16 results on '"Casadei, R."'
Search Results
2. Resectability is in the Eye of the Observer. A Multicenter, Blinded, Prospective Assessment of NCCN Resectability Status Classification for Pancreatic Cancer
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Giannone, F., primary, Capretti, G., additional, Hilal, M. Abu, additional, Boggi, U., additional, Casadei, R., additional, Falconi, M., additional, Girelli, R., additional, Malleo, G., additional, Salvia, R., additional, Zerbi, A., additional, and Balzano, G., additional
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- 2021
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3. Laparoscopic extended versus open extended distal pancreatectomy for ductal adenocarcinoma: A pan-European propensity-score matched study
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Balduzzi, A., primary, Van Hilst, J., additional, Korrel, M., additional, Lof, S., additional, Al-Sarireh, B., additional, Alseidi, A., additional, Berrevoet, F., additional, Bjo¨rnsson, B., additional, Van den Boezem, P., additional, Boggi, U., additional, Busch, O., additional, Butturini, G., additional, Casadei, R., additional, Van dam, R., additional, Dokmak, S., additional, Edwin, B., additional, Fabre, J.M., additional, Falconi, M., additional, Forgione, A., additional, Gayet, B., additional, Gomez, D., additional, Koerkamp, B Groot, additional, Hackert, T., additional, Keck, T., additional, Khatkov, I., additional, Marudanayagam, R., additional, Menon, K., additional, Pietrabissa, A., additional, Poves, I., additional, Salvia, R., additional, and Sa´nchez-Cabu´s, S., additional
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- 2020
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4. Clinical impact of nonselective beta-blockers on survival in patients with pancreatic cancer- revival of well known drugs?
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Renz, B.W., primary, Graf, S., additional, Dantes, Z., additional, Macchini, M., additional, Vecchiarelli, S., additional, Ricci, C., additional, Wang, T.C., additional, Casadei, R., additional, Di Marco, M., additional, Reichert, M., additional, Kleespies, A., additional, and Werner, J., additional
- Published
- 2019
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5. Minimally invasive versus open distal pancreatectomy for ductal adenocarcinoma (DIPLOMA): a pan-European propensity score matched study
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van Hilst, J., primary, de Rooij, T., additional, Klompmaker, S., additional, Rawashdeh, M., additional, Aleotti, F., additional, Al-Sarireh, B., additional, Alseidi, A., additional, Ateeb, Z., additional, Balzano, G., additional, Berrevoet, F., additional, Björnsson, B., additional, Boggi, U., additional, Busch, O., additional, Butturini, G., additional, Casadei, R., additional, del Chiaro, M., additional, Cipriani, F., additional, van Dam, R., additional, Damoli, I., additional, Dokmak, S., additional, Edwin, B., additional, van Eijck, C., additional, Fabre, J., additional, Falconi, M., additional, Farges, O., additional, Fernández-Cruz, L., additional, Forgione, A., additional, Frigerio, I., additional, Fuks, D., additional, Gavazzi, F., additional, Gayet, B., additional, Giardino, A., additional, Groot Koerkamp, B., additional, Hackert, T., additional, Hassenpflug, M., additional, Kabir, I., additional, Keck, T., additional, Khatkov, I., additional, Klock, A., additional, Kusar, M., additional, Lombardo, C., additional, Marchegiani, G., additional, Marshall, R., additional, Menon, K., additional, Montorsi, M., additional, Nowbray, N., additional, Orville, M., additional, Pietrabissa, A., additional, Poves, I., additional, Primrose, J., additional, Pugliese, R., additional, Ricci, C., additional, Roberts, K., additional, Røsok, B., additional, Sahakyan, M., additional, Sánchez-Cabús, S., additional, Sandström, P., additional, Scovel, L., additional, Solaini, L., additional, Soonawalla, Z., additional, Souche, R., additional, Sutcliffe, R., additional, Tiberio, G., additional, Tomazic, A., additional, Troisi, R., additional, Wellner, U., additional, White, S., additional, Wittel, U., additional, Zerbi, A., additional, Bassi, C., additional, Besselink, M., additional, and Abu Hilal, M., additional
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- 2019
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6. Is surgery the best treatment for reducing years of life lost due to sporadic small (≤2 cm) non-functioning pancreatic neuroendocrine tumours?
