DOI: https://doi.org/10.22141/2224-0586.16.4.2020.207943

Diagnosis and management of acute pancreatitis: review of modern guidelines (part 1)

S.M. Chooklin, S.S. Chuklin, P.M. Popyk, G.V. Shershen

Abstract


Modern research substantiates the best tactics in patients with acute pancreatitis. It includes early diagnosis, identification of etiological factors, adequate imaging, and assessment of the disease severity. The article provides an overview of modern national and international recommendations for acute pancreatitis from the Medline database from 2013 to 2020. The main criteria for timely diagnosis are outlined. The approach to determining the etiological cause of the disease is considered. The importance of establishing the severity of acute pancreatitis is indicated, for which clinical, laboratory and radiological examination methods are used, as well as various integrated scales. The feasibility and timing of imaging are determined: ultrasonography, computed tomography, magnetic resonance imaging.


Keywords


acute pancreatitis; guidelines; diagnosis

References


Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13(4 Suppl 2):e1–15. doi: 10.1016/j.pan.2013.07.063.

Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108(9):1400–15. 1416. doi: 10.1038/ajg.2013.218.

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(2):4–13. (in Korean). doi: 10.15279/kpba.2013.18.2.4.

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(2):14–23. (in Korean). doi: 10.15279/kpba.2013.18.2.14.

Lee TH, Han JH, Park SH. Clinical Practice Guideline for Acute Pancreatitis: Initial Management of Acute Pancreatitis. Korean J Pancreas Biliary Tract. 2013;18(2):24–30. (in Korean). doi: 10.15279/kpba.2013.18.2.24

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(2):31–41. (in Korean). doi: 10.15279/kpba.2013.18.2.31.

Tuennemann J, Mössner J, Beer S. Acute pancreatitis: guideline-based diagnosis and treatment. Internist. 2014;55(9):1045–56. (in German). doi: 10.1007/s00108-014-3580-0.

Italian Association for the Study of the Pancreas (AISP). Consensus guidelines on severe acute pancreatitis. Dig Liver Dis. 2015;47(7):532–43. doi: 10.1016/j.dld.2015.03.022.

Hritz I, Czakó L, Dubravcsik Z, et al. Acute pancreatitis. Evidence-based practice guidelines, prepared by the Hungarian Pancreatic Study Group. Orv Hetil. 2015;156(7):244–61. (in Hungarian). doi: 10.1556/OH.2015.30059.

Boadas J, Balsells J, Busquets J, et al. Assessment and treatment of acute pancreatitis. Position document of the Catalan Society of Gastroenterology, Catalan Society of Surgery and Catalan Society of the Pancreas. Gastroenterol Hepatol. 2015;38(2):82–96. (in Spanish). doi: 10.1016/j.gastrohep.2014.09.006.

Yokoe M, Takada T, Mayumi T, et al. Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015. J Hepatobiliary Pancreat Sci. 2015;22(6):405–32. doi: 10.1002/jhbp.259.

Greenberg JA, Hsu J, Bawazeer M, et al. Clinical practice guideline: management of acute pancreatitis. Can J Surg, 2016;59(2):128–40. doi: 10.1503/cjs.015015.

Rosołowski M, Lipiński M, Dobosz M, et al. Management of acute pancreatitis (AP) - Polish Pancreatic Club recommendations. Prz Gastroenterol. 2016;11(2):65–72. doi: 10.5114/pg.2016.60251.

Mowery NT, Bruns BR, MacNew HG, et al. Surgical management of pancreatic necrosis: A practice management guideline from the Eastern Association for the Surgery of Trauma. Trauma Acute Care Surg. 2017;83(2):316-327. doi: 10.1097/TA.0000000000001510.

Sivaganesh S, Siriwardena A, Pathirana A. SLHPBA guidelines on the management of acute pancreatitis – a consensus document. Sri Lanka Journal of Surgery 2017;35(4):29–33. doi: 10.4038/sljs.v35i4.8436.

Li J, Chen J, Tang W. The consensus of integrative diagnosis and treatment of acute pancreatitis-2017. J Evid Based Med. 2019;12(1):76–88. doi: 10.1111/jebm.12342.

Arvanitakis M, Dumonceau JM, Albert J, et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018;50(5):524–546. doi: 10.1055/a-0588-5365.

Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN. American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology. 2018;154(4):1096–1101. doi: 10.1053/j.gastro.2018.01.032.

Schuster KM, Holena DN, Salim A, Savage S, Crandall M. American Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction. Trauma Surg Acute Care Open. 2019;4(1):e000281. doi: 10.1136/tsaco-2018-000281.

National Institute for Health and Care Excellence. Pancreatitis (NICE guideline NG104). 2018, 353 p.

Leppäniemi A, Tolonen M, Tarasconi A, et al. 2019 WSES guidelines for the management of severe acute pancreatitis. World J Emerg Surg. 2019;14:27. doi: 10.1186/s13017-019-0247-0.

Liao WC, Tu TC, Lee KC, et al. Taiwanese consensus recommendations for acute pancreatitis. J Formos Med Assoc. 2019 Aug 6 [Epub ahead of print]. doi: 10.1016/j.jfma.2019.07.019.

Porter KK, Zaheer A, Kamel IR, et al. ACR Appropriateness Criteria® Acute Pancreatitis. J Am Coll Radiol. 2019;16(11S):S316–S330. doi: 10.1016/j.jacr.2019.05.017.

Arvanitakis M, Ockenga J, Bezmarevic M, et al. ESPEN guideline on clinical nutrition in acute and chronic pancreatitis. Clin Nutr. 2020;39(3):612–631. doi: 10.1016/j.clnu.2020.01.004.

Baron TH, DiMaio CJ, Wang AY, Morgan KA. American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis Gastroenterology. 2020;158(1):67–75. doi: 10.1053/j.gastro.2019.07.064.




Copyright (c) 2020 EMERGENCY MEDICINE

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2020

 

   Seo анализ сайта