Morphology-Based Surgery for Chronic Pancreatitis Across Europe: Toward the Next Generation of Unified Guidelines
{"OBJECTIVE:":[0],"To":[1],"evaluate":[2],"the":[3,42,97,228,251],"use":[4,32,229],"and":[5,33,86,89,100,111,139,163,178,219,232,262],"impact":[6,34],"of":[7,41,193,230],"current":[8],"surgical":[9,144,244],"guidelines":[10,21,255],"for":[11,25,51,133,159,172,235,246,253],"chronic":[12],"pancreatitis":[13],"(CP)":[14],"across":[15,248],"Europe.":[16],"SUMMARY":[17],"BACKGROUND":[18],"DATA:":[19],"Current":[20],"recommend":[22],"morphology-based":[23],"surgery":[24,50,132,185,218],"CP,":[26,134],"but":[27],"international":[28],"studies":[29],"evaluating":[30],"their":[31],"are":[35],"lacking.":[36],"METHODS:":[37],"Post":[38],"hoc":[39],"analysis":[40],"prospective":[43],"multicenter":[44],"ESCOPA":[45],"study,":[46],"including":[47,121,227],"patients":[48,128],"undergoing":[49],"symptomatic":[52],"CP":[53,247],"at":[54,114],"22":[55],"centers":[56],"in":[57,243],"13":[58],"countries":[59],"(June":[60],"2021-November":[61],"2022),":[62],"with":[63,135,190,256],"6-month":[64],"follow-up.":[65],"Patients":[66],"were":[67,106,129,156,213],"stratified":[68],"by":[69,148],"morphologic":[70,149],"subtype:":[71,150],"\\"isolated":[72,78,173],"dilated":[73,84,161,174],"main":[74],"pancreatic":[75,80,152],"duct":[76,91,180,237],"(MPD),\\"":[77],"enlarged":[79,87,164],"head":[81,153],"(PH),\\"":[82],"\\"combined":[83,160],"MPD":[85,162],"PH,\\"":[88],"\\"small":[90,179],"disease.\\"":[92],"Treatment":[93],"was":[94,119,187],"based":[95],"on":[96],"European":[98],"HaPanEU":[99],"International":[101],"IAP-APA-JPS-EPC":[102],"guidelines.":[103],"Primary":[104],"outcomes":[105],"90-day":[107,137],"major":[108,194],"morbidity,":[109],"mortality,":[110],"pain":[112,141,206],"relief":[113,207],"6":[115],"months.":[116],"Practice":[117],"variation":[118,242],"assessed,":[120],"a":[122],"case-based":[123],"survey.":[124],"RESULTS:":[125],"Overall,":[126],"207":[127],"included":[130],"following":[131],"1.4%":[136],"mortality":[138,200],"72.6%":[140],"relief.":[142],"The":[143,240],"approach":[145],"varied":[146],"widely":[147],"duodenum-preserving":[151],"resections":[154],"(DPPHR)":[155],"most":[157],"common":[158],"PH\\"":[165],"(46.8%,":[166],"P=0.016);":[167],"whereas":[168],"formal":[169,220,231,261],"pancreatectomy":[170,234],"predominated":[171],"MPD\\"":[175],"(63.3%,":[176],"P=0.040)":[177],"disease\\"":[181],"(66.0%,":[182],"P=0.004).":[183],"Guideline-concordant":[184],"(66%)":[186],"not":[188],"associated":[189],"improved":[191],"rates":[192],"morbidity":[195],"(12.9%":[196],"vs.":[197,202,209],"18.8%,":[198],"P=0.387),":[199],"(1.6%":[201],"1.6%,":[203],"P>0.999),":[204],"or":[205],"(75.3%":[208],"66.7%,":[210],"P=0.468).":[211],"Outcomes":[212],"also":[214],"comparable":[215],"between":[216],"drainage/parenchyma-preserving":[217],"pancreatectomy.":[221,264],"Survey":[222],"findings":[223],"confirmed":[224],"practice":[225,245],"variation,":[226],"V-shaped":[233,263],"small":[236],"disease.":[238],"CONCLUSION:":[239],"substantial":[241],"Europe":[249],"highlights":[250],"need":[252],"unified":[254],"clear":[257],"recommendations,":[258],"particularly":[259],"regarding":[260]}
Authors
- Janis Pavulans (ORCID: https://orcid.org/0000-0002-0049-8940)
- Robert C. Verdonk (ORCID: https://orcid.org/0000-0001-5591-0499)
- Fabio Ausania (ORCID: https://orcid.org/0000-0001-8891-2546)
- Lancelot Marique (ORCID: https://orcid.org/0000-0002-6910-4364)
- Christina Krikke
- Charlotte L. van Veldhuisen (ORCID: https://orcid.org/0000-0002-4230-3478)
- Arturan İbrahimli (ORCID: https://orcid.org/0000-0002-5527-4434)
- Filip Gryspeerdt
- C. Leseman
- Kevin C. Conlon (ORCID: https://orcid.org/0000-0002-3703-7080)
- Roel Haen
- Anne Waage (ORCID: https://orcid.org/0000-0001-5560-5857)
- Tore Tholfsen
- Pasquale Scognamiglio (ORCID: https://orcid.org/0000-0002-3982-7019)
- JSD Mieog
- Jakob R. Izbicki
- Fleur E.M. De Rijk
- Susan van Dieren
- Marie Toschka
- Marja Boermeester
- Faik G. Uzunoglu
- Gennaro Nappo
- Orlin Belyaev
- Rogier P. Voermans
- Frederik Berrevoet
- Hjalmar C. Van Santvoort
- Arto Kokkola
- Safi Dokmak
- Geert Roeyen
- Olivier R. Busch
- Joana C. Marques-Antunes
- Stefan A. Bouwense
- Haralds Plaudis
- Massimo Falconi
- Casper H.J. Van Eijck
- Ugo Boggi
- Jeanin E. van Hooft
- Domenico Tamburrino
- Marc G. Besselink
- Poya Ghorbani
- Marco J. Bruno
Institutions
- University of Pisa (IT)
- Oslo University Hospital (NO)
- University Medical Center Groningen (NL)
- Karolinska University Hospital (SE)
- University of Helsinki (FI)
- Humanitas University (IT)
- Vita-Salute San Raffaele University (IT)
- Inserm (FR)
- Universität Hamburg (DE)
- University of Groningen (NL)
- Azerbaijan Medical University (AZ)
- Université Paris Cité (FR)
- Trinity College Dublin (IE)
- Hôpital Beaujon (FR)
- Leiden University Medical Center (NL)
- Helsinki University Hospital (FI)
- Ghent University Hospital (BE)
- Erasmus MC (NL)
- Tallaght University Hospital (IE)
- University Medical Center Utrecht (NL)
- Maastricht University (NL)
- Assistance Publique – Hôpitaux de Paris (FR)
- Riga East University Hospital (LV)
- Antwerp University Hospital (BE)
- St. Antonius Ziekenhuis (NL)
- Centre de Recherche sur l'Inflammation (FR)
- St. Josef-Hospital (DE)
- Instituto de Investigación Sanitaria de Santiago (ES)
- Hospital de Santa Maria (PT)
- Erasmus MC Cancer Institute (NL)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
- Ruhr University Bochum (DE)
Publication Details
- Journal
- Annals of Surgery
- Published
- 2026-09-04
- DOI
- https://doi.org/10.1097/sla.0000000000007202
- Primary Topic
- Pancreatitis Pathology and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00