Multidisciplinaire behandeling van chronische pancreatitis

M. A. Kempeneers; M. G. Besselink; Y. Issa; J. E. van Hooft; H. van Goor; M. J. Bruno; H. C. van Santvoort; M. A. Boermeester

Multidisciplinaire behandeling van chronische pancreatitis

M. A. Kempeneers
, M. G. Besselink
, Y. Issa
, J. E. van Hooft
, H. van Goor
, M. J. Bruno
, H. C. van Santvoort
, M. A. Boermeester

Research output: Contribution to journal › Article › Professional

Abstract

- 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

Original language	Dutch
Pages (from-to)	D1454
Journal	Nederlands tijdschrift voor geneeskunde
Volume	161
Publication status	Published - 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Cite this

@article{19e6eb536f3641dda1b4aeeb6729cf3f,

title = "Multidisciplinaire behandeling van chronische pancreatitis",

abstract = "- 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",

author = "Kempeneers, \{M. A.\} and Besselink, \{M. G.\} and Y. Issa and \{van Hooft\}, \{J. E.\} and \{van Goor\}, H. and Bruno, \{M. J.\} and \{van Santvoort\}, \{H. C.\} and Boermeester, \{M. A.\}",

year = "2017",

language = "Dutch",

volume = "161",

pages = "D1454",

journal = "Nederlands tijdschrift voor geneeskunde",

issn = "0028-2162",

publisher = "Bohn Stafleu Van Loghum",

}

TY - JOUR

T1 - Multidisciplinaire behandeling van chronische pancreatitis

AU - Kempeneers, M. A.

AU - Besselink, M. G.

AU - Issa, Y.

AU - van Hooft, J. E.

AU - van Goor, H.

AU - Bruno, M. J.

AU - van Santvoort, H. C.

AU - Boermeester, M. 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

M3 - Article

C2 - 28984211

SN - 0028-2162

VL - 161

SP - D1454

JO - Nederlands tijdschrift voor geneeskunde

JF - Nederlands tijdschrift voor geneeskunde

ER -