Pancreas

pancreas_largePancreas is the official journal of the American Pancreatic Association. Pancreas provides a central forum for communication of original works involving both basic and clinical research on the exocrine and endocrine pancreas and their interrelationships and consequences in disease states. This multidisciplinary, international journal covers the whole spectrum of basic sciences, etiology, prevention, pathophysiology, diagnosis, and surgical and medical management of pancreatic diseases, including cancer.


APA Members receive free online access to Pancreas and discounted subscription rates for the hard copy of the journal.

Pancreapedia

 pancreapedia logo 220px widePancreapedia is an open access, on-line, knowledge base relating to the exocrine pancreas that is sponsored by the American Pancreatic Association.  It includes up to date citable reviews, methods articles as well as containing a worldwide directory of pancreatologists.  APA members are invited to both find and contribute information to the Pancreapedia. Please register and add yourself and your interests to the Directory.

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IAP/APA Acute Pancreatitis Guidelines Published

The evidence-based guidelines for the management of acute pancreatitis guidelines are now available. These are an update of the 2002 IAP Guidelines are a result of an international review group and one-day, interactive meeting held in conjunction with the 2012 APA/IAP joint meeting.

November 3, 2010

An article was published in the November edition of the Pancreas Journal summarizing the consensus from this conference. Full text version can be found here: 
Interventions for Necrotizing Pancreatitis

Videos taken on the day of the meeting are now available!

1. What are the main points in the revision of Atlanta classification with regards to pancreatic and/or peripancreatic necrosis excluding nomenclature of collections?

Michael Sarr, MD - Mayo Clinic

http://mediamill.cla.umn.edu/mediamill/embed/154024

 

2. What is the current nomenclature of collections in Atlanta classification and what is the need for revisions?

Thomas Bollen, MD - Brigham & Women’s Hospital

http://mediamill.cla.umn.edu/mediamill/embed/154025

Approved

 

 

3. When is MRI/MRCP, plus minus secretin/gadolinium indicated in necrosis?

What is the role of secretin MRCP in defining disconnected duct?

Desiree Morgan, MD - University of Alabama at Birmingham

http://mediamill.cla.umn.edu/mediamill/embed/154026

 

4. What is the role of EUS, MRCP, CT in differentiating necrosis from pseudocyst?

How much debris in a “pseudocyst” should suggest management as necrosis instead?

George Papachristou, MD - University of Pittsburgh

http://mediamill.cla.umn.edu/mediamill/embed/154027

 

 

5. How is infected necrosis diagnosed?

In 2010, is FNA any longer indicated to diagnose IN?

Scott Tenner, MD, MPH - SUNY Downstate

http://mediamill.cla.umn.edu/mediamill/embed/154028

 

6. When is intervention indicated for sterile and infected necrosis?

Is there a role for medical management for infected necrosis?

Peter Layer, MD - Iraelitic Hospital in Hamburg

http://mediamill.cla.umn.edu/mediamill/embed/154029

 

 

7. Consensus Discussion

Facilitators: Tim Gardner, MD, Darwin Conwell, MD &

Tooru Shimosegawa, MD, PhD

http://mediamill.cla.umn.edu/mediamill/embed/154031

 

8. In 2010,When is open surgical management of PN indicated

and when is it to be avoided, if possible?

Carlos Fernandez-del Castillo, MD - Massachusetts General Hospital

http://mediamill.cla.umn.edu/mediamill/embed/154032

 

9. If open debridement is to be performed, which technique has

best results?

Bettina Rau, MD - University of Rostock

http://mediamill.cla.umn.edu/mediamill/embed/154033

 

10. Consensus Discussion

Facilitators: Andrew Warshaw, MD, Peter Banks, MD &

Hans Beger, MD

http://mediamill.cla.umn.edu/mediamill/embed/154034

 

11. What are the approaches to minimally invasive necrosectomy?

John Windsor, MD - University of Auckland

http://mediamill.cla.umn.edu/mediamill/embed/154035

 

12. What are the results with intraperitoneal laparoscopic approach?

Dilip Parekh, MD - University of Southern California

http://mediamill.cla.umn.edu/mediamill/embed/154036

 

13. What are the results with retroperitoneal sinus track approach?

Ross Carter, MD - Glasgow Royal Infirmary Pancreatic Team

http://mediamill.cla.umn.edu/mediamill/embed/154037

 

14. What are the results with STEP-UP approach?

Hjalmar VanSantvoort, MD - University Medical Center, Utrecht

http://mediamill.cla.umn.edu/mediamill/embed/154038

 

15. Consensus Discussion

Facilitators: Marc Besselink, MD, PhD, Jeffrey B. Matthews, MD & Jens Werner, MD

http://mediamill.cla.umn.edu/mediamill/embed/154064

 

16. What are the results of percutaneous-only approach to debridement of necrosis?

When is it indicated?

Koenraad Mortele, MD - Brigham & Women’s Hospital

http://mediamill.cla.umn.edu/mediamill/embed/154065

 

17. What are the results of combined percutaneous endoscopic approach?

Andrew Ross, MD - Virginia Mason Medical Center

http://mediamill.cla.umn.edu/mediamill/embed/154066

 

18. What are the various techniques of endoscopic necrosectomy?

David Carr-Locke, MD - Beth Israel Medical Center

http://mediamill.cla.umn.edu/mediamill/embed/154067

 

19.

When is EUS-guidance indicated for endoscopic necrosectomy?

Shyam Varadarajulu, MD - University of Alabama at Birmingham

http://mediamill.cla.umn.edu/mediamill/embed/154063

 

20. What are the challenges and future directions of transgastric debridement?

Todd H. Baron, MD - Mayo Clinic

http://mediamill.cla.umn.edu/mediamill/embed/154062

 

21. What are results of European multicenter series of necrosectomy?

Hans Seifert, MD - Klinikum Oldenburg

http://mediamill.cla.umn.edu/mediamill/embed/154061

 

 

22. What are the results of the systematic review on percutaneous drainage as a primary treatment of necrotizing pancreatitis ?

What are the results from the PENGUIN trial on endoscopy necrosectomy versus surgical necrosectomy?

Marc Besselink, MD, PhD - University Medical Center, Utrecht

http://mediamill.cla.umn.edu/mediamill/embed/154060

 

23. What are the outcomes of endoscopic management of disconnected pancreatic duct and recurrent fistula/PFCs?

Olivier Le Moine, MD, PhD - Hopital Erasme

http://mediamill.cla.umn.edu/mediamill/embed/154059

 

24. What are the outcomes of surgical management for disconnected pancreatic duct and recurrent fistula/PFC?

Greg Beilman, MD - University of Minnesota

http://mediamill.cla.umn.edu/mediamill/embed/154058

 

25. Consensus Discussion

Facilitators: Stefan Seewald, David Carr-Locke

http://mediamill.cla.umn.edu/mediamill/embed/154098

 

 

26. CASE DISCUSSIONS: WHICH TECHNIQUES FOR WHICH SCENARIOS

Facilitators: Santhi Swaroop Vege, MD & Martin Freeman, MD

http://mediamill.cla.umn.edu/mediamill/embed/154100

 

27. Wrap up/Consensus Discussion

Facilitators: Santhi Swaroop Vege, MD & Martin Freeman, MD

http://mediamill.cla.umn.edu/mediamill/embed/154101