Value of multidisciplinary collaboration in acute and chronic pancreatitis

Haj‐Mirzaian, Arya; Patel, Bhavik N.; Fishman, Elliot K.; Zaheer, Atif

doi:10.1007/s00261-019-02320-9

Cited by 10 publications

(5 citation statements)

References 71 publications

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“…Up to one-half of CP patients develop PEI with its clinical hallmarks of malnutrition, steatorrhea, weight loss and osteoporosis [ 5 , 6 , 7 ]. In order to address this multifaceted spectrum of disease presentation, progression, and complications, treatment of CP requires a multidisciplinary approach with the involvement of pharmacologic treatment, lifestyle modifications including dietary counseling for nutritional rehabilitation and possible surgical or endoscopic interventions [ 8 , 9 ]. Following years of increased understanding of, and improvement, in management of CP, an initiative from the United European of Gastroenterology (UEG) published evidence-based guidelines for diagnosis and therapy (HaPanEU) in 2017 [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Adherence to European Guidelines for Treatment and Management of Pancreatic Exocrine Insufficiency in Chronic Pancreatitis Patients

Khan

Rutkowski

Vujasinović

et al. 2021

JCM

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European evidence-based guidelines for the treatment and management of chronic pancreatitis (CP) have been made available following the harmonizing diagnosis and treatment of CP across Europe (HaPanEU) initiative by the United European Gastroenterology (UEG). The aim of this study was to evaluate adherence to the guideline recommendations in the management of patients with pancreatic exocrine insufficiency (PEI) at Karolinska University Hospital in Stockholm. UEG guideline recommendations were evaluated and categorized into 55 different quality indicators (QIs). Data from a retrospective cohort of CP patients being treated at Karolinska University Hospital were evaluated with regard to overall adherence as well as adherence to specific QIs. A total number of 118 patients out of 956 patients diagnosed with CP were eligible for inclusion with mean overall adherence of 61.9% to the defined QIs. A significant difference in mean overall adherence was shown between patients diagnosed with CP prior to 1 January 2016 and following 1 January 2016 (59.3% and 67.7% respectively, p = 0.004), with linear regression analysis also demonstrating improvement correlating to date of diagnosis (p = 0.002). In conclusion, diagnosis and treatment of PEI improved after the HaPanEU guidelines became available and is continuously improving; however, there is room for further improvement.

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Section: Introductionmentioning

confidence: 99%

Adherence to European Guidelines for Treatment and Management of Pancreatic Exocrine Insufficiency in Chronic Pancreatitis Patients

Khan

Rutkowski

Vujasinović

et al. 2021

JCM

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“…The added diagnostic value of interdisciplinary collaboration has previously been shown for various health conditions. 22 , 23 …”

Section: Discussionmentioning

confidence: 99%

Effect of the addition of a mental health specialist for evaluation of undiagnosed patients in centres for rare diseases (ZSE-DUO): a prospective, controlled trial with a two-phase cohort design

Hebestreit,

Lapstich,

Brandstetter

et al. 2023

eClinicalMedicine

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“…Multidisciplinary collaboration (MDC) has been widely applied in the diagnosis and management of several diseases (cancer, pancreatitis) to optimize patient care (Watanabe et al, 2020;Haj-Mirzaian et al, 2020). In 2015, our center created a multidisciplinary team that consisted of several specialists from endocrinology, general surgery, anesthesiology and surgical intensive care unit to establish a coordinated strategy to facilitate the access of patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy under general anesthesia in severely obese patients: a single-centered retrospective study

Fan

Zhou

et al. 2021

PeerJ

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Background This study aims to summarize and analyze the clinical characteristics and outcomes of severely obese patients who underwent laparoscopic sleeve gastrectomy (LSG) under general anesthesia with multidisciplinary collaboration. Methods A retrospective analysis was performed for 100 severely obese patients who were hospitalized in Zhongshan Hospital, Fudan University from January 2017 to December 2019, and included preoperative general information, laboratory examinations, anesthesia and outcomes. Results A total of 100 patients (46 males, 54 females) were admitted to the department of endocrinology: 100 had hepatic steatosis (100%), 43 had sleep apnea hypopnea syndrome (43%), 25 had hypertension (25%), 11 had type 2 diabetes (11%) and 8 had polycystic ovary syndrome (14% of women). The mean age and BMI were 31.52 ± 10.53 years and 43.31 ± 6.80 kg/m2, respectively. Visual laryngoscope intubation was successfully performed with routine intravenous induction in the optimum sniffing position at one time. The surgeries were successfully performed under general anesthesia, without conversion, and the operation time was 140.92 ± 31.23 min. The follow-up data for 41 patients were obtained. The postoperative BMI showed a downward trend. The BMI at 1 month and 3 months after surgery were 38.40 ± 6.77 kg/m2and 35.52 ± 7.94 kg/m2, respectively. Conclusions Multidisciplinary collaboration may contribute to better management and recovery during the perioperative period. Visual laryngoscope intubation with intravenous induction was performed successfully in the optimum sniffing position at one time.

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Value of multidisciplinary collaboration in acute and chronic pancreatitis

Cited by 10 publications

References 71 publications

Adherence to European Guidelines for Treatment and Management of Pancreatic Exocrine Insufficiency in Chronic Pancreatitis Patients

Adherence to European Guidelines for Treatment and Management of Pancreatic Exocrine Insufficiency in Chronic Pancreatitis Patients

Effect of the addition of a mental health specialist for evaluation of undiagnosed patients in centres for rare diseases (ZSE-DUO): a prospective, controlled trial with a two-phase cohort design

Laparoscopic sleeve gastrectomy under general anesthesia in severely obese patients: a single-centered retrospective study

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