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3. Erratum: The Operative management in Bariatric Acute abdomen (OBA) Survey: Long-term complications of bariatric surgery and the emergency surgeon's point of view (World J Emerg Surg (2020) 15 (2) DOI: 10.1186/s13017-019-0281-y)

Author

De Simone, B., Ansaloni, L., Sartelli, M., Kluger, Y., Abu-Zidan, F. M., Biffl, W. L., Heyer, A., Coccolini, F., Baiocchi, G. L., Campanile, F. C., Mario, D., Raziel, A., Zaccaroni, A., Tarasconi, A., Dazzi, A., Lasithiotakisi, K., Maccatrozzo, S., Ioannidis, O., Pata, F., Waledziak, M., Dogjani, A., Ariffin, A. C., Khokha, V., Kho, L., Kessel, B., Negoi, I., Lostoridis, E., Conti, L., Ponchietti, L., Papadia, F. S., Ghilardi, G., Calu, V., Bilecik, T., Alemu, B. N., Reichert, M., Hutan, M., Seretis, C., Radu, M., Gomes, C. A., Karateke, F., Da Fonseca, V. C., Isik, A., Nikolopoulos, I., Fomin, A., Ghnnam, W., Sydorchuk, R., Paolillo, C., Sagnotta, A., Solaini, L., Sawyer, R. G., Spain, D. A., Mcfarlane, M., Arvieux, C., Litvin, A., Pereira, B. M., Maurel, T. G., Barberis, A., Gachabayov, M., O'Connor, D. B., Cruz, D. R., Colak, E., Mesina, C., Manzano-Nunez, R., Pintar, T., Koshy, R., Triantos, G., Gautam, S., Guner, A., Demetrashvili, Z., Ordonez, C. A., Manatakis, D. K., Chiarugi, M., Buonomo, L., Major, P., Andreas, H., Roberts, D. J., Cherry-Bukowiec, J. R., Das, K., Costanzi, A., Van Goor, H., Kok, K. Y. Y., Martinez-Perez, A., Villa, R., Fattori, L., Nita, G. E., Damaskos, D., Yuan, K. C., Lizarazu, A., Kelly, M. D., Carlo, I. D., Ceresoli, M., Galleano, R., Chatzakis, C., Bala, M., Piscioneri, F., Bonilauri, S., Lohse, H. A. S., Smirnov, D., Kim, D., Martina, F., Bruni, G., Campanelli, G., Cavalli, M., Kong, V., Michalopoulos, N., Cui, Y., Diana, M., and Catena, F.

Published
2020

4. The operative management in Bariatric Acute Abdomen (OBA) survey: Long-term complications of bariatric surgery and the emergency surgeon's point of view

