Journal ArticleDOI
Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015.
Masamichi Yokoe,Tadahiro Takada,Toshihiko Mayumi,Masahiro Yoshida,Shuji Isaji,Keita Wada,Takao Itoi,Naohiro Sata,Toshifumi Gabata,Hisato Igarashi,Keisho Kataoka,Masahiko Hirota,Masumi Kadoya,Nobuya Kitamura,Yasutoshi Kimura,Seiki Kiriyama,Kunihiro Shirai,Takayuki Hattori,Kazunori Takeda,Yoshifumi Takeyama,Morihisa Hirota,Miho Sekimoto,Satoru Shikata,Shinju Arata,Koichi Hirata +24 more
TLDR
Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006, and following the 2012 revision of the Atlanta Classifications of Acute Pancreatitis, the development of a minimally invasive method for local complications of pancreatitis spread was developed.Abstract:
Background
Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006. The severity assessment criteria for acute pancreatitis were later revised by the Japanese Ministry of Health, Labour and Welfare (MHLW) in 2008, leading to their publication as the JPN Guidelines 2010. Following the 2012 revision of the Atlanta Classifications of Acute Pancreatitis, in which the classifications of regional complications of pancreatitis were revised, the development of a minimally invasive method for local complications of pancreatitis spread, and emerging evidence was gathered and revised into the JPN Guidelines.
Methods
A comprehensive evaluation was carried out on the evidence for epidemiology, diagnosis, severity, treatment, post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis and clinical indicators, based on the concepts of the GRADE system (Grading of Recommendations Assessment, Development and Evaluation). With the graded recommendations, where the evidence was unclear, Meta-Analysis team for JPN Guidelines 2015 conducted an additional new meta-analysis, the results of which were included in the guidelines.
Results
Thirty-nine questions were prepared in 17 subject areas, for which 43 recommendations were made. The 17 subject areas were: Diagnosis, Diagnostic imaging, Etiology, Severity assessment, Transfer indication, Fluid therapy, Nasogastric tube, Pain control, Antibiotics prophylaxis, Protease inhibitor, Nutritional support, Intensive care, management of Biliary Pancreatitis, management of Abdominal Compartment Syndrome, Interventions for the local complications, Post-ERCP pancreatitis and Clinical Indicator (Pancreatitis Bundles 2015). Meta-analysis was conducted in the following four subject areas based on randomized controlled trials: (1) prophylactic antibiotics use; (2) prophylactic pancreatic stent placement for the prevention of post-ERCP pancreatitis; (3) prophylactic non-steroidal anti-inflammatory drugs (NSAIDs) for the prevention of post-ERCP pancreatitis; and (4) peritoneal lavage. Using the results of the meta-analysis, recommendations were graded to create useful information. In addition, a mobile application was developed, which made it possible to diagnose, assess severity and check pancreatitis bundles.
Conclusions
The JPN Guidelines 2015 were prepared using the most up-to-date methods, and including the latest recommended medical treatments, and we are confident that this will make them easy for many clinicians to use, and will provide a useful tool in the decision-making process for the treatment of patients, and optimal medical support. The free mobile application and calculator for the JPN Guidelines 2015 is available via http://www.jshbps.jp/en/guideline/jpn-guideline2015.htmlread more
Citations
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Journal ArticleDOI
2019 WSES guidelines for the management of severe acute pancreatitis
Ari Leppäniemi,Matti Tolonen,Antonio Tarasconi,Helmut Segovia-Lohse,Emiliano Gamberini,Andrew W. Kirkpatrick,Chad G. Ball,Neil Parry,Massimo Sartelli,Daan Wolbrink,Harry van Goor,Gian Luca Baiocchi,Luca Ansaloni,Walter L. Biffl,Federico Coccolini,Salomone Di Saverio,Yoram Kluger,Ernest E. Moore,Fausto Catena +18 more
TL;DR: These guidelines present evidence-based international consensus statements on the management of severe acute pancreatitis from collaboration of a panel of experts meeting during the World Congress of Emergency Surgery in June 27–30, 2018 in Bertinoro, Italy.
Journal ArticleDOI
Initial Medical Treatment of Acute Pancreatitis: American Gastroenterological Association Institute Technical Review
TL;DR: It is necessary to select patients suitable for vaginal or laparoscopic mesh placement for single organ failure based on prior history and once they provide informed consent for surgery to select them for multiple organ failure.
