Advertisement

Central European Journal of Medicine

, Volume 9, Issue 4, pp 588–593 | Cite as

What guidelines tell us about acute pancreatitis. A review of the last international guidelines

  • Carlos Alberto León-Espinoza
  • Silviu Bordu
  • Javier Lopez-Sebastian
  • Elena Muñoz-Forner
  • Francisco Morera-Ocón
  • Luis Sabater-Orti
  • Bruno Camps-Vilata
  • Joaquin Ortega-Serrano
Review Article
  • 129 Downloads

Abstract

Background

Since the Atlanta Symposium several guidelines and consensus conferences have been published to improve the management and understanding of patients with acute pancreatitis. Herein, a review of the most recent guidelines on acute pancreatitis is carried out, trying to find differences and similarities.

Methods

Five of the last international guidelines on acute pancreatitis as well as the last consensus conference are critically reviewed.

Conclusions

There is more consensus than disagreement between guidelines, which is why the knowledge of them is of great importance when treating AP.

Keywords

Pancreatitis Review Necrotizing pancreatitis Guidelines 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    Uhl W., Warchaw A., Imrie C., Bassi, C., McKay C.J., Lankisch P.G., et al., IAP Guidelines for the Surgical Management of Acute Pancreatitis, Pancreatology, 2002, 2:565–573PubMedCrossRefGoogle Scholar
  2. [2]
    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 accute pancreatitis, Gut, 2005, 54(Suppl III):iii1–iii9, DOI: 10.1136/gut.2004.057026Google Scholar
  3. [3]
    Banks PA, Freeman ML; Practice Parameters Committee of the American College of Gastroenterology, Practice guidelines in accute pancreatitis, Am. J. Gastroenterol., 2006, 101(10):2379–2400PubMedCrossRefGoogle Scholar
  4. [4]
    Takada T., Kawarada Y., Hirata K., Mayumi T., Yoshida M., Sekimoto M., et al., JPN Guidelines for the management of acute pancreatitis, J Hepatobiliary Pancreat. Surg., 2006, 13(1):1–67PubMedCentralCrossRefGoogle Scholar
  5. [5]
    Maraví-Poma E., Jiménez I., Gener J., Zubia F., Perez M., Casas J.D., et al., Recomendaciones de la 7a Conferencia de Consenso de la SEMICYUC. Pancreatitis aguda grave en Medicina Intensiva, Med. Intensiva., 2005, 29(5):279–304Google Scholar
  6. [6]
    Cruz-Santamaria D, Taxonera C, Giner M. Update on pathogenesis and clinical management of acute pancreatitis, World J. Gastrointest. Pathophysiol., 2012, 15, 3(3): 60–70PubMedCentralPubMedGoogle Scholar
  7. [7]
    Freeman M.L., Werner J., van Santvoort H.C., Baron T.H., Besselink M.G., Windsor J.A., Interventions for Necrotizing Pancreatitis Summary of a Multidisciplinary Consensus Conference, Pancreas, 2012, 41(8):1176–94. DOI: 10.1097/MPA.0b013e318269c660PubMedGoogle Scholar
  8. [8]
    Haydock MD, Mittal A, Wilms HR, Phillips A, Petrov MS, Windsor JA. Fluid therapy in acute pancreatitis: anybody’s guess, Ann Surg., 2013, 257(2):182–188. doi: 10.1097/SLA.0b013e31827773ffPubMedGoogle Scholar
  9. [9]
    Marik PE, Zaloga GP. Meta-analysis of parenteral nutrition versus enteral nutrition in patients with acute pancreatitis, B.M.J., 2004, 328:1407–1413Google Scholar
  10. [10]
    Eatock FC, Chong P, Menezes N, Murray L, McKay CJ, Carter CR, et al., A randomized study of early nasogastric versus nasojejunal feeding in severe acute pancreatitis, Am. J. Gastroenterol., 2005, 100:432–439PubMedGoogle Scholar
  11. [11]
    Eatock FC, Brombacher GD, Steven A, Imrie CW, McKay CJ, Carter R., Nasogastric feeding in severe acute pancreatitis may be practical and safe, Int. J. Pancreatol., 2000, 28:23–29PubMedGoogle Scholar
  12. [12]
    Pederzoli P, Bassi C, Vesentini S, Campedelli A. A randomized multicenter clinical trial of antibiotic prophylaxis of septic complications in acute necrotizing pancreatitis with Imipenem, Surg. Gynecol. Obstet., 1993, 176:480–483PubMedGoogle Scholar
  13. [13]
    Sainio V, Kemppainen E, Puolakkainen P, Taavitsainen M, Kivisaari L, Valtonen V, et al. Early antibiotic treatment in acute necrotising pancreatitis, Lancet, 1995, 346:663–667PubMedGoogle Scholar
  14. [14]
    Delcenserie R, Yzet T, Ducroix JP. Prophylactic antibiotics in treatment of severe acute alcoholic pancreatitis, Pancreas, 1996, 13:198–201PubMedGoogle Scholar
  15. [15]
    Jiang K, Huang W, Yang XN, Xia Q. Present and future of prophylactic antibiotics for severe acute pancreatitis, World J. Gastroenterol., 2012, 21;18(3):279–284PubMedCentralPubMedGoogle Scholar
  16. [16]
    Nathens AB, Curtis JR, Beale RJ, Cook DJ, Moreno RP, Romand JA, et al. Management of the critically ill patient with severe acute pancreatitis. Crit. Care Med., 2004, 32:2524–2536PubMedGoogle Scholar
  17. [17]
    Hartwig W, Werner J, Muller CA, Uhl W, Buchler MW. Surgical management of severe pancreatitis including sterile necrosis, J. Hepatobiliary. Pancreat. Surg., 2002, 9:429–435PubMedGoogle Scholar
  18. [18]
    de Beaux AC, Palmer KR, Carter DC. Factors influencing morbidity and mortality in acute pancreatitis; an analisis of 279 cases, Gut, 1995, 37:121–126PubMedCentralPubMedGoogle Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Carlos Alberto León-Espinoza
    • 1
  • Silviu Bordu
    • 1
  • Javier Lopez-Sebastian
    • 2
  • Elena Muñoz-Forner
    • 1
  • Francisco Morera-Ocón
    • 1
  • Luis Sabater-Orti
    • 1
  • Bruno Camps-Vilata
    • 1
  • Joaquin Ortega-Serrano
    • 1
  1. 1.Department of Surgery, Hospital ClinicUniversity of ValenciaValenciaSpain
  2. 2.Department of General SurgeryHospital San Pablo CoquimboCoquimboChile

Personalised recommendations