Turkish Gastroenterology Association, Pancreas Study Group, Chronic Pancreatitis Committee Consensus Report

Soytürk, Müjde; Bengi, Göksel; Oğuz, Dilek; Kalkan, İsmail Hakkı; Yalnız, Mehmet; Tahtaci, Mustafa; Demır, Kadir; Kasap, Elmas; Oruç, Nevin; Ünal, Nalan Gülşen; Sezgın, Orhan; Özdoğan, Osman; Altıntaş, Engin; Yaraş, Serkan; Parlak, Erkan; Köksal, Aydın Şeref; Saruç, Murat; Ünal, Hakan; Ünsal, Belkıs; Günay, Süleyman; Duman, Deniz; Yurci, Alper; Kaçar, Sabite; Filik, Levent

doi:10.5152/tjg.2020.220920

Cited by 2 publications

(2 citation statements)

References 451 publications

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“…Stents were placed in these patients for the treatment of strictures in the pancreatic duct and drainage of the pancreatic duct. The plastic stent exchange interval in this patient group is a controversial issue, and this period varies between 3 months and 1 year according to the patient characteristics and clinical picture 7,18. In our clinical practice, this period is 6 to 12 months.…”

Section: Discussionmentioning

confidence: 98%

“…The plastic stent exchange interval in this patient group is a controversial issue, and this period varies between 3 months and 1 year according to the patient characteristics and clinical picture. 7,18 In our clinical practice, this period is 6 to 12 months. Although the procedures were delayed in 15 patients according to the scheduled time, 7 patients had their procedures performed at the scheduled time.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Endoscopic Consequences of Delay in Stent Exchange Procedures With ERCP During the Covid-19 Pandemic

Keskın¹,

Kav²,

Vahabov³

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Introduction: During the COVID-19 pandemic, elective endoscopic retrograde cholangiopancreatography (ERCP) procedures have been postponed as recommended by international guidelines. In this study, the results of biliary and pancreatic ERCP procedures that had to be postponed during the pandemic process were investigated. Materials and Methods: Forty-seven patients whose stent exchange procedures with ERCP were postponed between March 2020 and June 2020 due to the COVID-19 pandemic were included in the study. Patients were evaluated in 2 groups as delayed biliary procedures (n: 32) and delayed pancreatic procedures (n: 15). Clinical problems (biliary or pancreatic pain, itching, cholangitis, etc.) and technical problems encountered during the procedure (stent migration, abundant stone sludge in the bile ducts, etc.) were compared with 46 patients who could be treated without delay (39 interventions for the biliary system and seven interventions for the pancreas). Findings: Considering the procedures for the biliary system, there was no difference in age and sex between the groups. Although clinical problems in biliary procedures were more common in the group with delay than in those without delay, this difference was not significant (34% vs. 20%; P: 0.14). The technical problems encountered during the procedures in the group with delay were significantly higher than those without delay (21% vs. 2.5%; P: 0.019), with stent migration being the most common problem (n: 5). Age and sex did not differ in the patients who had pancreatic interventions with and without delay. The clinical problems that developed in the patients did not differ between the groups with and without delay (26% vs. 28%; P: 0.8). Although technical problems were encountered in 1 out of 15 patients in the group with delay, no technical problem was experienced in the group without delay (P: 0.68). Conclusion: Postponing elective ERCP procedures for the biliary system not for the pancreatic system during the COVID-19 pandemic brings technical problems.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Clinical and Endoscopic Consequences of Delay in Stent Exchange Procedures With ERCP During the Covid-19 Pandemic

Keskın¹,

Kav²,

Vahabov³

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

Self Cite

View full text Add to dashboard Cite

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European guidelines for the diagnosis and treatment of pancreatic exocrine insufficiency: UEG, EPC, EDS, ESPEN, ESPGHAN, ESDO, and ESPCG evidence‐based recommendations

Dominguez‐Muñoz,

Vujasinovic,

de la Iglesia

et al. 2024

UEG Journal

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Pancreatic exocrine insufficiency (PEI) is defined as a reduction in pancreatic exocrine secretion below the level that allows the normal digestion of nutrients. Pancreatic disease and surgery are the main causes of PEI. However, other conditions and upper gastrointestinal surgery can also affect the digestive function of the pancreas. PEI can cause symptoms of nutritional malabsorption and deficiencies, which affect the quality of life and increase morbidity and mortality. These guidelines were developed following the United European Gastroenterology framework for the development of high‐quality clinical guidelines. After a systematic literature review, the evidence was evaluated according to the Oxford Center for Evidence‐Based Medicine and the Grading of Recommendations Assessment, Development, and Evaluation methodology, as appropriate. Statements and comments were developed by the working groups and voted on using the Delphi method. The diagnosis of PEI should be based on a global assessment of symptoms, nutritional status, and a pancreatic secretion test. Pancreatic enzyme replacement therapy (PERT), together with dietary advice and support, are the cornerstones of PEI therapy. PERT is indicated in patients with PEI that is secondary to pancreatic disease, pancreatic surgery, or other metabolic or gastroenterological conditions. Specific recommendations concerning the management of PEI under various clinical conditions are provided based on evidence and expert opinions. This evidence‐based guideline summarizes the prevalence, clinical impact, and general diagnostic and therapeutic approaches for PEI, as well as the specifics of PEI in different clinical conditions. Finally, the unmet needs for future research are discussed.

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Turkish Gastroenterology Association, Pancreas Study Group, Chronic Pancreatitis Committee Consensus Report

Cited by 2 publications

References 451 publications

Clinical and Endoscopic Consequences of Delay in Stent Exchange Procedures With ERCP During the Covid-19 Pandemic

Clinical and Endoscopic Consequences of Delay in Stent Exchange Procedures With ERCP During the Covid-19 Pandemic

European guidelines for the diagnosis and treatment of pancreatic exocrine insufficiency: UEG, EPC, EDS, ESPEN, ESPGHAN, ESDO, and ESPCG evidence‐based recommendations

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