Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015

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 2...

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Published in:Journal of hepato-biliary-pancreatic sciences Vol. 22; no. 6; pp. 405 - 432
Main Authors: Yokoe, Masamichi, Takada, Tadahiro, Mayumi, Toshihiko, Yoshida, Masahiro, Isaji, Shuji, Wada, Keita, Itoi, Takao, Sata, Naohiro, Gabata, Toshifumi, Igarashi, Hisato, Kataoka, Keisho, Hirota, Masahiko, Kadoya, Masumi, Kitamura, Nobuya, Kimura, Yasutoshi, Kiriyama, Seiki, Shirai, Kunihiro, Hattori, Takayuki, Takeda, Kazunori, Takeyama, Yoshifumi, Hirota, Morihisa, Sekimoto, Miho, Shikata, Satoru, Arata, Shinju, Hirata, Koichi
Format: Journal Article
Language:English
Published: Japan Blackwell Publishing Ltd 01.06.2015
Wiley Subscription Services, Inc
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ISSN:1868-6974, 1868-6982, 1868-6982
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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.html
AbstractList 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. 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. 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. 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.html.
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.html
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.BACKGROUNDJapanese (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.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.METHODSA 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.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.RESULTSThirty-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.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.html.CONCLUSIONSThe 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.html.
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.html
Author Takada, Tadahiro
Gabata, Toshifumi
Yoshida, Masahiro
Igarashi, Hisato
Takeyama, Yoshifumi
Hirata, Koichi
Isaji, Shuji
Hirota, Masahiko
Kadoya, Masumi
Sekimoto, Miho
Shirai, Kunihiro
Hattori, Takayuki
Yokoe, Masamichi
Kataoka, Keisho
Takeda, Kazunori
Sata, Naohiro
Kimura, Yasutoshi
Itoi, Takao
Arata, Shinju
Kiriyama, Seiki
Shikata, Satoru
Wada, Keita
Mayumi, Toshihiko
Kitamura, Nobuya
Hirota, Morihisa
Author_xml – sequence: 1
  givenname: Masamichi
  surname: Yokoe
  fullname: Yokoe, Masamichi
  organization: General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan
– sequence: 2
  givenname: Tadahiro
  surname: Takada
  fullname: Takada, Tadahiro
  organization: Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
– sequence: 3
  givenname: Toshihiko
  surname: Mayumi
  fullname: Mayumi, Toshihiko
  email: mtoshi@med.uoeh-u.ac.jp
  organization: Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, KitaKyushu, Japan
– sequence: 4
  givenname: Masahiro
  surname: Yoshida
  fullname: Yoshida, Masahiro
  organization: Department of Hemodialysis and Surgery, Chemotherapy Research Institute, International University of Health and Welfare, Ichikawa, Japan
– sequence: 5
  givenname: Shuji
  surname: Isaji
  fullname: Isaji, Shuji
  organization: Hepatobiliary Pancreatic & Transplant Surgery Mie University Graduate School of Medicine, Mie, Japan
– sequence: 6
  givenname: Keita
  surname: Wada
  fullname: Wada, Keita
  organization: Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
– sequence: 7
  givenname: Takao
  surname: Itoi
  fullname: Itoi, Takao
  organization: Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan
– sequence: 8
  givenname: Naohiro
  surname: Sata
  fullname: Sata, Naohiro
  organization: Department of Surgery, Jichi Medical University, Tochigi, Shimotsuke, Japan
– sequence: 9
  givenname: Toshifumi
  surname: Gabata
  fullname: Gabata, Toshifumi
  organization: Department of Radiology, Kanazawa University, School of Medical Science, Kanazawa, Japan
– sequence: 10
  givenname: Hisato
  surname: Igarashi
  fullname: Igarashi, Hisato
  organization: Clinical Education Center, Kyushu University Hospital, Fukuoka, Japan
– sequence: 11
  givenname: Keisho
  surname: Kataoka
  fullname: Kataoka, Keisho
  organization: Otsu Municipal Hospital, Shiga
– sequence: 12