Author

De Simone, B, Ansaloni, L, Sartelli, M, Kluger, Y, Abu-Zidan, F, Biffl, W, Heyer, A, Coccolini, F, Baiocchi, G, Campanile, F, Mario, D, Raziel, A, Zaccaroni, A, Tarasconi, A, Dazzi, A, Lasithiotakisi, K, Maccatrozzo, S, Ioannidis, O, Pata, F, Waledziak, M, Dogjani, A, Ariffin, A, Khokha, V, Kho, L, Kessel, B, Negoi, I, Lostoridis, E, Conti, L, Ponchietti, L, Papadia, F, Ghilardi, G, Calu, V, Bilecik, T, Alemu, B, Reichert, M, Hutan, M, Seretis, C, Radu, M, Gomes, C, Karateke, F, Da Fonseca, V, Isik, A, Nikolopoulos, I, Fomin, A, Ghnnam, W, Sydorchuk, R, Paolillo, C, Sagnotta, A, Solaini, L, Sawyer, R, Spain, D, Mcfarlane, M, Arvieux, C, Litvin, A, Pereira, B, Maurel, T, Barberis, A, Gachabayov, M, O'Connor, D, Cruz, D, Colak, E, Mesina, C, Manzano-Nunez, R, Abdelkarim, Pintar, T, Koshy, R, Triantos, G, Gautam, S, Guner, A, Demetrashvili, Z, Ordonez, C, Manatakis, D, Chiarugi, M, Buonomo, L, Major, P, Hecker, A, Roberts, D, Cherry-Bukowiec, J, Das, K, Costanzi, A, van Goor, H, Kok, K, Martinez-Perez, A, Villa, R, Fattori, L, Nita, G, Damaskos, D, Yuan, K, Lizarazu, A, Kelly, M, Di Carlo, I, Ceresoli, M, Galleano, R, Herzog, Chatzakis, C, Bala, M, Piscioneri, F, Bonilauri, S, Lohse, H, Smirnov, D, Kim, D, Martina, F, Bruni, G, Campanelli, G, Cavalli, M, Kong, V, Michalopoulos, N, Cui, Y, Diana, M, De Simone B., Ansaloni L., Sartelli M., Kluger Y., Abu-Zidan F. M., Biffl W. L., Heyer A., Coccolini F., Baiocchi G. L., Campanile F. C., Mario D., Raziel A., Zaccaroni A., Tarasconi A., Dazzi A., Lasithiotakisi K., Maccatrozzo S., Ioannidis O., Pata F., Waledziak M., Dogjani A., Ariffin A. C., Khokha V., Kho L., Kessel B., Negoi I., Lostoridis E., Conti L., Ponchietti L., Papadia F. S., Ghilardi G., Calu V., Bilecik T., Alemu B. N., Reichert M., Hutan M., Seretis C., Radu M., Gomes C. A., Karateke F., Da Fonseca V. C., Isik A., Nikolopoulos I., Fomin A., Ghnnam W., Sydorchuk R., Paolillo C., Sagnotta A., Solaini L., Sawyer R. G., Spain D. A., McFarlane M., Arvieux C., Litvin A., Pereira B. M., Maurel T. G., Barberis A., Gachabayov M., O'Connor D. B., Cruz D. R., Colak E., Mesina C., Manzano-Nunez R., Pintar T., Koshy R., Triantos G., Gautam S., Guner A., Demetrashvili Z., Ordonez C. A., Manatakis D. K., Chiarugi M., Buonomo L., Major P., Hecker A., Roberts D. J., Cherry-Bukowiec J. R., Das K., Costanzi A., van Goor H., Kok K. Y. Y., Martinez-Perez A., Villa R., Fattori L., Nita G. E., Damaskos D., Yuan K. -C., Lizarazu A., Kelly M. D., Di Carlo I., Ceresoli M., Galleano R., Chatzakis C., Bala M., Piscioneri F., Bonilauri S., Lohse H. A. S., Smirnov D., Kim D., Martina F., Bruni G., Campanelli G., Cavalli M., Kong V., Michalopoulos N., Cui Y., Diana