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Pacilio, C.A., primary, Ricci, C., additional, Brighi, N., additional, Ambrosini, V., additional, Taffurelli, G., additional, Santini, D., additional, Campana, D., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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7. Minimally invasive pancreatico-duodenenctomy: Which is the good “Way”? Systematic review and network meta-analysis of non randomized comparative studies
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Ricci, C., primary, Pacilio, C.A., additional, Taffurelli, G., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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8. Is pancreaticogastrostomy safer than pancreaticojejunostomy after pancreaticoduodenectomy? A meta-regression analysis of randomized clinical trials
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Pacilio, C.A., primary, Ricci, C., additional, Taffurelli, G., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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9. Intraductal papillary mucinous neoplasms: the Bologna experience. Lessons learned from 357 cases observed in a tertiary care center
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Pacilio, C.A., primary, Ricci, C., additional, Taffurelli, G., additional, Di Marco, M., additional, Calculli, L., additional, Serra, C., additional, Pagano, N., additional, Migliori, M., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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10. Laparoscopic distal pancreatectomy: which factors are related to open conversion? Lessons learned from 68 consecutive procedures in a high volume pancreatic center
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Ricci, C., primary, Pacilio, C.A., additional, Taffurelli, G., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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11. Prevalence of incidental intraductal papillary mucinous neoplasm: Bologna experience
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Ricci, C., primary, Migliori, M., additional, Imbrogno, A., additional, Mazzotta, E., additional, Felicani, C., additional, Pacilio, C.A., additional, Calculli, L., additional, Minni, F., additional, and Casadei, R., additional
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- 2018
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12. Natural history of the pancreatic remnant after resection of Ipmn: preliminary results from a multi-institutional international study
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Del Chiaro, M., primary, Wolfgang, C., additional, Malleo, G., additional, Levy, P., additional, Adham, M., additional, Besselink, M., additional, Bruno, M., additional, Zerbi, A., additional, Casadei, R., additional, Ceyhan, G., additional, Sauvanet, A., additional, Barish, E., additional, De Angelis, C., additional, Abu-Hilal, M., additional, Busch, O.R., additional, Ricci, C., additional, Groet, H., additional, Friss, H., additional, Rezaee, N., additional, Segersvärd, R., additional, Salvia, R., additional, and Schulick, R., additional
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- 2016
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13. Preoperative predictive factors of laparoscopic distal pancreatectomy difficulty
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Carlo Ingaldi, Laura Alberici, Riccardo Casadei, Claudio Ricci, Giaime G. Arru, Stefano Partelli, Valentina Andreasi, Stefano Crippa, Clelia Di Serio, Roberto Maria Montorsi, Nicolò Pecorelli, Paola M.V. Rancoita, Massimo Falconi, Partelli S., Ricci C., Rancoita P.M.V., Montorsi R., Andreasi V., Ingaldi C., Arru G., Pecorelli N., Crippa S., Alberici L., Di Serio C., Casadei R., Falconi M., Partelli, S., Ricci, C., Rancoita, P. M. V., Montorsi, R., Andreasi, V., Ingaldi, C., Arru, G., Pecorelli, N., Crippa, S., Alberici, L., Di Serio, C., Casadei, R., and Falconi, M.
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Male ,medicine.medical_specialty ,Preoperative risk ,030230 surgery ,Independent predictor ,Resection ,03 medical and health sciences ,Pancreatectomy ,Postoperative Complications ,0302 clinical medicine ,Blood loss ,medicine ,Humans ,pancreas ,Male gender ,Retrospective Studies ,Hepatology ,business.industry ,Gastroenterology ,Length of Stay ,Surgery ,Pancreatic Neoplasms ,Treatment Outcome ,Quartile ,030220 oncology & carcinogenesis ,Laparoscopy ,Distal pancreatectomy ,business - Abstract
Background: Laparoscopic distal pancreatectomy (LDP) is a challenging operation due to technical complexity and tumor-related factors. Aim of this study was to identify preoperative risk factors affecting LDP difficulty. Methods: Consecutive patients who underwent LDP between 2015 and 2018 at San Raffaele Hospital and Policlinico S.Orsola-Malpighi Hospital were enrolled retrospectively. Three variables were used to define surgical difficulty: conversion to open, duration of surgery >3rd quartile and intraoperative blood loss >3rd quartile. The presence of ≥1 of these 3 variables was considered as another measure of difficulty. Results: Overall, 191 patients were included. Conversion to open was required in 25 patients (13%). At multiple regression analysis, tumor proximity to major vessels was the only independent predictor of conversion from laparoscopic to open (p < 0.001). No variables independently predicted an excessive duration of surgery. Male gender (p = 0.033) and increasing parenchymal thickness at resection line (p = 0.018) were independent predictors of excessive blood loss. Increasing parenchymal thickness at resection line (p = 0.014) and tumor proximity to major vessels (p = 0.002) were significant risk factors for the presence of ≥1 outcome of surgical difficulty. Conclusion: Male gender, increasing parenchymal thickness at resection line and tumor proximity to major vessels represent preoperative risk factors of LDP difficulty.
