Diagnosis and management of acute pancreatitis: review of modern guidelines (part 2)

Authors

  • S.M. Chuklin Lviv Regional Clinical Hospital, Lviv, Ukraine
  • S.S. Chuklin Lviv Regional Clinical Hospital, Lviv, Ukraine
  • P.M. Popyk Lviv Regional Clinical Hospital, Lviv, Ukraine
  • G.V. Shershen Lviv Regional Clinical Hospital, Lviv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.5.2020.212233

Keywords:

acute pancreatitis, guidelines, management

Abstract

Although specific treatments for patients with acute pancreatitis are being anticipated and there is no clinically useful laboratory marker for monitoring the clinical trajectory of patients, new evidence has been accumulated regarding the early treatment of patients with this pathology. When patients with acute pancreatitis develop infection of fluid collection, necrotic collection, and wall-off necrosis, interventional treatment may be required. The article provides an overview of current national and international recommendations for acute pancreatitis from the Medline database from 2013 to 2020. Indications for the management of acute pancreatitis patients in intensive care units and the volume of conservative care are considered. Modern methods of interventions are explained, based on the step-up concept. A mini-invasive approach to the treatment of patients with acute biliary pancreatitis has been identified.

Downloads

Download data is not yet available.

References

Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancrea­titis. Pancreatology. 2013. Vol. 13. Suppl. 2. Е1-15.

Tenner S., Baillie J., DeWitt J., Vege S.S. American College of Gastroenterology guideline: management of acute pancreatitis. Am. J. Gastroenterol. 2013. Vol. 108. P. 1400-1415.

Koh D.H., Kim J.H., Lee J., Choi H.S. Clinical Practice Guidelines for Acute Pancreatitis: The Diagnosis of Acute Pancreatitis. Korean J. Pancreas Biliary Tract. 2013. Vol. 18. P. 4-13.

Lee S.H., Ryu J.K., Ahn D.W., Kim J. Clinical Practice Guideline for Acute Pancreatitis: The Assessment of the Severity of Acute Pancreatitis. Korean J. Pancreas Biliary Tract. 2013. Vol. 18. P. 14-23.

Lee T.H., Han J.H., Park S.H. Clinical Practice Guideline for Acute Pancreatitis: Initial Management of Acute Pancreatitis. Korean J. Pancreas Biliary Tract. 2013. Vol. 18. P. 24-30.

Kim T.H., Seo D.W., Lee S.O., Kim S.H. Clinical Practice Guideline for Acute Pancreatitis: The Treatment of Local Complication of Acute Pancreatitis and Necrotizing Pancreatitis. Korean J. Pancreas Biliary Tract. 2013. Vol. 18. P. 31-41.

Tuennemann J., Mössner J., Beer S. Acute pancreatitis: guideline-based diagnosis and treatment. Internist. 2014. Bd. 55. S. 1045-1056.

Italian Association for the Study of the Pancreas (AISP). Consensus guidelines on severe acute pancreatitis. Dig. Liver. Dis. 2015. Vol. 47. P. 532-543.

Hritz I., Czakó L., Dubravcsik Z. et al. Acute pancreatitis. Evidence-based practice guidelines, prepared by the Hungarian Pancreatic Study Group. Orv. Hetil. 2015. Vol. 156. P. 244-261.

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. Vol. 38. P. 82-96.

Yokoe M., Takada T., Mayumi T. et al. Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015. J. Hepatobiliary Pancreat. Sci. 2015. Vol. 22. P. 405-432.

Greenberg J.A., Hsu J., Bawazeer M. Clinical practice guideline: management of acute pancreatitis. Can. J. Surg. 2016. Vol. 59. P. 128-140.

Rosołowski M., Lipiński M., Dobosz M. et al. Management of acute pancreatitis (AP) — Polish Pancreatic Club recommendations. Prz. Gastroenterol. 2016. Vol. 11. P. 65-72.

Mowery N.T., Bruns B.R., MacNew H.G. et al. Surgical management of pancreatic necrosis: A practice management guideline from the Eastern Association for the Surgery of Trauma. J. Trauma Acute Care Surg. 2017. Vol. 83. P. 316-327.

Sivaganesh S., Siriwardena A., Pathirana A. SLHPBA guidelines on the management of acute pancreatitis — a consensus document. Sri Lanka Journal of Surgery. 2017. Vol. 35. P. 29-33.

Li J., Chen J., Tang W. The consensus of integrative diagnosis and treatment of acute pancreatitis — 2017. J. Evid. Based Med. 2019. Vol. 12. P. 76-88.

Arvanitakis M., Dumonceau J.M., Albert J. et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018. Vol. 50. P. 524-546.

Crockett S.D., Wani S., Gardner T.B. et al. American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology. 2018. Vol. 154. P. 1096-1101.

Schuster K.M., Holena D.N., Salim A. et al. 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. Vol. 27. Е000281.

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. Vol. 14. 27.

Liao W.C., Tu T.C., Lee K.C. et al. Taiwanese consensus recommendations for acute pancreatitis. J. Formos Med. Assoc. 2019. Aug 6 [Epub ahead of print].

Porter K.K., Zaheer A., Kamel I.R. et al. ACR Appropriateness Criteria® Acute Pancreatitis. J. Am. Coll. Radiol. 2019. Vol. 16(11S). S. 316-330.

Arvanitakis M., Ockenga J., Bezmarevic M. et al. ESPEN guideline on clinical nutrition in acute and chronic pancreatitis. Clin. Nutr. 2020. Vol. 39. P. 612-631.

Baron T.H., DiMaio C.J., Wang A.Y., Morgan K.A. American Gastroenterological Association Clinical Practice Update: Ma­nagement of Pancreatic Necrosis. Gastroenterology. 2020. Vol. 158. P. 67-75.

Seta T., Noguchi Y., Shikata S., Nakayama T. Treatment of acute pancreatitis with protease inhibitors administered through intravenous infusion: an updated systematic review and meta-analysis. BMC Gastroenterol. 2014. Vol. 14. 102.

Zhou M., Chen B., Sun H. et al. The efficiency of continuous regional intraarterial infusion in the treatment of infected pancreatic necrosis. Pancreatology. 2013. Vol. 13. P. 212-215.

Published

2021-09-30

How to Cite

Chuklin, S., Chuklin, S., Popyk, P., & Shershen, G. (2021). Diagnosis and management of acute pancreatitis: review of modern guidelines (part 2). EMERGENCY MEDICINE, 16(5), 123–133. https://doi.org/10.22141/2224-0586.16.5.2020.212233

Issue

Section

Practicing Physician