M., De Simone, B, Ansaloni, L, Sartelli, M, Kluger, Y, Abu-Zidan, F, Biffl, W, Heyer, A, Coccolini, F, Baiocchi, G, Campanile, F, Mario, D, Raziel, A, Zaccaroni, A, Tarasconi, A, Dazzi, A, Lasithiotakisi, K, Maccatrozzo, S, Ioannidis, O, Pata, F, Waledziak, M, Dogjani, A, Ariffin, A, Khokha, V, Kho, L, Kessel, B, Negoi, I, Lostoridis, E, Conti, L, Ponchietti, L, Papadia, F, Ghilardi, G, Calu, V, Bilecik, T, Alemu, B, Reichert, M, Hutan, M, Seretis, C, Radu, M, Gomes, C, Karateke, F, Da Fonseca, V, Isik, A, Nikolopoulos, I, Fomin, A, Ghnnam, W, Sydorchuk, R, Paolillo, C, Sagnotta, A, Solaini, L, Sawyer, R, Spain, D, Mcfarlane, M, Arvieux, C, Litvin, A, Pereira, B, Maurel, T, Barberis, A, Gachabayov, M, O'Connor, D, Cruz, D, Colak, E, Mesina, C, Manzano-Nunez, R, Abdelkarim, Pintar, T, Koshy, R, Triantos, G, Gautam, S, Guner, A, Demetrashvili, Z, Ordonez, C, Manatakis, D, Chiarugi, M, Buonomo, L, Major, P, Hecker, A, Roberts, D, Cherry-Bukowiec, J, Das, K, Costanzi, A, van Goor, H, Kok, K, Martinez-Perez, A, Villa, R, Fattori, L, Nita, G, Damaskos, D, Yuan, K, Lizarazu, A, Kelly, M, Di Carlo, I, Ceresoli, M, Galleano, R, Herzog, Chatzakis, C, Bala, M, Piscioneri, F, Bonilauri, S, Lohse, H, Smirnov, D, Kim, D, Martina, F, Bruni, G, Campanelli, G, Cavalli, M, Kong, V, Michalopoulos, N, Cui, Y, Diana, M, De Simone B., Ansaloni L., Sartelli M., Kluger Y., Abu-Zidan F. M., Biffl W. L., Heyer A., Coccolini F., Baiocchi G. L., Campanile F. C., Mario D., Raziel A., Zaccaroni A., Tarasconi A., Dazzi A., Lasithiotakisi K., Maccatrozzo S., Ioannidis O., Pata F., Waledziak M., Dogjani A., Ariffin A. C., Khokha V., Kho L., Kessel B., Negoi I., Lostoridis E., Conti L., Ponchietti L., Papadia F. S., Ghilardi G., Calu V., Bilecik T., Alemu B. N., Reichert M., Hutan M., Seretis C., Radu M., Gomes C. A., Karateke F., Da Fonseca V. C., Isik A., Nikolopoulos I., Fomin A., Ghnnam W., Sydorchuk R., Paolillo C., Sagnotta A., Solaini L., Sawyer R. G., Spain D. A., McFarlane M., Arvieux C., Litvin A., Pereira B. M., Maurel T. G., Barberis A., Gachabayov M., O'Connor D. B., Cruz D. R., Colak E., Mesina C., Manzano-Nunez R., Pintar T., Koshy R., Triantos G., Gautam S., Guner A., Demetrashvili Z., Ordonez C. A., Manatakis D. K., Chiarugi M., Buonomo L., Major P., Hecker A., Roberts D. J., Cherry-Bukowiec J. R., Das K., Costanzi A., van Goor H., Kok K. Y. Y., Martinez-Perez A., Villa R., Fattori L., Nita G. E., Damaskos D., Yuan K. -C., Lizarazu A., Kelly M. D., Di Carlo I., Ceresoli M., Galleano R., Chatzakis C., Bala M., Piscioneri F., Bonilauri S., Lohse H. A. S., Smirnov D., Kim D., Martina F., Bruni G., Campanelli G., Cavalli M., Kong V., Michalopoulos N., Cui Y., and Diana M.

