Abstract
The status of severe acute pancreatitis in Japan has been clarified by a series of surveys of the disease carried out by the Research Committee of Intractable Diseases of the Pancreas under the aegis of the Japanese Ministry of Health and Welfare. The severity of disease classification systems, consisting of: clinical signs and symptoms, laboratory data, and computed tomographic grading, have led to early detection of severe disease with precise assessment and the potential to screen for local complications. Early mortality has been markedly reduced by intensive care, with specific treatment modalities, while there has been an increase in late mortality caused by severe infection. Indications for surgery have been changed: to debridement for infected pancreatic necrosis and drainage of abscess although the timing of surgery is still controversial.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Saitoh Y (1991) Standardized criteria for clinical diagnosis and grading severity of acute pancreatitis. In: Saitoh Y (ed) Severe acute pancreatitis in Japan: Diagnosis and clinical management (in Japanese). Kokusai Isho Shuppan, Tokyo, pp 1–10
Saitoh Y, Yamamoto M (1991) Evaluation of severity of acute pancreatitis; according to a report of the cooperative national survey in Japan Int J Pancreatol 9:51–58
Saitoh Y, Yamamoto M (1994) Severe acute pancreatitis in Japan. In: Bradley EL III (ed) Acute pancreatitis: Diagnosis and therapy. Raven, New York, pp 139–144
Block S, Büchler M, Bittner R, Beger HG (1987) Sepsis indicators in acute pancreatitis. Pancreas 2:499–505
Ranson JHC (1994) Stratification of severity for acute pancreatitis. In: Bradley EL III (ed) Acute pancreatitis: Diagnosis and therapy. Raven, New York, pp 13–20
Bradley EL III (1993) A clinically based classification system for acute pancreatitis. Arch Surg 128:586–590
Beger HG (1991) Surgery in acute pancreatitis. Hepato-Gastroenterol 38:92–96
Reber HA, Smale BF (1987) Planned operation for acute pancreatitis: The American experience. In: Howard JM (ed) Surgical diseases of the pancreas. Lea and Febiger, Philadelphia, pp 440–449
Bradley EL III (1992) Necrotizing pancreatitis: Significance, detection, and treatment. Jpn J Gastroenterol Surg 25:2280–2290
Beger HG, Büchler R, Bittner S, Block T, Nevalainen R (1988) Necrosectomy and postoperative local lavage in necrotizing pancreatitis. Br J Surg 75:207–212
Author information
Authors and Affiliations
About this article
Cite this article
Yamamoto, M., Saitoh, Y. Severe acute pancreatitis in Japan. J Hep Bil Pancr Surg 3, 203–209 (1996). https://doi.org/10.1007/BF02391016
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02391016