Practical guide to the management of chronic pancreatitis

Chronic pancreatitis (CP) is an irreversible fibroinflammatory disorder of the pancreas. It presents with relapsing, remitting upper abdominal pain accompanied by features of malabsorption due to pancreatic exocrine insufficiency and endocrine deficiency with the development of diabetes mellitus. The associated increased hospitalisation and high economic burden are related to CP often presenting at advanced stage with irreversible consequences. Diagnosing CP at an early stage is still challenging and therefore CP is believed to be under-reported. Our understanding of this disease has evolved over the last few years with attempts to redesign the definition of CP. Better recognition of the risk factors and conditions associated with CP can lead to an earlier diagnosis and coupled with a multidisciplinary approach to treatment, ultimately reduce complications. This article reviews the epidemiology, risk factors, diagnosis and management of CP.

Read More

BSG logo
Service Success Stories
Inflammatory Bowel Disease
Sagittarius: A Novel University-NHS UC Flare Service Transforming Care, Capacity, and Research
clinical-resource/(SSS)-Sagittarius-UC-Flare-Service
When patients with ulcerative colitis (UC) experience a flare, timely endoscopic assessment is essential to guide treatment decisions.

BSG logo
Service Success Stories
Endoscopy
Establishing a radiofrequency ablation service for radiation proctopathy
clinical-resource/(SSS)-Radiofrequency-ablation-service
30,000 patients per year have pelvic radiotherapy in the UK. Survival is improving, meaning more people are living long enough to develop side effects.