreversible damage to the pancreas. It is cause of many comorbidities including malnutrition and chronic pain whose management is so complicated that some cases will need a surgical approach besides the medical one. In its initial stages is quite subtle and hard to distinguish, and often physicians overlook this syndrome due to this lack of overt symptomatology. Initially, the main symptom is abdominal pain, which is described as dull. As the disease progresses, exocrine and endocrine pancreatic insufficiency develops. By identifying risk factors in a patient with the aforementioned symptoms, early management can be ideally started. Management of a patient with chronic pancreatitis is complex and requires a multidisciplinary team to address multiple axis such as pain management, nutrition, exocrine and endocrine insufficiency.
REFERENCES
Beyer G, Habtezion A, Werner J, Lerch MM, Mayerle J. Chronic pancreatitis. Lancet Lond Engl. [Internet]. Aug 15, 2020 [cited May 29, 2022];15;396(10249):499–512. Doi: https://doi.org/10.1016/S0140-6736(20)31318-0
Singh VK, Yadav D, Garg PK. Diagnosis and Management of Chronic Pancreatitis: A Review. JAMA. [Internet]. Dec 24, 2019 [cited May 29, 2022];24;322(24):2422–34. Doi: https://doi.org/10.1001/jama.2019.19411
Ouyang G, Pan G, Liu Q, Wu Y, Liu Z, Lu W, et al. The global, regional, and national burden of pancreatitis in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. BMC Med. [Internet]. Dec 10, 2020 [cited May 31, 2022];18(1):388. Doi: https://doi.org/10.1186/s12916-020-01859-5
Petrov MS, Yadav D. Global epidemiology and holistic prevention of pancreatitis. Nat Rev Gastroenterol Hepatol. [Internet]. Mar, 2019 [cited May 31, 2022];16(3):175–84. Doi: https://doi.org/10.1038/s41575-018-0087-5
Kleeff J, Whitcomb DC, Shimosegawa T, Esposito I, Lerch MM, Gress T, et al. Chronic pancreatitis. Nat Rev Dis Primer. [Internet]. Sep 07, 2017 [cited May 31, 2022];7;3:17060. Doi: https://doi.org/10.1038/nrdp.2017.60
Whitcomb DC. Pancreatitis: TIGAR-O Version 2 Risk/Etiology Checklist with Topic Reviews, Updates, and Use Primers. Clin Transl Gastroenterol. [Internet]. Jun, 2019 [cited Jun 5, 2022];4;10(6):e00027. Doi: https://doi.org/10.14309/ctg.0000000000000027
Gupte A, Goede D, Tuite R, Forsmark CE. Chronic pancreatitis. BMJ. [Internet]. Jun 07, 2018 [cited Jun 5, 2022];7;361:k2126. Doi: https://doi.org/10.1136/bmj.k2126
Sahin-Tóth M. Genetic risk in chronic pancreatitis: the misfolding-dependent pathway. Curr Opin Gastroenterol. [Internet]. Sep, 2017 [cited Jun 5, 2022];33(5):390–5. Doi: https://doi.org/10.1097/MOG.0000000000000380
Maatman TK, Zyromski NJ. Chronic Pancreatitis. Curr Probl Surg. [Internet]. Mar, 2021 [cited Jun 5, 2022];58(3):100858. Doi: https://doi.org/10.1016/j.cpsurg.2020.100858
Barry K. Chronic Pancreatitis: Diagnosis and Treatment. Am Fam Physician. [Internet]. Mar 15, 2018 [cited Jun 5, 2022] 15;97(6):385–93. Available from: https://www.aafp.org/pubs/afp/issues/2018/0315/p385.html
Kichler A, Jang S. Chronic Pancreatitis: Epidemiology, Diagnosis, and Management Updates. Drugs. [Internet]. Jul 09, 2020 [cited Jun 5, 2022];80(12):1155–68. Doi: https://doi.org/10.1007/s40265-020-01360-6
Drewes AM, Bouwense SAW, Campbell CM, Ceyhan GO, Delhaye M, Demir IE, et al. Guidelines for the understanding and management of pain in chronic pancreatitis. Pancreatology. [Internet]. Sep, 2017 [cited Jun 12, 2022] 1;17(5):720–31. Doi: https://doi.org/10.1016/j.pan.2017.07.006
Kuhlmann L, Olesen SS, Olesen AE, Arendt-Nielsen L, Drewes AM. Mechanism-based pain management in chronic pancreatitis – is it time for a paradigm shift? Expert Rev Clin Pharmacol. [Internet]. Feb 06, 2019 [cited Jun 12, 2022];4;12(3):249–58. Doi: https://doi.org/10.1080/17512433.2019.1571409
Agarwal S, Sharma S, Gunjan D, Singh N, Kaushal K, Poudel S, et al. Natural course of chronic pancreatitis and predictors of its progression. Pancreatology. [Internet]. Apr, 2020 [cited Jun 12, 2022];1;20(3):347–55. Doi: https://doi.org/10.1016/j.pan.2020.02.004
Machicado JD, Chari ST, Timmons L, Tang G, Yadav D. A population-based evaluation of the natural history of chronic pancreatitis. Pancreatol Off J Int Assoc Pancreatol IAP Al. [Internet]. Jan, 2018 [cited Jun 12, 2022];18(1):39–45. Doi: https://doi.org/10.1016/j.pan.2017.11.012
Johnston PC, Thompson J, Mckee A, Hamill C, Wallace I. Diabetes and Chronic Pancreatitis: Considerations in the Holistic Management of an Often Neglected Disease. J Diabetes Res. [Internet]. Oct 07, 2019 [cited Jun 12, 2022] ;7;2019:2487804. Doi: https://doi.org/10.1155/2019/2487804
Yang D, Forsmark CE. Chronic pancreatitis. Curr Opin Gastroenterol. [Internet]. Sep, 2017 [cited Jun 12, 2022];33(5):396–403. Doi: https://doi.org/10.1097/MOG.0000000000000377
Gardner TB, Adler DG, Forsmark CE, Sauer BG, Taylor JR, Whitcomb DC. ACG Clinical Guideline: Chronic Pancreatitis. Off J Am Coll Gastroenterol ACG. [Internet]. Mar, 2020 [cited Jun 18, 2022];115(3):322–39. Doi:https://doi.org/https://doi.org/10.14309/ajg.0000000000000535
Löhr JM, Domínguez-Muñoz E, Rosendahl J, Besselink M, Mayerle J, Lerch MM, et al. United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU). United Eur Gastroenterol J. [Internet]. Mar 01, 2017 [citado 18 de junio de 2022];1;5(2):153–99. Doi: https://doi.org/10.1177/2050640616684695
O’Brien SJ, Omer E. Chronic Pancreatitis and Nutrition Therapy. Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr. [Internet]. Sep 19 [cited Jun 18, 2022];34 Suppl 1:S13–26. Doi: https://doi.org/10.1002/ncp.10379
Ramsey ML, Conwell DL, Hart PA. Complications of Chronic Pancreatitis. Dig Dis Sci. [Internet]. Mar 09, 2017 [cited Jul 03, 2022];62(7):1745–50. Doi: https://doi.org/10.1007/s10620-017-4518-x