Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines
Introduction Pancreatic exocrine insufficiency is a finding in many conditions, predominantly affecting those with chronic pancreatitis, pancreatic cancer and acute necrotising pancreatitis. Patients with pancreatic exocrine insufficiency can experience gastrointestinal symptoms, maldigestion, malnu...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-10-01
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| Series: | BMJ Open Gastroenterology |
| Online Access: | https://bmjopengastro.bmj.com/content/8/1/e000643.full |
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| author | John S Leeds Andrew D Hopper Rajesh Kumar Keith J Roberts Mary E Phillips Laura McGeeney Sinead N Duggan |
| author_facet | John S Leeds Andrew D Hopper Rajesh Kumar Keith J Roberts Mary E Phillips Laura McGeeney Sinead N Duggan |
| author_sort | John S Leeds |
| collection | DOAJ |
| description | Introduction Pancreatic exocrine insufficiency is a finding in many conditions, predominantly affecting those with chronic pancreatitis, pancreatic cancer and acute necrotising pancreatitis. Patients with pancreatic exocrine insufficiency can experience gastrointestinal symptoms, maldigestion, malnutrition and adverse effects on quality of life and even survival.There is a need for readily accessible, pragmatic advice for healthcare professionals on the management of pancreatic exocrine insufficiency.Methods and analysis A review of the literature was conducted by a multidisciplinary panel of experts in pancreatology, and recommendations for clinical practice were produced and the strength of the evidence graded. Consensus voting by 48 pancreatic specialists from across the UK took place at the 2019 Annual Meeting of the Pancreatic Society of Great Britain and Ireland annual scientific meeting.Results Recommendations for clinical practice in the diagnosis, initial management, patient education and long term follow up were developed. All recommendations achieved over 85% consensus and are included within these comprehensive guidelines. |
| format | Article |
| id | doaj-art-8affb910114347b4810cd92950ebcf37 |
| institution | OA Journals |
| issn | 2054-4774 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Gastroenterology |
| spelling | doaj-art-8affb910114347b4810cd92950ebcf372025-08-20T02:31:09ZengBMJ Publishing GroupBMJ Open Gastroenterology2054-47742021-10-018110.1136/bmjgast-2021-000643Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelinesJohn S Leeds0Andrew D Hopper1Rajesh Kumar2Keith J Roberts3Mary E Phillips4Laura McGeeney5Sinead N Duggan6Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UKDepartment of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK1U.O. Rheumatology and Clinical Immunology, ASST Spedali Civili of Brescia, Department of Clinical and Experimental Sciences, Brescia, ItalyLiver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UKNutrition and Dietetics, Royal Surrey Hospital NHS Foundation Trust, Guildford, UKNutrition and Dietetics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UKDepartment of Surgery, Trinity College Dublin, Dublin, IrelandIntroduction Pancreatic exocrine insufficiency is a finding in many conditions, predominantly affecting those with chronic pancreatitis, pancreatic cancer and acute necrotising pancreatitis. Patients with pancreatic exocrine insufficiency can experience gastrointestinal symptoms, maldigestion, malnutrition and adverse effects on quality of life and even survival.There is a need for readily accessible, pragmatic advice for healthcare professionals on the management of pancreatic exocrine insufficiency.Methods and analysis A review of the literature was conducted by a multidisciplinary panel of experts in pancreatology, and recommendations for clinical practice were produced and the strength of the evidence graded. Consensus voting by 48 pancreatic specialists from across the UK took place at the 2019 Annual Meeting of the Pancreatic Society of Great Britain and Ireland annual scientific meeting.Results Recommendations for clinical practice in the diagnosis, initial management, patient education and long term follow up were developed. All recommendations achieved over 85% consensus and are included within these comprehensive guidelines.https://bmjopengastro.bmj.com/content/8/1/e000643.full |
| spellingShingle | John S Leeds Andrew D Hopper Rajesh Kumar Keith J Roberts Mary E Phillips Laura McGeeney Sinead N Duggan Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines BMJ Open Gastroenterology |
| title | Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines |
| title_full | Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines |
| title_fullStr | Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines |
| title_full_unstemmed | Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines |
| title_short | Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines |
| title_sort | consensus for the management of pancreatic exocrine insufficiency uk practical guidelines |
| url | https://bmjopengastro.bmj.com/content/8/1/e000643.full |
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