Abstract

Background: The number of bariatric procedures is increasing worldwide. No consensus or guidelines about the emergency management of long-term complications following bariatric surgery are currently available. The aim of this study is to investigate by a web survey how an emergency surgeon approaches this unique group of patients in an emergency medical scenario and to report their personal experience. Method: An international web survey was sent to 197 emergency surgeons with the aim to collect data about emergency surgeons' experience in the management of patients admitted in the emergency department for acute abdominal pain after bariatric surgery. The survey was conceived as a questionnaire composed by 26 (multiple choice and open) questions and approved by a steering committee. Results: One hundred seventeen international emergency surgeons decided to join the project and answered to the web survey with a response rate of 59.39%. Conclusions: The aim of this WSES web survey was to highlight the current management of patients previously submitted to bariatric surgical procedures by ES. Emergency surgeons must be mindful of postoperative bariatric surgery complications. CT scan with oral intestinal opacification may be useful in making a diagnosis if carefully interpreted by the radiologist and the surgeon. In case of inconclusive clinical and radiological findings, when symptoms fail to improve, surgical exploration for bariatric patients presenting acute abdominal pain, by laparoscopy if expertise is available, is mandatory in the first 12-24 h, to have good outcomes and decrease morbidity rate.

Published
2020

6. A Pilot Study of Enhance Recovery after Surgery (ERAS) for Liver Resection.

Author

Jarmin, R., Mohamad, I. S., Ahmad, A. W., Othman, H., Zuhdi, Z., and Ariffin, A. C.

Subjects
HEPATECTOMY, LIVER surgery
Abstract

Background: Morbidity post hepatectomy still remain persistent throughout decades compared to other surgery. Modern approach have been introduced to improve safety and reduce morbidity whilst at the same time enhance patient recovery. Thus, enhanced recovery after surgery or fast track recovery program for liver resection was initiated. Objective: The aim of this study was to achieve discharge by postoperative day 3 for minor resection and day 5 for major resection. Design and Setting: This is a prospective study conducted in Hospital Universiti Kebangsaan Malaysia (HUKM) from September 2014 till April 2015. Material and Methods: All patients undergoing open liver resection were included in the study. They were then managed post operatively according to ERAS protocol that was drawn up based on previous studies. Patient's demographics data, intra operative parameters, postoperative complications and adherence to postoperative recovery protocol were recorded. Results: Seventeen patients (7 major and 10 minor resection) were recruited. The mean length of hospital stay for minor resection was 5.9 and major resection was 9.6 .With regards to the targets, 4 out of 10 (40%)patients in minor resection group and 4 out 7 (57.1%) in the major group were discharged on time. 9 patients had postoperative complications with no mortality recorded. In terms of the ERAS protocol targets, the PCA morphine discontinuation target was achieved in 15 patients (88.3%) ,nasogastric tube removal (13 patients -76.5%) , urinary cathether removal (6 patients - 35.3%), abdominal drains removal (9 patients-52.9%) and resumption of full diet was achieved by 82.4% (14 patients). Conclusion: From these overall achievement, most of our targets have been met and this shows that our ERAS protocol is safe to be applied to patient undergoing hepatectomy. Limitations: Some patients had achieved their target but not discharged for unknown reason. [ABSTRACT FROM AUTHOR]

Published
2017
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10. Diagnosis and treatment in chronic pancreatitis: an international survey and case vignette study

