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Organ Failure Due to Systemic Injury in Acute Pancreatitis

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TLDR
The current understanding of the risk factors, pathophysiology, timing, impact on outcome, and therapy of organ failure in acute pancreatitis is reviewed and the distinctions between markers and mediators of severity are highlighted based on evidence supporting their causality in organ failure.
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This article is published in Gastroenterology.The article was published on 2019-05-01 and is currently open access. It has received 222 citations till now. The article focuses on the topics: Acute pancreatitis & Systemic inflammatory response syndrome.

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The early prediction of mortality in acute pancreatitis : a large population-based study. Commentary

TL;DR: In this article, a clinical scoring system was developed for prediction of in-hospital mortality in acute pancreatitis using Classification and Regression Tree (CART) analysis, which was derived on data collected from 17 992 cases of AP from 212 hospitals in 2000-2001.
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Critical thresholds: key to unlocking the door to the prevention and specific treatments for acute pancreatitis.

TL;DR: This manuscript provides a state-of-the-art review of current understanding of the pathophysiology of AP providing insights into the unanswered clinical questions and presents testable hypotheses aimed at halting progression of severity for the development of effective treatments for this common unpredictable disease.
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Tetrahedral Framework Nucleic Acids Can Alleviate Taurocholate-Induced Severe Acute Pancreatitis and Its Subsequent Multiorgan Injury in Mice.

TL;DR: It is demonstrated that tetrahedral framework nucleic acids could both alleviate SAP and its subsequent multiorgan injury in mice, thus offering a novel and effective option to deal with SAP in the future.
References
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Journal ArticleDOI

Definitions for Sepsis and Organ Failure and Guidelines for the Use of Innovative Therapies in Sepsis

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.
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The inflammasome: a molecular platform triggering activation of inflammatory caspases and processing of proIL-beta.

TL;DR: In this article, the inflammasome is identified as a caspase-activating complex that comprises caspases-1, casp-5, Pycard/Asc, and NALP1, a Pyrin domain-containing protein sharing structural homology with NODs.
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Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus

TL;DR: This international, web-based consensus provides clear definitions to classify acute pancreatitis using easily identified clinical and radiologic criteria and should encourage widespread adoption.
Journal ArticleDOI

IL-6 mediates hypoferremia of inflammation by inducing the synthesis of the iron regulatory hormone hepcidin

TL;DR: These studies in human liver cell cultures, mice, and human volunteers indicate that IL-6 is the necessary and sufficient cytokine for the induction of hepcidin during inflammation and that the IL- 6-hepcid in axis is responsible for the hypoferremia of inflammation.
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