Japanese clinical guidelines for endoscopic treatment of pancreatolithiasis

Kazuo Inui, Yoshinori Igarashi, Atsushi Irisawa, Hirotaka Ohara, Susumu Tazuma, Yoshiki Hirooka, Naotaka Fujita, Hiroyuki Miyakawa, Naohiro Sata, Tooru Shimosegawa, Masao Tanaka, Keiko Shiratori, Masanori Sugiyama, Yoshifumi Takeyama

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: In addition to surgery, procedures for patients with pancreatolithiasis are developing; therefore, establishing practical guidelines for the management of pancreatolithiasis is required. Methods: Three committees (the professional committee for asking clinical questions (CQs) and statements by Japanese endoscopists, the expert panel committee for rating statements by the modified Delphi method, and the evaluating committee by moderators) were organized. Eight endoscopists and a surgeon for pancreatolithiasis made the CQs and statements from a total of 694 reports of published literature by PubMed search (from 1983 to 2012). The expert panelists individually rated these clinical statements using amodified Delphi approach, in which a clinical statement receiving amedian score greater than 7 on a 9-point scale from the panel was regarded as valid. Results: The professional committee made 3, 7, and 10 CQs and statements for the concept and pathogenesis, diagnosis, and treatment, respectively. The expert panelists regarded them as valid after a 2-round modified Delphi approach. Conclusions: After evaluation by the moderators, the Japanese clinical guidelines for pancreatolithiasis were established. Further discussions and studies for international guidelines are needed.

Original languageEnglish
Pages (from-to)1053-1064
Number of pages12
JournalPancreas
Volume44
Issue number7
DOIs
Publication statusPublished - 2015 Oct 1

Keywords

  • Chronic pancreatitis
  • endoscopic minor papilla sphincterotomy
  • endoscopic pancreatic duct stenting
  • endoscopic pancreatic sphincterotomy
  • extracorporeal shock wave lithotripsy
  • pancreatectomy

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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    Inui, K., Igarashi, Y., Irisawa, A., Ohara, H., Tazuma, S., Hirooka, Y., Fujita, N., Miyakawa, H., Sata, N., Shimosegawa, T., Tanaka, M., Shiratori, K., Sugiyama, M., & Takeyama, Y. (2015). Japanese clinical guidelines for endoscopic treatment of pancreatolithiasis. Pancreas, 44(7), 1053-1064. https://doi.org/10.1097/MPA.0000000000000449