Author

Yama Issa, Hjalmar C. van Santvoort, Paul Fockens, Marc G. Besselink, Thomas L. Bollen, Marco J. Bruno, Marja A. Boermeester, Frank G. Moody, Claude Bertrand, Colin Johnson, Aude van Lander, Ross Carter, John B. Conneely, Frederik Berrevoet, Donzília Sousa Silva, Zong-Fang Li, Philippe Lévy, Kofi Oppong, Timothy B. Gardner, C. Mel Wilcox, Jeremy French, Michael Steer, Edward L. Bradley, Peter Layer, Bertrand Napoleon, Jorge Antonio Mosquera, D.J. Gouma, Roland Andersson, Antonio Manzelli, J.M. Klaase, Massimo Falconi, Enrique de-Madaria, Riccardo Casadei, Giuseppe Malleo, Raffaele Pezzilli, Ewa Malecka-Panas, Matthias Lohr, Julia Mayerle, Erik A.J. Rauws, Martin L. Freeman, Affirul Chairil Ariffin, Bhavin Vasavada, Paul Bo-San Lai, Jose Luis Beristain-Hernandez, Álvarez Juan, Haralds Plaudis, Dionisios Vrochides, Vincenzo Neri, Vimalraj Velayutham, Aleksey Andrianov, Joan Figueras, Kjetil Soreide, Aliaksei Shcherba, Mahir Gachabayov, Roger G. Keith, Georgios Tsoulfas, Michael Anthony Fink, Stefano Crippa, Mehrdad Nikfarjam, Dibyajyoti Bora, Rajendra Desai, Marcello Donati, Jan Jin Bong, Emma Martínez Moneo, Gareth Morris-Stiff, Ahmet Coker, Alexandre Prado de Resende, Suryabhan Sakhahari Bhalerao, Sadiq S. Sikora, Dezső Kelemen, László Czakó, Hariharan Ramesh, Oleg Rummo, Aliaksei Fedaruk, Alexey Hlinnik, Madhusudhan Chinthakindi, Traian Dumitrascu, Vyacheslav Egorov, Vincent Bettschart, Michele Molinari, E. Aldana D. Guillermo, Susan L. Orloff, Daniel Vasilev Kostov, Laurent Sulpice, Brett Knowles, Yasutoshi Kimura, Gabriele Marangoni, Rajeev Joshi, Tibor Gyökeres, null Bedin, V. Vladimir, Arpad Ivanecz, Adelmo Antonucci, Jones A.O. Omoshoro-Jones, Richard Nakache, Marco Del Chiaro, Marianne Johnstone, Tomoaki Saito, Gianpaolo Balzano, Serge Chooklin, Piero Boraschi, Walter Park, Pedro Nuno Valente Reis Pereira, Nico Pagano, Pavlos Lykoudis, Lars Ivo Partecke, Aliaksandr Siatkouski, Rosa Jorba Martín, Yasunari Kawabata, Luís Carvalho Lourenço, Carlos Marra-Lopez, Jun Kyu Lee, Nils Habbe, Robert C. Verdonk, Yliya Rabotyagova, Rupjyoti Talukdar, Luca Frulloni, Shamil Galeev, Zoltán Berger, Takeo Yasuda, Thilo Hackert, Ziyovuddin Saatov, Dimitri Aristotle Raptis, Jaume Boadas, Francesco Vitali, Livia Archibugi, Miroslav Ryska, Balazs Tihanyi, Vikesh K. Singh, Atsushi Masamune, Paul Yeaton, Kerrington D. Smith, Shrey Modi, Laura Cosen-Binker, Savio George Barreto, Eugenio Morandi, Sergio Valeri, Cintia Yoko Morioka, Luis F. Lara, Yoshifumi Takeyama, Frank G. Gress, Young-Dong Yu, Ezio Gaia, Sorin Traian Barbu, Ali Tüzün İnce, Akkraporn Deeprasertvit, Yu-Ting Chang, Stephen Olusola Abiola, Sabite Kacar, Peter Muscarella, Henri Braat, Samuel Han, Ali A. Aghdassi, Jean-Louis Frossard, Jill P. Smith, M.P. Schwartz, H.M. van Dullemen, N.G. Venneman, B.W.M. Spanier, Sjoerd Kuiken, Erwin van Geenen, Greg Beilman, Georgios Papachristou, Oscar Chapa Azuela, P. van der Schaar, Nevin Oruc, Marie-Paule Anten, William H. Nealon, Jesús García-Cano, Manol Jovani, Ziad Melki, Mustafa Mohammed Ahmed Ibrahim, M.U. Awajdarip, Mohammad Azam, K.G. Sabu, Igor Ermolaev, Shiran Shetty, Belei Oana, Juris Pokrotnieks, Malgorzata Lazuchiewicz-Kot, Riadh Bouali, Marek Winiarski, Marcus Schmitt, Mihai Rimbas, Alexander Meining, Bories Erwan, Peter N. Meier, Rainer Schoefl, Ahmed Youssef Altonbary, Igor Marsteller, Ingo