eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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4/2019
vol. 35
 
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abstract:
Review paper

Clinical practice guidelines in the diagnosis and management of acute pancreatitis

Hiroyuki Kinoshita
1
,
Jianhua Zhang
2
,
Aroon Ponthisarn
3
,
Manoj Kumar Sharma
4
,
Nguyen Quang Binh
5
,
Alex Leow Siam
6
,
Chandika Samaranayake
7
,
Arnold Darnindro
8
,
Michael Barnes
9

  1. Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Japan
  2. Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, China
  3. GI and Liver Centre, Bangkok Medical Centre, Bangkok, Thailand
  4. Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  5. Department of Gastroenterology, Cho Ray Hospital, Ho Chi Minh City, Vietnam
  6. Division of Gastroenterology and Hepatology, University of Malaya, Kuala Lumpur, Malaysia
  7. Department of Gastroenterology, Hemas Southern Hospital, Wattala, Sri Lanka
  8. Department of Internal Medicine, Fatmawati General Hospital, Jakarta, Indonesia
  9. Department of Gastroenterology, Faculty of Medicine, University of Queensland, Brisbane, Australia
Medical Studies/Studia Medyczne 2019; 35 (4): 304–311
DOI: https://doi.org/10.5114/ms.2019.91248
Online publish date: 2019/12/30
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Acute pancreatitis (AP) continues to be a cause of significant morbidity and mortality and requires more research to identify the best clinical management practices. Many guidelines have been proposed for the initial management of AP. Although these guidelines have a significant overlap in the recommendations provided for diagnosing and managing AP, there is still some disagreement in aspects of the types and timing of interventions that should be used for the diagnosis and management of both mild and severe AP. A working group consisting of physicians, especially gastroenterologists from various hospitals and universities from the Asia-Pacific region, has led to the development of these evidence-based guidelines and recommendations. Early enteral feedings, performing a cholecystectomy in the case of gallstones if indicated during the initial hospitalisation, treatment of hypertriglyceridaemia-induced acute pancreatitis using intravenous regular insulin or plasmapheresis if severe, and providing counselling for alcohol avoidance are recommended.
keywords:

diagnosis, management, acute pancreatitis, evidence-based recommendations, clinical practice guidelines
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