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- W2890470274 abstract "### What you need to knowPancreatitis can severely reduce quality of life and may reduce life expectancy.12 Acute and chronic pancreatitis are characterised by inflammation of the pancreas, and table 1 outlines their features. Acute pancreatitis can recur if the cause is not identified and addressed. Over time, such patients may develop chronic pancreatitis. In its early stages this is characterised by acute exacerbations but also chronic pain, along with exocrine insufficiency, associated with fat malabsorption and malnutrition. Diabetes is also common. As chronic pancreatitis progresses, patients tend to experience fewer exacerbations but more chronic pain.View this table:Table 1 Features of acute and chronic pancreatitisSpecialists almost always manage acute pancreatitis because it is an acute abdominal emergency requiring hospital admission. However, non-specialists, including those in primary care, may be the first clinicians to identify chronic pancreatitis. Non-specialists may also manage and monitor symptoms including pain, endocrine and exocrine insufficiency, and make appropriate referrals.Interventions used for management of acute pancreatitis show wide variation.3 Advice on management is often conflicting, and some patients have had difficulty accessing appropriate care. The new national guideline from the National Institute for Health and Care Excellence (NICE) on pancreatitis aims …" @default.
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- W2890470274 date "2018-09-05" @default.
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- W2890470274 title "Pancreatitis: summary of NICE guidance" @default.
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- W2890470274 doi "https://doi.org/10.1136/bmj.k3443" @default.
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