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- 2020
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14. Histopathological appraisal of splenic hilum lymphadenectomy during distal pancreatectomy for pancreatic cancer: predefined subanalysis of the diploma trial.
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Bruna, C.L., van Hilst, J., Esposito, A., Kleive, D., Falconi, M., Primrose, J.N., Korrel, M., Bianchi, D., Zerbi, A., Kokkola, A., Butturini, G., Morone, M., Björnsson, B., Casadei, R., Marudanayagam, R., Besselink, M.G., and Hilal, M. Abu
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- 2024
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15. The use of comprehensive complication Index® in pancreatic surgery: a comparison with the Clavien-Dindo system in a high volume center
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Carlo Ingaldi, Cristina Mosconi, Francesco Minni, Giovanni Brandi, Nico Pagano, Laura Alberici, Mariacristina Di Marco, Andrea Palloni, Riccardo Casadei, Davide G. Grego, Emilio De Raffele, Claudio Ricci, Ricci C., Ingaldi C., Grego D.G., Alberici L., De Raffele E., Pagano N., Mosconi C., Di Marco M., Palloni A., Brandi G., Minni F., and Casadei R.
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medicine.medical_specialty ,animal structures ,030230 surgery ,Logistic regression ,Severity of Illness Index ,Pancreatic surgery ,03 medical and health sciences ,Postoperative Complications ,Pancreatectomy ,0302 clinical medicine ,Primary outcome ,Interquartile range ,Humans ,Medicine ,Digestive System Surgical Procedures ,Hepatology ,business.industry ,Gastroenterology ,Area under the curve ,Odds ratio ,Length of Stay ,nervous system diseases ,Surgery ,Standard error ,030220 oncology & carcinogenesis ,Postoperative Complication ,business ,Complication ,psychological phenomena and processes ,Human - Abstract
Background: The Clavien-Dindo classification (CDC) system and Comprehensive Complication Index (CCI®) are both widely used methods for reporting the burden of postoperative complications. This study aimed to compare the accuracy of the CDC and CCI® in predicting outcomes associated with pancreatic surgery. Methods: The CCI® and CDC were applied to 668 patients who underwent pancreatic resection. Length of postoperative stay (LOS) was chosen as the primary outcome variable. The comparison between CCI® and CDC was made with the Spearman test, reporting þs with standard error (SE) and logistic regression, reporting the Odds Ratio (OR) and Area Under the Curve with SE. Results: The median value with the interquartile range (IQR) of CCI® was 20.9 (0–29.6). Both CCI® (þs = 0.609) and CDC (0.590) were significantly (P < 0.001) correlated to LOS. CCI (OR 1.056 and OR 1.052) and CDC (OR 1.978, and OR 1.994) predicted (P < 0.001) LOS over the median and 75th percentile. The accuracy of CCI® was superior to CDC for LOS over 50th (0.785 vs. 0.740; P = 0.004) and over 75th (0.835 vs. 0.761; P < 0.001) percentile. Conclusion: The accuracy of CCI® in measuring the complicated postoperative course was superior to CDC, correctly classifying eight patients every ten tested.
