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Grenacher, L.; Seidensticker, M.; Schreyer, A. G.; Wessling, J. und Mayerle, J. (2021): Leitliniengerechte Diagnostik der Pankreatitis. In: Radiologe, Bd. 61, Nr. 6: S. 548-554

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Abstract

Background There is currently no S3 guideline that contains statements on the diagnosis and treatment of acute, chronic and autoimmune pancreatitis in a single guideline. Objectives This article presents the most relevant recommendations relating to radiological imaging from the new S3 guideline for pancreatitis. Materials and methods The guideline was developed by the DGVS (German Society for Digestive and Metabolic Diseases). After an online-based Delphi survey, the statements were discussed by an interdisciplinary expert team at a 3-day consensus conference and then agreed upon. The level of evidence scheme (version 2) of the Oxford Centre for Evidence-based Medicine was used. Results The new German S3 guideline pancreatitis comprises for the first time all entities of pancreatitis, acute, chronic and autoimmune pancreatitis and contains a large number of innovations with regard to diagnostic imaging and therapy. In addition to the evidence-based recommendations for diagnosis and therapy, a German-language glossary of the revised Atlanta classification on acute pancreatitis was adopted by consensus of the interdisciplinary guideline expert team. Furthermore, protocol recommendations for the performance of computed tomography (CT) are provided for the first time. In this article we introduce the key recommendations and innovations in the field of diagnostic radiologic imaging for acute, chronic and autoimmune pancreatitis. Conclusions In the future, every radiologist should have deep knowledge of the recommended time intervals for radiological imaging in acute pancreatitis and know the German terms for the description of acute pancreatitis;furthermore they should be able to classify the morphologies to the appropriate stages.

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