DOI: https://doi.org/10.22141/2308-2097.52.3.2018.141847

Chronic pancreatitis: general principles of treatment

T.N. Hristich, D.O. Hontsariuk

Abstract


The literature review considers the problems of the treatment of abdominal pain syndrome, pancreatic exocrine insufficiency syndrome, chronic pancreatitis of Oddi’s sphincter dysfunction, disorders of gall bladder, bile ducts, dysbiosis, intestinal dyskinesia against the background of the latest European recommendations and international con­sensus.

Keywords


chronic pancreatitis; pancreas; exocrine pancreatic insufficiency; treatment; enzyme therapy; spasmolytic therapy; surgical methods of treatment; review

References


Forsmark CE. Management of chronic pancreatitis. Gastroenterology. 2013 Jun;144(6):1282-91.e3. doi: 10.1053/j.gastro.2013.02.008.

Basurto Ona X, Rigau Comas D, Urrútia G. Opioids for acute pancreatitis pain. Cochrane Database Syst Rev. 2013 Jul 26;(7):CD009179. doi: 10.1002/14651858.CD009179.pub2.

Frulloni L, Falconi M, Gabbrielli A, et al. Italian consensus guidelines for chronic pancreatitis. Dig Liver Dis. 2010 Nov;42 Suppl 6:S381-406. doi: 10.1016/S1590-8658(10)60682-2.

Puylaert M, Kapural L, Van Zundert J, et al. Pain chronic pancreatitis. Pain Pract. 2011 Sep-Oct;11(5):492-505. doi: 10.1111/j.1533-2500.2011.00474.x.

Dominguez-Munoz JE. Chronic pancreatitis and persistent steatorrhea: wath is the correct dose of enzymes? Clin Gastroenterol Hepatol. 2011 Jul;9(7):541-6. doi: 10.1016/j.cgh.2011.02.027.

Olesen S, Graversen C, Olesen AE, et al. Randomised clinical trial: pregabalin attenuates experimental visceral pain through sub-cortical mechanisms in patients with painful chronic pancreatitis. Aliment Pharmacol Ther. 2011 Oct;34(8):878-87. doi: 10.1111/j.1365-2036.2011.04802.x.

Díte P, Ruzicka M, Zboril V, Novotný I. A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancreatitis. Endoscopy. 2003 Jul;35(7):553-8. DOI: 10.1055/s-2003-40237.

Rickels MR, Bellin M, Toledo FG, et al. Detection, evaluation and treatment of diabetes mellitus in chronic pancreatitis. Pancreatology. 2013 Jul-Aug;13(4):336-42. doi: 10.1016/j.pan.2013.05.002.

Cherniavskyi VV. The use of the 13C-triglyceride respiratory test for the diagnosis of pancreatic exocrine insufficiency. Aktualʹnì pitannâ farmacevtičnoï ì medičnoï nauki ta praktiki. 2010;1(77):252-257. (in Russian).

Ghoos YF, Vantrappen GR, Rutgeerts PJ, Schurmans PC. A mixed-triglyceride breath test for intraluminal fat digestive activity. Digestion. 1981;22(5):239-47. doi: 10.1159/000198663.

Lindkvist B. Diagnosis and treatment of pancreatic exocrine insufficiency. World J Gastroenterol. 2013 Nov 14;19(42):7258-66. doi: 10.3748/wjg.v19.i42.7258.

Dominguez-Munoz JE. Pancreatic enzyme therapy for pancreatic exocrine insufficiency. Curr Gastroenterol Rep. 2007 Apr;9(2):116-22.

Löhr JM, Dominguez-Munoz E, Rosendahl J, et al. United European Gastroenterology evidence based guidelines for the diagnosis and therapy of chronic pancreatitis. United European Gastroenterol J. 2017 Mar;5(2):153-199. doi: 10.1177/2050640616684695.

Löhr JM, Hummel FM, Pirilis KT, Steinkamp G, Körner A, Henniges F. Properties of different pancreatin preparations used in pancreatic exocrine insufficiency. Eur J Gastroenterol Hepatol. 2009 Sep;21(9):1024-31. doi: 10.1097/MEG.0b013e328328f414.

Cherniavskyi VV, Gvozdetska LS, Parunyan LM. Enzyme replacement therapy for maldigestion syndrome: clinical surveillances. Vestnik Kluba pankreatologov. 2017;(34):32-37. (in Ukrainian).

Babinets LS, Kotsaba YY, Kitsay KY, Halabitska IM. Correlations between trophological status and main characteristics of the disease in patients with chronic pancreatitis of biliary origin. Vestnik Kluba pankreatologov. 2017;1(34):38-40. (in Ukrainian).

Yaroshenko LA. Pathogenetic significance of the content of magnesium in the blood and hair in chronic pancreatitis. Terapevticheskii vestnik Uzbekistana . 2013;(2):57-62. (in Russian).




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