Wallstabe, Skerdi Prifti, Arnaud Lemmers, M. Horvath, Ajay Kumar, Joseph J. Palermo, Issa, Y., van Santvoort, H. C., Fockens, P., Besselink, M. G., Bollen, T. L., Bruno, M. J., Boermeester, M. A., Moody, F. G., Bertrand, C., Johnson, C., van Lander, A., Carter, R., Conneely, J. B., Berrevoet, F., Sousa Silva, D., Li, Z. -F., Levy, P., Oppong, K., Gardner, T. B., Wilcox, C. M., French, J., Steer, M., Bradley, E. L., Layer, P., Napoleon, B., Mosquera, J. A., Gouma, D. J., Andersson, R., Manzelli, A., Klaase, J. M., Falconi, M., de-Madaria, E., Casadei, R., Malleo, G., Pezzilli, R., Malecka-Panas, E., Lohr, M., Mayerle, J., Rauws, E. A. J., Freeman, M. L., Ariffin, A. C., Vasavada, B., Lai, P. B. -S., Beristain-Hernandez, J. L., Juan, A., Plaudis, H., Vrochides, D., Neri, V., Velayutham, V., Andrianov, A., Figueras, J., Soreide, K., Shcherba, A., Gachabayov, M., Keith, R. G., Tsoulfas, G., Fink, M. A., Crippa, S., Nikfarjam, M., Bora, D., Desai, R., Donati, M., Bong, J. J., Martinez Moneo, E., Morris-Stiff, G., Coker, A., de Resende, A. P., Bhalerao, S. S., Sikora, S. S., Kelemen, D., Czako, L., Ramesh, H., Rummo, O., Fedaruk, A., Hlinnik, A., Chinthakindi, M., Dumitrascu, T., Egorov, V., Bettschart, V., Molinari, M., Guillermo, E. A. D., Orloff, S. L., Kostov, D. V., Sulpice, L., Knowles, B., Kimura, Y., Marangoni, G., Joshi, R., Gyokeres, T., Bedin, Vladimir, V., Ivanecz, A., Antonucci, A., Omoshoro-Jones, J. A. O., Nakache, R., Del Chiaro, M., Johnstone, M., Saito, T., Balzano, G., Chooklin, S., Boraschi, P., Park, W., Pereira, P. N. V. R., Pagano, N., Lykoudis, P., Partecke, L. I., Siatkouski, A., Martin, R. J., Kawabata, Y., Lourenco, L. C., Marra-Lopez, C., Lee, J. K., Habbe, N., Verdonk, R. C., Rabotyagova, Y., Talukdar, R., Frulloni, L., Galeev, S., Berger, Z., Yasuda, T., Hackert, T., Saatov, Z., Raptis, D. A., Boadas, J., Vitali, F., Archibugi, L., Ryska, M., Tihanyi, B., Singh, V. K., Masamune, A., Yeaton, P., Smith, K. D., Modi, S., Cosen-Binker, L., Barreto, S. G., Morandi, E., Valeri, S., Morioka, C. Y., Lara, L. F., Takeyama, Y., Gress, F. G., Yu, Y. -D., Gaia, E., Barbu, S. T., Ince, A. T., Deeprasertvit, A., Chang, Y. -T., Abiola, S. O., Kacar, S., Muscarella, P., Braat, H., Han, S., Aghdassi, A. A., Frossard, J. -L., Smith, J. P., Schwartz, M. P., van Dullemen, H. M., Venneman, N. G., Spanier, B. W. M., Kuiken, S., van Geenen, E., Beilman, G., Papachristou, G., Chapa Azuela, O., van der Schaar, P., Oruc, N., Anten, M. -P., Nealon, W. H., Garcia-Cano, J., Jovani, M., Melki, Z., Ibrahim, M. M. A., Awajdarip, M. U., Azam, M., Sabu, K. G., Ermolaev, I., Shetty, S., Oana, B., Pokrotnieks, J., Lazuchiewicz-Kot, M., Bouali, R., Winiarski, M., Schmitt, M., Rimbas, M., Meining, A., Erwan, B., Meier, P. N., Schoefl, R., Altonbary, A. Y., Marsteller, I., Wallstabe, I., Prifti, S., Lemmers, A., Horvath, M., Kumar, A., Palermo, J. J., Surgery, Amsterdam institute for Infection and Immunity, Amsterdam Gastroenterology Endocrinology Metabolism, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, CCA - Imaging and biomarkers, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Cancer Center Amsterdam, APH - Methodology, AII - Infectious diseases, Issa, Yama, van Santvoort, Hjalmar C., Fockens, Paul, Besselink, Marc G., Bollen, Thomas L., Bruno, Marco J., Boermeester, Marja A., Moody, Frank