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- 2021
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16. Diagnosis and treatment in chronic pancreatitis: an international survey and case vignette study
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Yama Issa, Hjalmar C. van Santvoort, Paul Fockens, Marc G. Besselink, Thomas L. Bollen, Marco J. Bruno, Marja A. Boermeester, Frank G. Moody, Claude Bertrand, Colin Johnson, Aude van Lander, Ross Carter, John B. Conneely, Frederik Berrevoet, Donzília Sousa Silva, Zong-Fang Li, Philippe Lévy, Kofi Oppong, Timothy B. Gardner, C. Mel Wilcox, Jeremy French, Michael Steer, Edward L. Bradley, Peter Layer, Bertrand Napoleon, Jorge Antonio Mosquera, D.J. Gouma, Roland Andersson, Antonio Manzelli, J.M. Klaase, Massimo Falconi, Enrique de-Madaria, Riccardo Casadei, Giuseppe Malleo, Raffaele Pezzilli, Ewa Malecka-Panas, Matthias Lohr, Julia Mayerle, Erik A.J. Rauws, Martin L. Freeman, Affirul Chairil Ariffin, Bhavin Vasavada, Paul Bo-San Lai, Jose Luis Beristain-Hernandez, Álvarez Juan, Haralds Plaudis, Dionisios Vrochides, Vincenzo Neri, Vimalraj Velayutham, Aleksey Andrianov, Joan Figueras, Kjetil Soreide, Aliaksei Shcherba, Mahir Gachabayov, Roger G. Keith, Georgios Tsoulfas, Michael Anthony Fink, Stefano Crippa, Mehrdad Nikfarjam, Dibyajyoti Bora, Rajendra Desai, Marcello Donati, Jan Jin Bong, Emma Martínez Moneo, Gareth Morris-Stiff, Ahmet Coker, Alexandre Prado de Resende, Suryabhan Sakhahari Bhalerao, Sadiq S. Sikora, Dezső Kelemen, László Czakó, Hariharan Ramesh, Oleg Rummo, Aliaksei Fedaruk, Alexey Hlinnik, Madhusudhan Chinthakindi, Traian Dumitrascu, Vyacheslav Egorov, Vincent Bettschart, Michele Molinari, E. Aldana D. Guillermo, Susan L. Orloff, Daniel Vasilev Kostov, Laurent Sulpice, Brett Knowles, Yasutoshi Kimura, Gabriele Marangoni, Rajeev Joshi, Tibor Gyökeres, null Bedin, V. Vladimir, Arpad Ivanecz, Adelmo Antonucci, Jones A.O. Omoshoro-Jones, Richard Nakache, Marco Del Chiaro, Marianne Johnstone, Tomoaki Saito, Gianpaolo Balzano, Serge Chooklin, Piero Boraschi, Walter Park, Pedro Nuno Valente Reis Pereira, Nico Pagano, Pavlos Lykoudis, Lars Ivo Partecke, Aliaksandr Siatkouski, Rosa Jorba Martín, Yasunari Kawabata, Luís Carvalho Lourenço, Carlos Marra-Lopez, Jun Kyu Lee, Nils Habbe, Robert C. Verdonk, Yliya Rabotyagova, Rupjyoti Talukdar, Luca Frulloni, Shamil Galeev, Zoltán Berger, Takeo Yasuda, Thilo Hackert, Ziyovuddin Saatov, Dimitri Aristotle Raptis, Jaume Boadas, Francesco Vitali, Livia Archibugi, Miroslav Ryska, Balazs Tihanyi, Vikesh K. Singh, Atsushi Masamune, Paul Yeaton, Kerrington D. Smith, Shrey Modi, Laura Cosen-Binker, Savio George Barreto, Eugenio Morandi, Sergio Valeri, Cintia Yoko Morioka, Luis F. Lara, Yoshifumi Takeyama, Frank G. Gress, Young-Dong Yu, Ezio Gaia, Sorin Traian Barbu, Ali Tüzün İnce, Akkraporn Deeprasertvit, Yu-Ting Chang, Stephen Olusola Abiola, Sabite Kacar, Peter Muscarella, Henri Braat, Samuel Han, Ali A. Aghdassi, Jean-Louis Frossard, Jill P. Smith, M.P. Schwartz, H.M. van Dullemen, N.G. Venneman, B.W.M. Spanier, Sjoerd Kuiken, Erwin van Geenen, Greg Beilman, Georgios Papachristou, Oscar Chapa Azuela, P. van der Schaar, Nevin Oruc, Marie-Paule Anten, William H. Nealon, Jesús García-Cano, Manol Jovani, Ziad Melki, Mustafa Mohammed Ahmed Ibrahim, M.U. Awajdarip, Mohammad Azam, K.G. Sabu, Igor