  givenname: Masahiko
  surname: Hirota
  fullname: Hirota, Masahiko
  organization: Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan
– sequence: 13
  givenname: Masumi
  surname: Kadoya
  fullname: Kadoya, Masumi
  organization: Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan
– sequence: 14
  givenname: Nobuya
  surname: Kitamura
  fullname: Kitamura, Nobuya
  organization: Department of Emergency and Critical Care Medicine, Kimitsu Chuo Hospital, Chiba, Kisarazu, Japan
– sequence: 15
  givenname: Yasutoshi
  surname: Kimura
  fullname: Kimura, Yasutoshi
  organization: Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan
– sequence: 16
  givenname: Seiki
  surname: Kiriyama
  fullname: Kiriyama, Seiki
  organization: Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Japan
– sequence: 17
  givenname: Kunihiro
  surname: Shirai
  fullname: Shirai, Kunihiro
  organization: Department of Emergency and Critical Care Medicine, Ichinomiya Municipal Hospital, Ichinomiya, Japan
– sequence: 18
  givenname: Takayuki
  surname: Hattori
  fullname: Hattori, Takayuki
  organization: Department of Radiology, Tokyo Metropolitan Health and Medical Treatment Corporation, Ohkubo Hospital, Tokyo, Japan
– sequence: 19
  givenname: Kazunori
  surname: Takeda
  fullname: Takeda, Kazunori
  organization: Department of Surgery, National Hospital Organization Sendai Medical Center, Sendai, Japan
– sequence: 20
  givenname: Yoshifumi
  surname: Takeyama
  fullname: Takeyama, Yoshifumi
  organization: Department of Surgery, Kinki University Faculty of Medicine, Osaka, Japan
– sequence: 21
  givenname: Morihisa
  surname: Hirota
  fullname: Hirota, Morihisa
  organization: Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan
– sequence: 22
  givenname: Miho
  surname: Sekimoto
  fullname: Sekimoto, Miho
  organization: The University of Tokyo Graduate School of Public Policy, Health Policy Unit, Tokyo
– sequence: 23
  givenname: Satoru
  surname: Shikata
  fullname: Shikata, Satoru
  organization: Department of Family Medicine, Mie Prefectural Ichishi Hospital, Mie, Japan
– sequence: 24
  givenname: Shinju
  surname: Arata
  fullname: Arata, Shinju
  organization: Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan
– sequence: 25
  givenname: Koichi
  surname: Hirata
  fullname: Hirata, Koichi
  organization: Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25973947$$D View this record in MEDLINE/PubMed
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ISSN 1868-6974
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Issue 6
Keywords Intensive care
Acute pancreatitis
Antibiotics
Nutrition
Severity assessment
Surgery
Post-ERCP pancreatitis
Diagnosis
Pancreas
Bundles
Guidelines
Language English
License http://onlinelibrary.wiley.com/termsAndConditions#vor
2015 Japanese Society of Hepato-Biliary-Pancreatic Surgery.
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PublicationTitle Journal of hepato-biliary-pancreatic sciences
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Snippet Background Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006. The severity assessment criteria for acute pancreatitis...
Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006. The severity assessment criteria for acute pancreatitis were later...
Background Japanese (JPN) guidelines for the management of acute pancreatitis were published in 2006. The severity assessment criteria for acute pancreatitis...
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SubjectTerms Acute pancreatitis
Antibiotics
Bundles
Diagnosis
Diagnostic Imaging
Disease Management
Guidelines
Humans
Intensive care
Japan
Meta-analysis
Nutrition
Pancreas
Pancreatitis, Acute Necrotizing - diagnosis
Pancreatitis, Acute Necrotizing - therapy
Post-ERCP pancreatitis
Practice Guidelines as Topic
Severity assessment
Surgery
Title Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015
URI https://api.istex.fr/ark:/67375/WNG-VRB1X7ZD-C/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjhbp.259
https://www.ncbi.nlm.nih.gov/pubmed/25973947
https://www.proquest.com/docview/1775516997
https://www.proquest.com/docview/1683754454
Volume 22
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