T/CACM 1318.29-2019 Digestive System Common Diseases Traditional Chinese Medicine Guideline Part 29: Chronic Pancreatitis (Basic Level Physician Version)

Scope

Main technical content: Pancreatitis is a common disease in the digestive department, divided into acute pancreatitis and chronic pancreatitis. Chronic pancreatitis is a progressive chronic inflammation that eventually leads to irreversible damage to the pancreatic acini and islet cells, and is gradually replaced by fibrous tissue, resulting in significant dysfunction of both exocrine and endocrine pancreatic functions, which seriously affects patients' quality of life. Long-term complications include diabetes and pancreatic cancer. With the continuous development of the pathogenesis and treatment methods of pancreatitis at home and abroad, individualized and comprehensive treatment has gradually gained attention. Traditional Chinese medicine (TCM) has unique insights into the pathogenesis and treatment of pancreatitis. By combining TCM treatment with conventional Western medicine, it can significantly improve the therapeutic effect, alleviate clinical symptoms, reduce complications and prevent recurrence, improve the quality of life, and effectively improve the prognosis. At the same time, with the introduction of multiple drug administration methods such as nasal feeding, enema, and intestinal drip into the field of TCM, the application of TCM in the treatment of pancreatitis is becoming more and more widespread. TCM treatment can effectively promote the recovery of intestinal function and improve systemic symptoms, with unique therapeutic advantages, and can effectively control the progress of the disease and save a large amount of medical resources. In 2017, the Chinese Society of Traditional Chinese Medicine issued the "Expert Consensus on the Diagnosis and Treatment of Acute Pancreatitis", summarizing the diagnosis and treatment of acute pancreatitis in TCM. However, there is currently no expert consensus on the diagnosis and treatment of chronic pancreatitis in TCM. This guideline follows the methodology and process of international clinical practice guidelin

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