RT Journal Article
SR Electronic
T1 Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines
JF BMJ Open Gastroenterology
JO BMJ Open Gastro
FD BMJ Publishing Group Ltd
SP e000643
DO 10.1136/bmjgast-2021-000643
VO 8
IS 1
A1 Mary E Phillips
A1 Andrew D Hopper
A1 John S Leeds
A1 Keith J Roberts
A1 Laura McGeeney
A1 Sinead N Duggan
A1 Rajesh Kumar
YR 2021
UL http://bmjopengastro.bmj.com//content/8/1/e000643.abstract
AB Introduction Pancreatic exocrine insufficiency is a finding in many conditions, predominantly affecting those with chronic pancreatitis, pancreatic cancer and acute necrotising pancreatitis. Patients with pancreatic exocrine insufficiency can experience gastrointestinal symptoms, maldigestion, malnutrition and adverse effects on quality of life and even survival.There is a need for readily accessible, pragmatic advice for healthcare professionals on the management of pancreatic exocrine insufficiency.Methods and analysis A review of the literature was conducted by a multidisciplinary panel of experts in pancreatology, and recommendations for clinical practice were produced and the strength of the evidence graded. Consensus voting by 48 pancreatic specialists from across the UK took place at the 2019 Annual Meeting of the Pancreatic Society of Great Britain and Ireland annual scientific meeting.Results Recommendations for clinical practice in the diagnosis, initial management, patient education and long term follow up were developed. All recommendations achieved over 85% consensus and are included within these comprehensive guidelines.Data sharing not applicable as no datasets generated and/or analysed for this study. Not applicable.