Development of Ibero-American Consensus on the Management of Acute Pancreatitis
After a decade of the latest international consensus, the Spanish Association of Gastroenterology (AEG) invited various gastroenterology associations and OPGE specialists from Argentina, Bolivia, Brazil, Colombia, Chile, Mexico, Peru and Uruguay, to publish at the beginning of 2023, a consensus to guide clinical practice in Ibero-America on the management of acute pancreatitis.
In 2021 and thanks to the initiative of Dr. Enrique Madaria, President of the Spanish Association of Gastroenterology (AEG), the initiative arose to carry out an Ibero-American Consensus on the management of Acute Pancreatitis, a mission that convened various associations, including: Spanish Association of Gastroenterology, Portuguese Society of Gastroenterology, Inter-American Society of Digestive Endoscopy (SIED) and Pan-American Organization of Gastroenterology (OPGE), with the purpose of developing a consensus that would serve as a guide for clinical practice in the Ibero-American Region.
According to Dr. Carla Mancilla A., OPGE Representative in the Ibero-American Consensus on the Management of Acute Pancreatitis: “Over the course of this year we have worked on the search for highly qualified specialists on the subject and on the development of the methodology that will be used in the consensus. It should be noted that OPGE will have specialists from Argentina, Bolivia, Brazil, Colombia, Chile, Mexico, Peru and Uruguay.”
Acute Pancreatitis (AP) is a common disease and within the field of gastroenterology, one of the main causes of hospitalization. In Chile, annual discharges due to PA are close to 10,000 cases. Its severity is variable, being mild in 85% of cases. In these cases, only general management is necessary, prioritizing analgesia and hydration and the subsequent and prompt resolution of the causative pathology, which in most cases corresponds to gallbladder stone disease. However -in the opinion of Mancilla- in the remaining 15% the disease can evolve with serious local or systemic complications, requiring complex management in intensive care units and the use of endoscopic or radiological drainage methods that require hospital discharge. complexity with highly qualified specialists.
The variable characteristics of these patients in a frequent pathology endorse the realization of consensuses that allow guiding medical practices. The latest consensus dates back a decade and experience shows that even in highly complex centers, adherence to the recommendations is partial.
Currently and already defined the methodology of the Ibero-American Consensus for the management of Acute Pancreatitis, the work will begin by commissions with representatives of all the associations that will be in charge of answering specific questions regarding the management of AP based on the best evidence available in the literature. medical.
“We hope to have the definitive document by the end of 2022, beginning of 2023. We are certain that this consensus document will represent a great contribution to medical practice in such dissimilar places in Ibero-America where the availability and access to resources can be very different. For On the other hand, we hope to contribute in terms of public health by offering a document that allows rationalizing therapies and the costs derived from them and reinforcing preventive cholecystectomy”, concluded Dr. Carla Mancilla.
The coordinators by Association for Consensus are responsible for the following:
- Spanish Association of Gastroenterology: Dr. Enrique de Madaria
- Spanish Association of Pancreatology: Dr. Emma Martínez
- Portuguese Society of Gastroenterology: Dr. Miguel Bispo and Dr. Pedro Moutinho
- SIED: Dr. Rodrigo Mansilla
- OPGE: Dr. Carla Mancilla
