Hot articles recently published in the field of pancreatology

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Hot articles recently published in the field of pancreatology

Authors
Publisher
JOP. Journal of the Pancreas
Keywords
  • Pancreas
  • Pancreatic Neoplasms
  • Collected Works
  • Pancreatic Diseases

Abstract

Microsoft Word - 676-pdf.doc JOP. J Pancreas (Online) 2012 Jul 10; 13(4):394-401. JOP. Journal of the Pancreas - http://www.serena.unina.it/index.php/jop - Vol. 13 No. 4 - July 2012. [ISSN 1590-8577] 394 ORIGINAL ARTICLE A Wide Variation in Diagnostic and Therapeutic Strategies in Chronic Pancreatitis: A Dutch National Survey Aura AJ van Esch1, Usama Ahmed Ali3, Harry van Goor2, Marco J Bruno4, Joost PH Drenth1 Departments of 1Gastroenterology and Hepatology and 2Surgery, Radboud University Nijmegen Medical Center. Nijmegen, The Netherlands. 3Department of Surgery, Dutch Pancreatitis Study Group, University Medical Center Utrecht. Utrecht, The Netherlands. 4Department of Gastroenterology and Hepatology, Erasmus University Medical Center. Rotterdam, The Netherlands ABSTRACT Context Optimal diagnostic and treatment modalities in chronic pancreatitis are controversial due to lack of evidence. Objective To evaluate current clinical practice, we conducted a survey with the primary objective to evaluate decisions regarding the diagnosis, management and screening in chronic pancreatitis. Design We developed a vignette survey. Setting We surveyed Dutch gastroenterologists, internists, gastrointestinal surgeons and an international expert panel. Results A total of 110 questionnaires (31% gastroenterologists, 39% internists and 20% gastrointestinal surgeons) were returned out of the 1,324 sent (response 8.3%). There was a wide variation in strategies regarding diagnosis, treatment and screening in chronic pancreatitis. As a diagnostic test, serum amylase is used frequently by internists, while gastroenterologists and experts often use fecal elastase. Most respondents preferred CT-scanning for diagnosis, while experts preferred transabdominal ultrasonography as an initial test. Respondents frequently use pancreatic enzymes for treatment of pain in chronic pancreatitis. The majority advised to perform an intervention (endoscopic or surgical) in case

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