Chronic pancreatitis in primary health care: a review
XPS (Español (España))
PDF (Español (España))
JPG (Español (España))
سرور مجازی ایران Decentralized Exchange

How to Cite

1.
Castillo Arias R, Arriola Gutiérrez J, Cascante Gutiérrez A. Chronic pancreatitis in primary health care: a review. Rev.méd.sinerg. [Internet]. 2022Aug.1 [cited 2024Nov.21];7(8):e891. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/891

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.

https://doi.org/10.31434/rms.v7i8.891

Keywords

pancreatitis. primary health care. abdominal pain. exocrine pancreatic insufficiency. risk factors.
XPS (Español (España))
PDF (Español (España))
JPG (Español (España))

References

Beyer G, Habtezion A, Werner J, Lerch MM, Mayerle J. Chronic pancreatitis. Lancet Lond Engl. [Internet]. 15 de Agosto 2020 [citado 29 de mayo de 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]. 24 de Diciembre 2019 [citado 29 de mayo de 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]. 10 de Diciembre 2020 [citado 31 de mayo de 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]. Marzo 2019 [citado 31 de mayo de 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]. 07 de Septiembre 2017 [citado 31 de mayo de 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]. Junio 2019 [citado 5 de junio de 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]. 07 de Junio 2018 [citado 5 de junio de 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]. Septiembre 2017 [citado 5 de junio de 2022];33(5):390–5. DOI: https://doi.org/10.1097/MOG.0000000000000380

Maatman TK, Zyromski NJ. Chronic Pancreatitis. Curr Probl Surg. [Internet]. Marzo 2021 [citado 5 de junio de 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]. 15 de Marzo 2018 [citado 5 de junio de 2022] 15;97(6):385–93. Disponible en https://www.aafp.org/pubs/afp/issues/2018/0315/p385.html

Kichler A, Jang S. Chronic Pancreatitis: Epidemiology, Diagnosis, and Management Updates. Drugs. [Internet]. 09 de Julio 2020 [citado 5 de junio de 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]. Septiembre 2017 [citado 12 de junio de 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]. 06 Febrero 2019 [citado 12 de junio de 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]. Abril 2020 [citado 12 de junio de 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]. Enero 2018 [citado 12 de junio de 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]. 07 Octubre 2019 [citado 12 de junio de 2022] 7;2019:2487804. DOI: https://doi.org/10.1155/2019/2487804

Yang D, Forsmark CE. Chronic pancreatitis. Curr Opin Gastroenterol. [Internet]. Septiembre 2017 [citado 12 de junio de 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]. Marzo 2020 [citado 18 de junio de 2022];115(3):322–39. DOI: https://doi.org/https://doi.org/10.14309/ajg.0000000000000535

Löhr JM, Dominguez-Munoz 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]. 01 de Marzo 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]. 19 septiembre 2019 [citado 18 de junio de 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]. 09 Marzo, 2017 [citado 03 de julio de 2022];62(7):1745–50. DOI: https://doi.org/10.1007/s10620-017-4518-x

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2022 Array

Downloads

Download data is not yet available.
فروشگاه اینترنتی vpn for android خرید vpn سایت شرط بندی