American College of Gastroenterology Guidelines: Management of Acute Pancreatitis

Acute pancreatitis (AP), defined as acute inflammation of the pancreas, is one of the most common diseases of the gastrointestinal tract leading to hospital admission in the United States. It is important for clinicians to appreciate that AP is heterogenous, progressing differently among patients an...

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Vydáno v:The American journal of gastroenterology Ročník 119; číslo 3; s. 419 - 437
Hlavní autoři: Tenner, Scott, Vege, Santhi Swaroop, Sheth, Sunil G., Sauer, Bryan, Yang, Allison, Conwell, Darwin L., Yadlapati, Rena H., Gardner, Timothy B.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Philadelphia, PA Wolters Kluwer 01.03.2024
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Témata:
Abdomen
Acute Disease
Cholangiopancreatography, Endoscopic Retrograde
Clinical trials
Disease
Etiology
Gastroenterology
Humans
Magnetic resonance imaging
Mortality
Necrosis
Pain
Pancreatitis
Pancreatitis - diagnosis
Pancreatitis - etiology
Pancreatitis - therapy
Patients
United States
United States
ISSN:0002-9270, 1572-0241, 1572-0241
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Shrnutí:Acute pancreatitis (AP), defined as acute inflammation of the pancreas, is one of the most common diseases of the gastrointestinal tract leading to hospital admission in the United States. It is important for clinicians to appreciate that AP is heterogenous, progressing differently among patients and is often unpredictable. While most patients experience symptoms lasting a few days, almost one-fifth of patients will go on to experience complications, including pancreatic necrosis and/or organ failure, at times requiring prolonged hospitalization, intensive care, and radiologic, surgical, and/or endoscopic intervention. Early management is essential to identify and treat patients with AP to prevent complications. Patients with biliary pancreatitis typically will require surgery to prevent recurrent disease and may need early endoscopic retrograde cholangiopancreatography if the disease is complicated by cholangitis. Nutrition plays an important role in treating patients with AP. The safety of early refeeding and importance in preventing complications from AP are addressed. This guideline will provide an evidence-based practical approach to the management of patients with AP.
Bibliografie:Correspondence: Santhi Swaroop Vege, MD, MACG. E-mail: vege.santhi@mayo.edu.
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ISSN:0002-9270
1572-0241
1572-0241
DOI:10.14309/ajg.0000000000002645