G., Bertrand, Claude, Johnson, Colin, van Lander, Aude, Carter, Ro, Conneely, John B., Berrevoet, Frederik, Sousa Silva, Donzã­lia, Zong-Fang, Li, Lã©vy, Philippe, Oppong, Kofi, Gardner, Timothy B., Wilcox, C. Mel, French, Jeremy, Steer, Michael, Bradley, Edward L., Layer, Peter, Napoleon, Bertrand, Mosquera, Jorge Antonio, Andersson, Roland, Manzelli, Antonio, Falconi, Massimo, de-Madaria, Enrique, Casadei, Riccardo, Malleo, Giuseppe, Pezzilli, Raffaele, Malecka-Panas, Ewa, Lohr, Matthia, Mayerle, Julia, Rauws, Erik A. J., Freeman, Martin L., Ariffin, Affirul Chairil, Vasavada, Bhavin, Lai, Paul Bo-San, Beristain-Hernandez, Jose Lui, Juan, à lvarez, Plaudis, Harald, Vrochides, Dionisio, Neri, Vincenzo, Velayutham, Vimalraj, Andrianov, Aleksey, Figueras, Joan, Soreide, Kjetil, Shcherba, Aliaksei, Gachabayov, Mahir, Keith, Roger G., Tsoulfas, Georgio, Fink, Michael Anthony, Crippa, Stefano, Nikfarjam, Mehrdad, Bora, Dibyajyoti, Desai, Rajendra, Donati, Marcello, Bong, Jan Jin, Martínez Moneo, Emma, Morris-Stiff, Gareth, Coker, Ahmet, de Resende, Alexandre Prado, Bhalerao, Suryabhan Sakhahari, Sikora, Sadiq S., Kelemen, Dezså, Czakã³, Lã¡szlã³, Ramesh, Hariharan, Rummo, Oleg, Fedaruk, Aliaksei, Hlinnik, Alexey, Chinthakindi, Madhusudhan, Dumitrascu, Traian, Egorov, Vyacheslav, Bettschart, Vincent, Molinari, Michele, Guillermo, E. Aldana D., Orloff, Susan L., Kostov, Daniel Vasilev, Sulpice, Laurent, Knowles, Brett, Kimura, Yasutoshi, Marangoni, Gabriele, Joshi, Rajeev, Gyã¶keres, Tibor, Bedin, Null, Ivanecz, Arpad, Antonucci, Adelmo, Omoshoro-Jones, Jones A. O., Nakache, Richard, Del Chiaro, Marco, Johnstone, Marianne, Saito, Tomoaki, Balzano, Gianpaolo, Chooklin, Serge, Boraschi, Piero, Park, Walter, Pereira, Pedro Nuno Valente Rei, Pagano, Nico, Lykoudis, Pavlo, Partecke, Lars Ivo, Siatkouski, Aliaksandr, Martã­n, Rosa Jorba, Kawabata, Yasunari, Lourenã§o, Luís Carvalho, Marra-Lopez, Carlo, Lee, Jun Kyu, Habbe, Nil, Verdonk, Robert C., Rabotyagova, Yliya, Talukdar, Rupjyoti, Frulloni, Luca, Galeev, Shamil, Berger, Zoltã¡n, Yasuda, Takeo, Hackert, Thilo, Saatov, Ziyovuddin, Raptis, Dimitri Aristotle, Boadas, Jaume, Vitali, Francesco, Archibugi, Livia, Ryska, Miroslav, Tihanyi, Balaz, Singh, Vikesh K., Masamune, Atsushi, Yeaton, Paul, Smith, Kerrington D., Modi, Shrey, Cosen-Binker, Laura, Barreto, Savio George, Morandi, Eugenio, Valeri, Sergio, Morioka, Cintia Yoko, Lara, Luis F., Takeyama, Yoshifumi, Gress, Frank G., Young-Dong, Yu, Gaia, Ezio, Barbu, Sorin Traian, Ä°nce, Ali Tüzün, Deeprasertvit, Akkraporn, Chang, Yu-Ting, Abiola, Stephen Olusola, Kacar, Sabite, Muscarella, Peter, Braat, Henri, Han, Samuel, Aghdassi, Ali A., Frossard, Jean-Loui, Smith, Jill P., Kuiken, Sjoerd, van Geenen, Erwin, Beilman, Greg, Papachristou, Georgio, Chapa Azuela, Oscar, Oruc, Nevin, Anten, Marie-Paule, Nealon, William H., García-Cano, Jesãº, Jovani, Manol, Melki, Ziad, Ibrahim, Mustafa Mohammed Ahmed, Azam, Mohammad, Ermolaev, Igor, Shetty, Shiran, Oana, Belei, Pokrotnieks, Juri, Lazuchiewicz-Kot, Malgorzata, Bouali, Riadh, Winiarski, Marek, Schmitt, Marcu, Rimbas, Mihai, Meining, Alexander, Erwan, Borie, Meier, Peter N., Schoefl, Rainer, Altonbary, Ahmed Youssef, Marsteller, Igor, Wallstabe, Ingo, Prifti, Skerdi, Lemmers, Arnaud, Kumar, Ajay, Palermo, Joseph J., and Gastroenterology & Hepatology