Ermolaev, Shiran Shetty, Belei Oana, Juris Pokrotnieks, Malgorzata Lazuchiewicz-Kot, Riadh Bouali, Marek Winiarski, Marcus Schmitt, Mihai Rimbas, Alexander Meining, Bories Erwan, Peter N. Meier, Rainer Schoefl, Ahmed Youssef Altonbary, Igor Marsteller, Ingo Wallstabe, Skerdi Prifti, Arnaud Lemmers, M. Horvath, Ajay Kumar, Joseph J. Palermo, Issa, Y., van Santvoort, H. C., Fockens, P., Besselink, M. G., Bollen, T. L., Bruno, M. J., Boermeester, M. A., Moody, F. G., Bertrand, C., Johnson, C., van Lander, A., Carter, R., Conneely, J. B., Berrevoet, F., Sousa Silva, D., Li, Z. -F., Levy, P., Oppong, K., Gardner, T. B., Wilcox, C. M., French, J., Steer, M., Bradley, E. L., Layer, P., Napoleon, B., Mosquera, J. A., Gouma, D. J., Andersson, R., Manzelli, A., Klaase, J. M., Falconi, M., de-Madaria, E., Casadei, R., Malleo, G., Pezzilli, R., Malecka-Panas, E., Lohr, M., Mayerle, J., Rauws, E. A. J., Freeman, M. L., Ariffin, A. C., Vasavada, B., Lai, P. B. -S., Beristain-Hernandez, J. L., Juan, A., Plaudis, H., Vrochides, D., Neri, V., Velayutham, V., Andrianov, A., Figueras, J., Soreide, K., Shcherba, A., Gachabayov, M., Keith, R. G., Tsoulfas, G., Fink, M. A., Crippa, S., Nikfarjam, M., Bora, D., Desai, R., Donati, M., Bong, J. J., Martinez Moneo, E., Morris-Stiff, G., Coker, A., de Resende, A. P., Bhalerao, S. S., Sikora, S. S., Kelemen, D., Czako, L., Ramesh, H., Rummo, O., Fedaruk, A., Hlinnik, A., Chinthakindi, M., Dumitrascu, T., Egorov, V., Bettschart, V., Molinari, M., Guillermo, E. A. D., Orloff, S. L., Kostov, D. V., Sulpice, L., Knowles, B., Kimura, Y., Marangoni, G., Joshi, R., Gyokeres, T., Bedin, Vladimir, V., Ivanecz, A., Antonucci, A., Omoshoro-Jones, J. A. O., Nakache, R., Del Chiaro, M., Johnstone, M., Saito, T., Balzano, G., Chooklin, S., Boraschi, P., Park, W., Pereira, P. N. V. R., Pagano, N., Lykoudis, P., Partecke, L. I., Siatkouski, A., Martin, R. J., Kawabata, Y., Lourenco, L. C., Marra-Lopez, C., Lee, J. K., Habbe, N., Verdonk, R. C., Rabotyagova, Y., Talukdar, R., Frulloni, L., Galeev, S., Berger, Z., Yasuda, T., Hackert, T., Saatov, Z., Raptis, D. A., Boadas, J., Vitali, F., Archibugi, L., Ryska, M., Tihanyi, B., Singh, V. K., Masamune, A., Yeaton, P., Smith, K. D., Modi, S., Cosen-Binker, L., Barreto, S. G., Morandi, E., Valeri, S., Morioka, C. Y., Lara, L. F., Takeyama, Y., Gress, F. G., Yu, Y. -D., Gaia, E., Barbu, S. T., Ince, A. T., Deeprasertvit, A., Chang, Y. -T., Abiola, S. O., Kacar, S., Muscarella, P., Braat, H., Han, S., Aghdassi, A. A., Frossard, J. -L., Smith, J. P., Schwartz, M. P., van Dullemen, H. M., Venneman, N. G., Spanier, B. W. M., Kuiken, S., van Geenen, E., Beilman, G., Papachristou, G., Chapa Azuela, O., van der Schaar, P., Oruc, N., Anten, M. -P., Nealon, W. H., Garcia-Cano, J., Jovani, M., Melki, Z., Ibrahim, M. M. A., Awajdarip, M. U., Azam, M., Sabu, K. G., Ermolaev, I., Shetty, S., Oana, B., Pokrotnieks, J., Lazuchiewicz-Kot, M., Bouali, R., Winiarski, M., Schmitt, M., Rimbas, M., Meining, A., Erwan, B., Meier, P. N., Schoefl, R., Altonbary, A. Y., Marsteller, I., Wallstabe, I., Prifti, S., Lemmers, A., Horvath, M., Kumar, A., Palermo, J. J., Surgery, Amsterdam institute for Infection and Immunity, Amsterdam Gastroenterology Endocrinology Metabolism, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, CCA - Imaging and