In this issue of UPMC Digest Fall 2014, several experts discuss acute and chronic pancreatitis, including lifestyle choices that may impact the pancreas.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Recognize plasmacytoma as a rare cause of pancreatic mass in patients with multiple myeloma
  • Describe the role of imaging in diagnostic acute pancreatitis and its complications, as well as in percutaneous sampling and catheter drainage of infected necrotic collections
  • Discuss the clinical presentation of autoimmune pancreatitis
  • Explain the stepwise, multidisciplinary approach for the management of chronic pancreatitis, which may include medical therapy, endoscopic therapy, and/or surgical intervention
  • Recognize and improve the management of hereditary pancreatitis
  • Review the robotic approach of pancreatic procedures
  • Identify what causes common nutrient deficiencies in chronic pancreatitis patients and how to manage them.

Reading Resources:

  1. Smith A, Hal H, Frauenhoffer E. Extramedullary Plasmacytoma of the Pancreas: A Rare Entity. Case Reports in Radiology. 2012; 2012: 798264.
  2. Trolli PA, Conwell DL, Zuccaro G, Jr. Pancreatic Enzyme Therapy and Nutritional Status of Outpatients With Chronic Pancreatitis. Gastroenterology Nursing. 2001 Mar-Apr;24(2):84-7. PMID: 11847733.
  3. Marik PE, Zaloga GP. Meta-Analysis of Parenteral Nutrition Versus Enteral Nutrition in Patients With Acute Pancreatitis. BMJ. 2004;328(7453):1407. PMID: 15175229.
  4. Sugumar A, Chari ST. Diagnosis and Treatment of Autoimmune Pancreatitis. Curr Opin Gastroenterol. 2010;26(5):513-8. PMID: 20693897.
  5. van Santvoort HC, Besselink MG, Bakker OJ et al. A Step-Up Approach or Open Necrosectomy for Necrotizing Pancreatitis. New Engl J Med. 2010;362:1491–1502.
  6. Yadav D, Lowenfels AB. The Epidemiology of Pancreatitis and Pancreatic Cancer. Gastroenterology 2013;144:1252-61. PMID: 23622135.
  7. Clarke B, Slivka A, Tomizawa Y, et al. Endoscopic Therapy is Effective for Patients With Chronic Pancreatitis. Clin Gastroenterol Hepatol .2012;10(7):795-802. PMID: 22245964
  8. Solomon S, Whitcomb DC.  Genetics of Pancreatitis: An Update for Clinicians and Genetic Counselors.  Curr Gastroenterol Rep. 2012 Apr;14(2):112-7. PMID: 22314809.
  9. Zureikat AH, Moser AJ, Boone BA, Bartlett DL, Zenati M, Zeh HJ III. 250 Robotic Assisted Pancreatic Resections: Safety and Feasibility. Ann Surg. 2013 Oct; 258(4): 554-62 PMID: 24002300.
  10. Schrader H, Menge BA, Belyaev O, et al. Amino Acid Malnutrition in Patients With Chronic Pancreatitis and Pancreatic Carcinoma. Pancreas. 2009 May;38(4):416-21. PMID: 19169171.

Disclosures:

Doctors Blaney, Dasyam, Mounzer, O’Keefe, Papachristou, Razzak, Singhi, Yadav, and Zureikat have reported no relevant relationships with entities producing health care goods or services.

Dr. Greer has received research support from AbbVie Pharmaceuticals.

Dr. Whitcomb has received research support from the NIH, is a consultant for AbbVie Pharmaceuticals, Novartis, and Millennium Pharmacy Systems, and is a stockholder in Ambry Genetics™.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 12/10/2014 | Last Modified On: 12/10/2014 | Expires: 12/10/2015

This course has been expired.