Journal ArticleDOI
Prospective, Multicentre, Nationwide Clinical Data from 600 Cases of Acute Pancreatitis
Andrea Párniczky,Balázs Kui,Andrea Szentesi,Andrea Szentesi,Anita Balázs,Ákos Szűcs,Dóra Mosztbacher,József Czimmer,Patrícia Sarlós,Judit Bajor,Szilárd Gódi,Áron Vincze,Anita Illés,Imre Szabó,Gabriella Pár,Tamás Takács,László Czakó,Zoltán Szepes,Zoltán Rakonczay,Ferenc Izbéki,Judit Gervain,Adrienn Halász,János Novák,Stefan Crai,István Hritz,Csaba Góg,János Sümegi,Petra A. Golovics,Márta Varga,Barnabás Bod,József Hamvas,Mónika Varga-Müller,Zsuzsanna Papp,Miklós Sahin-Tóth,Péter Hegyi,Péter Hegyi,Péter Hegyi +36 more
TL;DR: Analysis of a large, nationwide, prospective cohort of AP cases allowed for the identification of important determinants of severity and mortality, and evidence-based guidelines should be observed rigorously to improve outcomes in AP.
Journal ArticleDOI
Compared with parenteral nutrition, enteral feeding attenuates the acute phase response and improves disease severity in acute pancreatitis
A. C. J. Windsor,S. Kanwar,A. G.K. Li,E. Barnes,J. A. Guthrie,J.I. Spark,Fenella K.S. Welsh,Pierre J. Guillou,John V. Reynolds +8 more
TL;DR: TEN moderates the acute phase response, and improves disease severity and clinical outcome despite unchanged pancreatic injury on CT scan, and is clinically beneficial in enterally fed patients.
Journal ArticleDOI
Routine pre-procedural rectal indometacin versus selective post-procedural rectal indometacin to prevent pancreatitis in patients undergoing endoscopic retrograde cholangiopancreatography: a multicentre, single-blinded, randomised controlled trial.
Hui Luo,Lina Zhao,Joseph Leung,Rongchun Zhang,Zhiguo Liu,Xiangping Wang,Biaoluo Wang,Zhanguo Nie,Ting Lei,Xun Li,Wence Zhou,Zhang Ling'en,Qi Wang,Ming Li,Yi Zhou,Qian Liu,Hao Sun,Zheng Wang,Shuhui Liang,Xiaoyang Guo,Qin Tao,Kaichun Wu,Yanglin Pan,Xuegang Guo,Daiming Fan +24 more
TL;DR: Compared with a risk-stratified, post-Procedural strategy, pre-procedural administration of rectal indometacin in unselected patients reduced the overall occurrence of post-ERCP pancreatitis without increasing risk of bleeding.
References
More filters
Journal ArticleDOI
APACHE II: a severity of disease classification system.
TL;DR: The form and validation results of APACHE II, a severity of disease classification system that uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status, are presented.
Journal ArticleDOI
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
TL;DR: The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Journal ArticleDOI
Definitions for Sepsis and Organ Failure and Guidelines for the Use of Innovative Therapies in Sepsis
Roger C. Bone,Robert A. Balk,F. B. Cerra,R. P. Dellinger,A. M. Fein,William A. Knaus,Roland M. H. Schein,W. J. Sibbald +7 more
TL;DR: An American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference was held in Northbrook in August 1991 with the goal of agreeing on a set of definitions that could be applied to patients with sepsis and its sequelae as mentioned in this paper.
Journal ArticleDOI
Grading quality of evidence and strength of recommendations.
David C. Atkins,Dana Best,Peter A. Briss,Martin P Eccles,Yngve Falck-Ytter,Signe Flottorp,Gordon H. Guyatt,Robin Harbour,Margaret C Haugh,David Henry,Suzanne Hill,Roman Jaeschke,Gillian Leng,Alessandro Liberati,Nicola Magrini,James Mason,Philippa Middleton,Jacek Mrukowicz,Dianne L. O'Connell,Andrew D Oxman,Bob Phillips,Holger J. Schünemann,Tessa Tan-Torres Edejer,H. Varonen,Gunn Elisabeth Vist,John W Williams,Stephanie Zaza +26 more
TL;DR: A system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts is developed, and a summary of the approach from the perspective of a guideline user is presented.
Journal ArticleDOI
GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables
Gordon H. Guyatt,Andrew D Oxman,Elie A. Akl,Regina Kunz,Gunn Elisabeth Vist,Jan Brozek,Susan L Norris,Yngve Falck-Ytter,Paul Glasziou,Hans deBeer,Roman Jaeschke,David Rind,Joerg J Meerpohl,Philipp Dahm,Holger J. Schünemann +14 more
TL;DR: The GRADE process begins with asking an explicit question, including specification of all important outcomes, and provides explicit criteria for rating the quality of evidence that include study design, risk of bias, imprecision, inconsistency, indirectness, and magnitude of effect.