TY - JOUR
T1 - Stand van zaken multidisciplinaire behandeling van chronische pancreatitis
T2 - Overzicht van huidige stapsgewijze aanpak en nieuwe mogelijkheden
AU - Kempeneers, M. A.
AU - Besselink, Marc G.
AU - Issa, Yama
AU - Van Hooft, Jeanin E.
AU - Van Goor, Harry
AU - Bruno, Marco J.
AU - Van Santvoort, Hjalmar C.
AU - Boermeester, Marja A.
PY - 2017
Y1 - 2017
N2 - Chronic pancreatitis is a progressive inflammatory disease, which leads to a severe decrease in quality of life and reduced life expectancy.. 85-90% of patients with chronic pancreatitis consult the doctor because of pain.. Pain in chronic pancreatitis has a multifactorial aetiology, with nociceptive and neuropathological components. - Current treatment of chronic pancreatitis uses a step-up approach, starting with lifestyle interventions and medication, followed by endoscopic or surgical treatment or a combination of these two.. Surgical drainage or resection is more effective than repeated endoscopic treatment for patients with advanced chronic pancreatitis who use opiates. - There are indications that early surgical intervention in painful chronic pancreatitis and a dilated pancreatic duct provides better results than the current step-up approach; this is currently being investigated in the ESCAPE trial.
AB - Chronic pancreatitis is a progressive inflammatory disease, which leads to a severe decrease in quality of life and reduced life expectancy.. 85-90% of patients with chronic pancreatitis consult the doctor because of pain.. Pain in chronic pancreatitis has a multifactorial aetiology, with nociceptive and neuropathological components. - Current treatment of chronic pancreatitis uses a step-up approach, starting with lifestyle interventions and medication, followed by endoscopic or surgical treatment or a combination of these two.. Surgical drainage or resection is more effective than repeated endoscopic treatment for patients with advanced chronic pancreatitis who use opiates. - There are indications that early surgical intervention in painful chronic pancreatitis and a dilated pancreatic duct provides better results than the current step-up approach; this is currently being investigated in the ESCAPE trial.
UR - http://www.scopus.com/inward/record.url?scp=85031320463&partnerID=8YFLogxK
M3 - Review article
C2 - 28984211
SN - 0028-2162
VL - 161
JO - Nederlands Tijdschrift voor Geneeskunde
JF - Nederlands Tijdschrift voor Geneeskunde
IS - 40
ER -