{
  "abstract": "Introduction A pancreatitis service was established to facilitate co-ordinated multi-disciplinary team (MDT) care of patients with acute pancreatitis (AP) and chronic pancreatitis (CP). A specialist multi-disciplinary joint pancreatitis clinic has been established, including a Consultant Gastroenterologist, Pancreatitis Specialist Nurse, Specialist Pain Consultant and Dietitian, with a link to a tertiary specialist centre and MDT.Methods A retrospective analysis of patients reviewed at the joint pancreatitis clinics from November 2022 to April 2025 was completed. Data was extracted from a database and clinic outcomes evaluated.Results 88 patients were reviewed: 21 with AP and 67 with CP. Of these 88, 5 patients had care transferred to the tertiary centre, requiring intervention for complex disease.The cohort included 52 male patients and 36 female patients aged between 18 to 89 with a median age of 58.5 years.The most common aetiology was alcohol (n=43; 49%), followed by idiopathic (n=28; 32%). Other causes included gallstones (n= 3; 3%) and other (n=14; 16%). All 88 patients were seen either by the Consultant Gastroenterologist or Pancreatitis Specialist Nurse or both. Patients then moved through to see either the Specialist Pain Consultant and or Dietitian.29 patients with complex pain required Specialist Pain Consultant review. Of these, 10 (34%) were referred for Transcutaneous Electrical Nerve Stimulation (TENS), 14 (52%) had alterations in analgesia, and 1 (4%) was referred to the pain psychologist. 26 patients (90%) were discussed in the specialist benign pancreas MDT, with 5 (17%) transferred for further intervention. 24 patients had a 4-month local review, and 15 (62%) reported an improvement in pain. The remaining 5 were followed up out of trust or did not attend.77 patients were reviewed by the Specialist Dietitian, of which 65 (84%) patients were on Pancreatic Enzyme Replacement Therapy (PERT). 49 had a faecal elastase <20 (64%). 8 patients (10%) were seen due to Pancreatic Enzyme Insufficiency (PEI) symptoms despite a normal faecal elastase. At 4-month review, 31 patients (48%) described an improvement in their symptoms when started on PERT; 19 (29%) required up-titration of their dose; and 19 (29%) had a documented improvement in weight.Conclusions A dedicated joint multi-disciplinary pancreatitis clinic was set up to provide optimal care to an often overlooked cohort of patients. Patients were able to see multi-disciplinary team members in one clinic setting. An improvement in symptoms and weight, further to formal specialist PERT counselling was evident. Alternative approaches to pain management demonstrated an improvement in pain symptoms. Waiting times to see a Dietitian and Pain Consultant are diminished by the establishment of this multi-disciplinary team clinic, enabling gold standard patient care.",
  "authors": [
    {
      "affiliations": [
        "Stockport NHS Foundation Trust, Manchester, United Kingdom"
      ],
      "name": "Kirstie Murray"
    },
    {
      "affiliations": [
        "Stockport NHS Foundation Trust, Manchester, United Kingdom"
      ],
      "name": "Olivia Bradbury"
    },
    {
      "affiliations": [
        "Stockport NHS Foundation Trust, Manchester, United Kingdom"
      ],
      "name": "Andrew Everton"
    },
    {
      "affiliations": [
        "Stockport NHS Foundation Trust, Manchester, United Kingdom"
      ],
      "name": "David Crabtree"
    },
    {
      "affiliations": [
        "Stockport NHS Foundation Trust, Manchester, United Kingdom"
      ],
      "name": "Shameena Bharucha"
    }
  ],
  "title": "P164 The establishment of a joint multi-disciplinary pancreatitis clinic",
  "uid": "fa09378c-aa5b-5396-85cb-52ff99315728"
}