The impact of a multidisciplinary team evaluation on the diagnosis and management of acute and chronic pancreatitis in a tertiary referral center.

IF 2.5 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Expert Review of Gastroenterology & Hepatology Pub Date : 2026-02-01 Epub Date: 2026-02-23 DOI:10.1080/17474124.2026.2629615

Gaetano Lauri, Matteo Tacelli, Gabriele Capurso

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引用次数: 0

Abstract

Background: Multidisciplinary team meetings (MTM) are crucial in benign conditions such as acute pancreatitis (AP) and chronic pancreatitis (CP). Our aim was to evaluate the impact of MTM on the diagnosis and management of AP and CP in a tertiary referral center.

Research design and methods: This retrospective study analyzed 232 patients with AP/CP discussed with biweekly MTM (10/2020-06/2024). The patients were classified according to etiology or complication management, recording diagnostic and therapeutic outcomes over six months.

Results: Of 536 referred patients, 232 were analyzed (142 AP, 90 CP). In AP subgroup, MTM revised etiology in 34.4% of cases and identified a cause in 45.5% of idiopathic AP. MTM also ensured successful management of AP complications in 100% of cases, including endoscopic or surgical interventions for pseudocysts and walled-off necrosis. In CP, the diagnosis was revised in 38.9%, with a cause identified in 45.5% of idiopathic cases. MTM effectively guided CP complication management, with 55% of cases managed surgically and 10% endoscopically. MTM identified 6 cases of low-grade pancreatic intraepithelial neoplasia and 9 previously undiagnosed pancreatic ductal adenocarcinomas (PDAC) across both cohorts.

Conclusions: In high-volume centers, MTM enhance diagnostic accuracy and optimize the tailored management of benign pancreatic diseases.

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多学科团队评估对三级转诊中心急性和慢性胰腺炎诊断和管理的影响。

背景：多学科小组会议（MTM）在急性胰腺炎（AP）和慢性胰腺炎（CP）等良性疾病中至关重要。我们的目的是评估MTM对三级转诊中心AP和CP的诊断和管理的影响。研究设计与方法：本研究回顾性分析了232例AP/CP患者，并于2020年10月至2024年6月进行双周MTM治疗。根据病因或并发症处理对患者进行分类，记录6个月以上的诊断和治疗结果。结果：536例转诊患者中，232例进行了分析（AP 142例，CP 90例）。在AP亚组中，MTM修正了34.4%的病例的病因，并在45.5%的特发性AP中确定了病因。MTM也确保了100%的AP并发症的成功管理，包括内窥镜或手术干预假性囊肿和壁状坏死。在CP中，有38.9%的人修改了诊断，在45.5%的特发性病例中确定了病因。MTM有效地指导了CP并发症的处理，55%的病例通过手术处理，10%的病例通过内镜处理。MTM在两个队列中发现了6例低级别胰腺上皮内瘤变和9例先前未诊断的胰腺导管腺癌（PDAC）。结论：在大容量中心，MTM提高了诊断准确性，优化了良性胰腺疾病的定制管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.