The Belgian national registry on chronic pancreatitis: A prospective multi-centre study covering more than 800 patients in one year

Fernandez, Michaël; Arvanitakis, Marianna; Musala, Carmen; Devière, Jacques; Steenbergen, Werner Van; Putzeys, V; Ausloos, Floriane; Bastens, B.; Gast, Pierrette; Roeyen, Geert; Berrevoet, Frederik; Scheers, Isabelle; Delhaye, Marie; Deprez, Pierre Henri

doi:10.1016/j.pan.2017.05.387

Cited by 16 publications

(7 citation statements)

References 29 publications

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“…Third, BMI in our cohort looks low and biased. In our cohort, the median BMI of all patients is 21.3 kg/m 2 ; this value is similar value to the 22.8 kg/m 2 reported at The Belgian national registry on CP, 26 18.3 kg/m 2 and 21.0 kg/m 2 in the Japanese CP reports. 19,27 Therefore, we think that the patients included in this study are not biased.…”

Section: Discussionsupporting

confidence: 88%

Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis

Kuwahara

Hirooka

Kawashima

et al. 2018

J of Gastro and Hepatol

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Section: Discussionsupporting

confidence: 88%

Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis

Kuwahara

Hirooka

Kawashima

et al. 2018

J of Gastro and Hepatol

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“…Clinical signs of PEI include steatorrhea, abdominal pain, weight loss and malnutrition [4]. Recent data showed endocrine insufficiency and/or clinical steatorrhea in 41% and 36% of 809 patients [93]. Moreover, increased resting energy expenditure can be seen in up to 50% of patients with CP, thus leading to a negative energy balance and malnutrition [105].…”

Section: Commentarymentioning

confidence: 99%

“…Tobacco is an independent risk factor for CP, and can also be a disease modifier, acting in synergy with alcohol intake, and therefore, adds to the nutritional risk factors [93].…”

Section: Commentarymentioning

confidence: 99%

ESPEN guideline on clinical nutrition in acute and chronic pancreatitis

et al. 2020

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Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20% of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis. Abdominal pain leading to decreased oral intake, as well as exocrine and endocrine failure are frequent complications of the disease. All of the above represent risk factors related to malnutrition. Therefore, patients with chronic pancreatitis should be considered at risk, screened and supplemented accordingly. Moreover, osteoporosis and increased facture risk should be acknowledged in patients with chronic pancreatitis, and preventive measures should be considered.

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“…The TIGAR-O_V1 risk/etiology checklist has wide utility, being cited in more than 1,250 publications, used in major epidemiology studies, and recommended for use by leading experts and major societies (3,11–18). A modification of TIGAR-O, with the classes reorganized to spell M-ANNHEIM (19), has also been included in a more extensive disease severity classification system and used in similar ways (20–23).…”

Section: Introductionmentioning

confidence: 99%

Pancreatitis: TIGAR-O Version 2 Risk/Etiology Checklist With Topic Reviews, Updates, and Use Primers

Whitcomb

2019

Clin Transl Gastroenterol

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The Toxic-metabolic, Idiopathic, Genetic, Autoimmune, Recurrent and severe acute pancreatitis and Obstructive (TIGAR-O) Pancreatitis Risk/Etiology Checklist (TIGAR-O_V1) is a broad classification system that lists the major risk factors and etiologies of recurrent acute pancreatitis, chronic pancreatitis, and overlapping pancreatic disorders with or without genetic, immunologic, metabolic, nutritional, neurologic, metaplastic, or other features. New discoveries and progressive concepts since the 2001 TIGAR-O list relevant to understanding and managing complex pancreatic disorders require an update to TIGAR-O_V2 with both a short (S) and long (L) form. The revised system is designed as a hierarchical checklist for health care workers to quickly document and track specific factors that, alone or in combinations, may contribute to progressive pancreatic disease in individual patients or groups of patients and to assist in treatment selection. The rationale and key clinical considerations are summarized for each updated classification item. Familiarity with the structured format speeds up the completion process and supports thoroughness and consideration of complex or alternative diagnoses during evaluation and serves as a framework for communication. The structured approach also facilitates the new health information technologies that required high-quality data for accurate precision medicine. A use primer accompanies the TIGAR-O_V2 checklist with rationale and comments for health care workers and industries caring for patients with pancreatic diseases.

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The Belgian national registry on chronic pancreatitis: A prospective multi-centre study covering more than 800 patients in one year

Cited by 16 publications

References 29 publications

Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis

Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis

ESPEN guideline on clinical nutrition in acute and chronic pancreatitis

Pancreatitis: TIGAR-O Version 2 Risk/Etiology Checklist With Topic Reviews, Updates, and Use Primers

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