Harvard Management of Pancreatic Disorders for the Practicing Clinician 2024

Pancreatic Disease Foundations

• Clinical approach to pancreatic disorders
• Pancreatic anatomy, physiology, and disease mechanisms
• Diagnostic evaluation of pancreatic symptoms
• Approach to abdominal pain, jaundice, weight loss, and abnormal imaging
• Choosing appropriate laboratory tests and imaging studies
• When to refer to gastroenterology, surgery, oncology, or advanced endoscopy

Acute Pancreatitis

• Diagnosis and classification of acute pancreatitis
• Determining etiology: gallstones, alcohol, triglycerides, medications, and other causes
• Risk stratification and severity assessment
• Early management and fluid resuscitation
• Nutrition in acute pancreatitis
• Management of infected necrosis and pancreatic fluid collections
• Pseudocysts and walled-off necrosis
• Endoscopic, radiologic, and surgical approaches to complications

Chronic Pancreatitis

• Diagnosis and classification of chronic pancreatitis
• Risk factors and etiologies of chronic pancreatic inflammation
• Pancreatic pain management
• Exocrine pancreatic insufficiency
• Pancreatic enzyme replacement therapy
• Diabetes related to pancreatic disease
• Endoscopic therapy for ductal strictures and stones
• Surgical options for refractory disease

Pancreatic Cysts and Premalignant Lesions

• Evaluation of pancreatic cystic lesions
• IPMN, mucinous cystic neoplasms, serous cystadenoma, and cyst mimics
• Risk stratification for malignancy
• Role of MRI/MRCP, CT, EUS, and cyst fluid analysis
• Surveillance strategies for pancreatic cysts
• When to refer for surgery
• Patient counseling and shared decision-making

Pancreatic Cancer

• Early recognition of pancreatic cancer symptoms and risk factors
• Diagnostic imaging and staging
• EUS-guided tissue acquisition
• Management of biliary obstruction
• Resectable, borderline resectable, locally advanced, and metastatic disease
• Multidisciplinary pancreatic cancer care
• Genetic testing, high-risk screening, and familial pancreatic cancer considerations

Endoscopy, ERCP and Advanced Interventions

• Role of EUS in pancreatic disease
• Role of ERCP in pancreaticobiliary disorders
• Pancreatic duct strictures and stones
• Endoscopic drainage of pancreatic fluid collections
• Biliary obstruction and stenting
• Complication prevention and management in pancreatic endoscopy
• Decision-making between endoscopic, radiologic, and surgical interventions

Nutrition, Pain and Long-Term Care

• Nutritional assessment in pancreatic disease
• Malabsorption and pancreatic enzyme replacement
• Diabetes management in pancreatic disorders
• Chronic pain strategies and opioid-sparing approaches
• Lifestyle counseling and alcohol/tobacco risk reduction
• Long-term surveillance and follow-up care
• Patient education and coordination with multidisciplinary teams

It is ideal for gastroenterologists, internists, hospitalists, primary care physicians, surgeons, oncologists, radiologists, advanced endoscopists, NPs, PAs, residents, fellows, and clinicians involved in pancreatic disease care.

The course covers acute pancreatitis, chronic pancreatitis, pancreatic cysts, pancreatic cancer, pancreaticobiliary imaging, EUS, ERCP, endoscopic therapy, pain control, nutrition, exocrine insufficiency, pancreatic diabetes, biliary obstruction, complications, and multidisciplinary care.

Yes. The course is designed for practicing clinicians and focuses on real-world diagnostic and management decisions in pancreatic disorders.

No. This course package does not include CME points or a certificate.

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