Subjects
Endoscopic ultrasound, medicine.medical_treatment, Islets of Langerhans Transplantation, Practice Patterns, Diagnosis, treatment, chronic pancreatitis, survey, Bioinformatics, 0302 clinical medicine, Risk Factors, Lithotripsy, Diagnosis, 03.02. Klinikai orvostan, Endoscopy, Digestive System, Chronic, Practice Patterns, Physicians', Tomography, Digestive System Surgical Procedures, treatment, medicine.diagnostic_test, Gastroenterology, Magnetic Resonance Imaging, X-Ray Computed, Treatment Outcome, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Predictive value of tests, Pancreatectomy, 030211 gastroenterology & hepatology, Autologous, medicine.medical_specialty, Clinical Decision-Making, Transplantation, Autologous, Decision Support Techniques, chronic pancreatitis, 03 medical and health sciences, Predictive Value of Tests, Pancreatitis, Chronic, medicine, Humans, survey, Pancreatic duct, Transplantation, Physicians', Hepatology, business.industry, General surgery, Gastroenterologists, Endoscopy, Magnetic resonance imaging, medicine.disease, Pancreatitis, Health Care Surveys, Tomography, X-Ray Computed, business, Digestive System
Abstract

Background The aim of the study was to evaluate the current opinion and clinical decision-making process of international pancreatologists, and to systematically identify key study questions regarding the diagnosis and treatment of chronic pancreatitis (CP) for future research. Methods An online survey, including questions regarding the diagnosis and treatment of CP and several controversial clinical case vignettes, was send by e-mail to members of various international pancreatic associations: IHPBA, APA, EPC, ESGE and DPSG. Results A total of 288 pancreatologists, 56% surgeons and 44% gastroenterologists, from at least 47 countries, participated in the survey. About half (48%) of the specialists used a classification tool for the diagnosis of CP, including the Mayo Clinic (28%), Mannheim (25%), or Buchler (25%) tools. Overall, CT was the preferred imaging modality for evaluation of an enlarged pancreatic head (59%), pseudocyst (55%), calcifications (75%), and peripancreatic fat infiltration (68%). MRI was preferred for assessment of main pancreatic duct (MPD) abnormalities (60%). Total pancreatectomy with auto-islet transplantation was the preferred treatment in patients with parenchymal calcifications without MPD abnormalities and in patients with refractory pain despite maximal medical, endoscopic, and surgical treatment. In patients with an enlarged pancreatic head, 58% preferred initial surgery (PPPD) versus 42% initial endoscopy. In patients with a dilated MPD and intraductal stones 56% preferred initial endoscopic ± ESWL treatment and 29% preferred initial surgical treatment. Conclusion Worldwide, clinical decision-making in CP is largely based on local expertise, beliefs and disbeliefs. Further development of evidence-based guidelines based on well designed (randomized) studies is strongly encouraged.

Published
2017
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