Cutting-edge information for the management of acute pancreatitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-12-18

AUTHORS

Tadahiro Takada, Koichi Hirata, Toshihiko Mayumi, Masahiro Yoshida, Miho Sekimoto, Masahiko Hirota, Yasutoshi Kimura, Kazunori Takeda, Shuji Isaji, Keita Wada, Hodaka Amano, Toshifumi Gabata, Shinjyu Arata, Morihisa Hirota, Masamichi Yokoe, Seiki Kiriyama, Takeo Nakayama, Kuni Otomo, Masao Tanaka, Tooru Shimosegawa

ABSTRACT

Considering that the Japanese (JPN) guidelines for the management of acute pancreatitis were published in Takada et al. (J HepatoBiliary Pancreat Surg 13:2–6, 2006), doubts will be cast as to the reason for publishing a revised edition of the Guidelines for the management of acute pancreatitis: the JPN guidelines 2010, at this time. The rationale for this is that new criteria for the severity assessment of acute pancreatitis were made public on the basis of a summary of activities and reports of shared studies that were conducted in 2008. The new severity classification is entirely different from that adopted in the 2006 guidelines. A drastic revision was made in the new criteria. For example, about half of the cases that have been assessed previously as being ‘severe’ are assessed as being ‘mild’ in the new criteria. The JPN guidelines 2010 are published so that consistency between the criteria for severity assessment in the first edition and the new criteria will be maintained. In the new criteria, severity assessment can be made only by calculating the 9 scored prognostic factors. Severity assessment according to the contrast-enhanced computed tomography (CT) grade was made by scoring the poorly visualized pancreatic area in addition to determining the degree of extrapancreatic progress of inflammation and its extent. Changes made in accordance with the new criteria are seen in various parts of the guidelines. In the present revised edition, post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis is treated as an independent item. Furthermore, clinical indicators (pancreatitis bundles) are presented to improve the quality of the management of acute pancreatitis and to increase adherence to new guidelines. More... »

PAGES

3-12

References to SciGraph publications

  • 1985-12. Results of surgical treatment of necrotizing pancreatitis in WORLD JOURNAL OF SURGERY
  • 2002-10. Evidence-based clinical practice guidelines for acute pancreatitis: proposals in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2006-10-01. Practice Guidelines in Acute Pancreatitis in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2006-02. JPN Guidelines for the management of acute pancreatitis: cutting-edge information in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2007-01-30. Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • Journal

    Author Affiliations

  • Department of Surgery, Teikyo University School of Medicine, 2-11-1, Kaga-cho, Itabashi, 173-8605, Tokyo, Japan
  • Department of Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University Graduate School of Medicine, Sapporo, Japan
  • Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
  • Department of Hemodialysis and Surgery, International University of Health and Welfare, Clinical Research Center, Kaken Hospital, Chiba, Japan
  • Department of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine, Kyoto, Japan
  • Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan
  • Department of Surgery, National Hospital Organization Sendai Medical Center, Sendai, Japan
  • Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, Mie, Japan
  • Department of Radiology, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
  • Critical Care and Emergency Center, Yokohama City University Medical Center, Yokohama, Japan
  • Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan
  • General Internal Medicine, Japanese Red Cross Society Nagoya Daini Hospital, Nagoya, Japan
  • Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Japan
  • Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan
  • Department of Radiology, University of Tokyo, Tokyo, Japan
  • Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-009-0216-1

    DOI

    http://dx.doi.org/10.1007/s00534-009-0216-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1009735090

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20020160


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