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Clinical Practice Guidelines for Acute Pancreatitis

급성 췌장염 진료 권고안

  • Koh, Dong Hee (Division of Gastroenterology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine)
  • 고동희 (한림대학교 의과대학 한림대학교 동탄성심병원 소화기내과)
  • Received : 2018.12.04
  • Accepted : 2018.12.11
  • Published : 2018.12.25

Abstract

Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines with broad support from the clinician. Korean Pancreatobiliary Association has developed clinical practice guidelines for the diagnosis and treatment of acute pancreatitis to provide a framework for clinicians to manage acute pancreatitis and to improve national health care. The guidelines were divided into four parts: the diagnosis of acute pancreatitis, the assessment of the severity, the initial management, and the treatment of necrotizing pancreatitis and local complications of acute pancreatitis. In this article, we summarize and present the diagnosis and treatment guidelines for acute pancreatitis established in Korea.

Keywords

References

  1. Kim TH, Kim JH, Seo DW, Lee TH, Lee SH, Koh DH. Clinical practice guidelines for acute pancreatitis: purpose and process of guidelines. Korean J Pancreas Biliary Tract 2013;18:1-3.
  2. Koh DH, Kim JH, Lee J, Choi HS. Clinical practice guidelines for acute pancreatitis: the diagnosis of acute pancreatitis. Korean J Pancreas Biliary Tract 2013;18:4-13.
  3. Lee SH, Ryu JK, Ahn DW, Kim J. Clinical practice guideline for acute pancreatitis: the assessment of the severity of acute pancreatitis. Korean J Pancreas Biliary Tract 2013;18:14-23.
  4. Lee TH, Han JH, Park SH. Clinical practice guideline for acute pancreatitis: initial management of acute pancreatitis. Korean J Pancreas Biliary Tract 2013;18:24-30.
  5. Kim TH, Seo DW, Lee SO, Kim SH. Clinical practice guideline for acute pancreatitis: the treatment of local complication of acute pancreatitis and necrotizing pancreatitis. Korean J Pancreas Biliary Tract 2013;18:31-41.
  6. Banks PA, Freeman ML, Practice Parameters Committee of the American College of Gastroenterology. Practice guidelines in acute pancreatitis. Am J Gastroenterol 2006;101:2379-2400. https://doi.org/10.1111/j.1572-0241.2006.00856.x
  7. Working Party of the British Society of Gastroenterology, Association of Surgeons of Great Britain and Ireland, Pancreatic Society of Great Britain and Ireland, Association of Upper GI Surgeons of Great Britain and Ireland. UK guidelines for the management of acute pancreatitis. Gut 2005;54(Suppl 3):iii1-iii9.
  8. Kiriyama S, Gabata T, Takada T, et al. New diagnostic criteria of acute pancreatitis. J Hepatobiliary Pancreat Sci 2010;17:24-36. https://doi.org/10.1007/s00534-009-0214-3
  9. Pezzilli R, Zerbi A, Di Carlo V, et al. Practical guidelines for acute pancreatitis. Pancreatology 2010;10:523-535. https://doi.org/10.1159/000314602
  10. Uhl W, Warshaw A, Imrie C, et al. IAP guidelines for the surgical management of acute pancreatitis. Pancreatology 2002;2:565-573. https://doi.org/10.1159/000067684
  11. Hirota M, Takada T, Kawarada Y, et al. JPN guidelines for the management of acute pancreatitis: severity assessment of acute pancreatitis. J Hepatobiliary Pancreat Surg 2006;13:33-41. https://doi.org/10.1007/s00534-005-1049-1
  12. Wu BU, Bakker OJ, Papachristou GI, et al. Blood urea nitrogen in the early assessment of acute pancreatitis: an international validation study. Arch Intern Med 2011;171:669-676.
  13. Balthazar EJ, Ranson JH, Naidich DP, Megibow AJ, Caccavale R, Cooper MM. Acute pancreatitis: prognostic value of CT. Radiology 1985;156:767-772. https://doi.org/10.1148/radiology.156.3.4023241
  14. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990;174:331-336. https://doi.org/10.1148/radiology.174.2.2296641
  15. Ranson JH, Rifkind KM, Roses DF, Fink SD, Eng K, Spencer FC. Prognostic signs and the role of operative management in acute pancreatitis. Surg Gynecol Obstet 1974;139:69-81.
  16. Imrie CW, Benjamin IS, Ferguson JC, et al. A single-centre double-blind trial of Trasylol therapy in primary acute pancreatitis. Br J Surg 1978;65:337-341. https://doi.org/10.1002/bjs.1800650514
  17. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985;13:818-829. https://doi.org/10.1097/00003246-198510000-00009
  18. Ueda T, Takeyama Y, Yasuda T, et al. Utility of the new Japanese severity score and indications for special therapies in acute pancreatitis. J Gastroenterol 2009;44:453-459. https://doi.org/10.1007/s00535-009-0026-x
  19. Wu BU, Johannes RS, Sun X, Tabak Y, Conwell DL, Banks PA. The early prediction of mortality in acute pancreatitis: a large population-based study. Gut 2008;57:1698-1703. https://doi.org/10.1136/gut.2008.152702
  20. Marik PE, Zaloga GP. Meta-analysis of parenteral nutrition versus enteral nutrition in patients with acute pancreatitis. BMJ 2004;328:1407. https://doi.org/10.1136/bmj.38118.593900.55
  21. Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13(4 Suppl 2):e1-e15. https://doi.org/10.1016/j.pan.2013.07.063
  22. Seta T, Noguchi Y, Shimada T, Shikata S, Fukui T. Treatment of acute pancreatitis with protease inhibitors: a meta-analysis. Eur J Gastroenterol Hepatol 2004;16:1287-1293. https://doi.org/10.1097/00042737-200412000-00009
  23. Werner J, Feuerbach S, Uhl W, Buchler MW. Management of acute pancreatitis: from surgery to interventional intensive care. Gut 2005;54:426-436. https://doi.org/10.1136/gut.2003.035907
  24. Banks PA, Gerzof SG, Langevin RE, Silverman SG, Sica GT, Hughes MD. CT-guided aspiration of suspected pancreatic infection: bacteriology and clinical outcome. Int J Pancreatol 1995;18:265-270.
  25. Rau B, Pralle U, Mayer JM, Beger HG. Role of ultrasonographically guided fine-needle aspiration cytology in the diagnosis of infected pancreatic necrosis. Br J Surg 1998;85:179-184. https://doi.org/10.1046/j.1365-2168.1998.00707.x

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