biomarkers, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Cancer Center Amsterdam, APH - Methodology, AII - Infectious diseases, Issa, Yama, van Santvoort, Hjalmar C., Fockens, Paul, Besselink, Marc G., Bollen, Thomas L., Bruno, Marco J., Boermeester, Marja A., Moody, Frank G., Bertrand, Claude, Johnson, Colin, van Lander, Aude, Carter, Ro, Conneely, John B., Berrevoet, Frederik, Sousa Silva, Donzãlia, Zong-Fang, Li, Lã©vy, Philippe, Oppong, Kofi, Gardner, Timothy B., Wilcox, C. Mel, French, Jeremy, Steer, Michael, Bradley, Edward L., Layer, Peter, Napoleon, Bertrand, Mosquera, Jorge Antonio, Andersson, Roland, Manzelli, Antonio, Falconi, Massimo, de-Madaria, Enrique, Casadei, Riccardo, Malleo, Giuseppe, Pezzilli, Raffaele, Malecka-Panas, Ewa, Lohr, Matthia, Mayerle, Julia, Rauws, Erik A. J., Freeman, Martin L., Ariffin, Affirul Chairil, Vasavada, Bhavin, Lai, Paul Bo-San, Beristain-Hernandez, Jose Lui, Juan, à lvarez, Plaudis, Harald, Vrochides, Dionisio, Neri, Vincenzo, Velayutham, Vimalraj, Andrianov, Aleksey, Figueras, Joan, Soreide, Kjetil, Shcherba, Aliaksei, Gachabayov, Mahir, Keith, Roger G., Tsoulfas, Georgio, Fink, Michael Anthony, Crippa, Stefano, Nikfarjam, Mehrdad, Bora, Dibyajyoti, Desai, Rajendra, Donati, Marcello, Bong, Jan Jin, MartÃnez Moneo, Emma, Morris-Stiff, Gareth, Coker, Ahmet, de Resende, Alexandre Prado, Bhalerao, Suryabhan Sakhahari, Sikora, Sadiq S., Kelemen, Dezså, Czakã³, Lã¡szlã³, Ramesh, Hariharan, Rummo, Oleg, Fedaruk, Aliaksei, Hlinnik, Alexey, Chinthakindi, Madhusudhan, Dumitrascu, Traian, Egorov, Vyacheslav, Bettschart, Vincent, Molinari, Michele, Guillermo, E. Aldana D., Orloff, Susan L., Kostov, Daniel Vasilev, Sulpice, Laurent, Knowles, Brett, Kimura, Yasutoshi, Marangoni, Gabriele, Joshi, Rajeev, Gyã¶keres, Tibor, Bedin, Null, Ivanecz, Arpad, Antonucci, Adelmo, Omoshoro-Jones, Jones A. O., Nakache, Richard, Del Chiaro, Marco, Johnstone, Marianne, Saito, Tomoaki, Balzano, Gianpaolo, Chooklin, Serge, Boraschi, Piero, Park, Walter, Pereira, Pedro Nuno Valente Rei, Pagano, Nico, Lykoudis, Pavlo, Partecke, Lars Ivo, Siatkouski, Aliaksandr, Martãn, Rosa Jorba, Kawabata, Yasunari, Lourenã§o, LuÃs Carvalho, Marra-Lopez, Carlo, Lee, Jun Kyu, Habbe, Nil, Verdonk, Robert C., Rabotyagova, Yliya, Talukdar, Rupjyoti, Frulloni, Luca, Galeev, Shamil, Berger, Zoltã¡n, Yasuda, Takeo, Hackert, Thilo, Saatov, Ziyovuddin, Raptis, Dimitri Aristotle, Boadas, Jaume, Vitali, Francesco, Archibugi, Livia, Ryska, Miroslav, Tihanyi, Balaz, Singh, Vikesh K., Masamune, Atsushi, Yeaton, Paul, Smith, Kerrington D., Modi, Shrey, Cosen-Binker, Laura, Barreto, Savio George, Morandi, Eugenio, Valeri, Sergio, Morioka, Cintia Yoko, Lara, Luis F., Takeyama, Yoshifumi, Gress, Frank G., Young-Dong, Yu, Gaia, Ezio, Barbu, Sorin Traian, Ä°nce, Ali Tüzün, Deeprasertvit, Akkraporn, Chang, Yu-Ting, Abiola, Stephen Olusola, Kacar, Sabite, Muscarella, Peter, Braat, Henri, Han, Samuel, Aghdassi, Ali A., Frossard, Jean-Loui, Smith, Jill P., Kuiken, Sjoerd, van Geenen, Erwin, Beilman, Greg, Papachristou, Georgio, Chapa Azuela, Oscar, Oruc, Nevin, Anten, Marie-Paule, Nealon, William H., GarcÃa-Cano, Jesãº, Jovani, Manol, Melki, Ziad, Ibrahim, Mustafa Mohammed Ahmed, Azam, Mohammad, Ermolaev, Igor, Shetty, Shiran, Oana, Belei, Pokrotnieks, Juri, Lazuchiewicz-Kot, Malgorzata, Bouali, Riadh, Winiarski, Marek, Schmitt, Marcu, Rimbas, Mihai, Meining, Alexander, Erwan, Borie, Meier, Peter N., Schoefl, Rainer, Altonbary, Ahmed Youssef, Marsteller, Igor, Wallstabe, Ingo, Prifti, Skerdi, Lemmers, Arnaud, Kumar, Ajay, Palermo, Joseph J., and Gastroenterology & Hepatology
- Subjects
Endoscopic ultrasound ,medicine.medical_treatment ,Islets of Langerhans Transplantation ,Practice Patterns ,Diagnosis, treatment, chronic pancreatitis, survey ,Bioinformatics ,0302 clinical medicine ,Risk Factors ,Lithotripsy ,Diagnosis ,03.02. Klinikai orvostan ,Endoscopy, Digestive System ,Chronic ,Practice Patterns, Physicians' ,Tomography ,Digestive System Surgical Procedures ,treatment ,medicine.diagnostic_test ,Gastroenterology ,Magnetic Resonance Imaging ,X-Ray Computed ,Treatment Outcome ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Predictive value of tests ,Pancreatectomy ,030211 gastroenterology & hepatology ,Autologous ,medicine.medical_specialty ,Clinical Decision-Making ,Transplantation, Autologous ,Decision Support Techniques ,chronic pancreatitis ,03 medical and health sciences ,Predictive Value of Tests ,Pancreatitis, Chronic ,medicine ,Humans ,survey ,Pancreatic duct ,Transplantation ,Physicians' ,Hepatology ,business.industry ,General surgery ,Gastroenterologists ,Endoscopy ,Magnetic resonance imaging ,medicine.disease ,Pancreatitis ,Health Care Surveys ,Tomography, X-Ray Computed ,business ,Digestive System - Abstract
Background The aim of the study was to evaluate the current opinion and clinical decision-making process of international pancreatologists, and to systematically identify key study questions regarding the diagnosis and treatment of chronic pancreatitis (CP) for future research. Methods An online survey, including questions regarding the diagnosis and treatment of CP and several controversial clinical case vignettes, was send by e-mail to members of various international pancreatic associations: IHPBA, APA, EPC, ESGE and DPSG. Results A total of 288 pancreatologists, 56% surgeons and 44% gastroenterologists, from at least 47 countries, participated in the survey. About half (48%) of the specialists used a classification tool for the diagnosis of CP, including the Mayo Clinic (28%), Mannheim (25%), or Buchler (25%) tools. Overall, CT was the preferred imaging modality for evaluation of an enlarged pancreatic head (59%), pseudocyst (55%), calcifications (75%), and peripancreatic fat infiltration (68%). MRI was preferred for assessment of main pancreatic duct (MPD) abnormalities (60%). Total pancreatectomy with auto-islet transplantation was the preferred treatment in patients with parenchymal calcifications without MPD abnormalities and in patients with refractory pain despite maximal medical, endoscopic, and surgical treatment. In patients with an enlarged pancreatic head, 58% preferred initial surgery (PPPD) versus 42% initial endoscopy. In patients with a dilated MPD and intraductal stones 56% preferred initial endoscopic ± ESWL treatment and 29% preferred initial surgical treatment. Conclusion Worldwide, clinical decision-making in CP is largely based on local expertise, beliefs and disbeliefs. Further development of evidence-based guidelines based on well designed (randomized) studies is strongly encouraged.
- Published
- 2017
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