@article{2013e1,

title = {IAP/APA evidence-based guidelines for the management of acute pancreatitis},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84889592975&doi=10.1016%2fj.pan.2013.07.063&partnerID=40&md5=14c6141eb717a843f59947aea6ea99a3},

doi = {10.1016/j.pan.2013.07.063},

issn = {14243903},

year  = {2013},

date = {2013-01-01},

urldate = {2013-01-01},

journal = {Pancreatology},

volume = {13},

number = {4 SUPPL. 2},

pages = {e1–e15},

publisher = {Elsevier B.V.},

abstract = {Background: There have been substantial improvements in the management of acute pancreatitis since the publication of the International Association of Pancreatology (IAP) treatment guidelines in 2002. A collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise these guidelines using an evidence-based approach. Methods: Twelve multidisciplinary review groups performed systematic literature reviews to answer 38 predefined clinical questions. Recommendations were graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The review groups presented their recommendations during the 2012 joint IAP/APA meeting. At this one-day, interactive conference, relevant remarks were voiced and overall agreement on each recommendation was quantified using plenary voting. Results: The 38 recommendations covered 12 topics related to the clinical management of acute pancreatitis: A) diagnosis of acute pancreatitis and etiology, B) prognostication/predicting severity, C) imaging, D) fluid therapy, E) intensive care management, F) preventing infectious complications, G) nutritional support, H) biliary tract management, I) indications for intervention in necrotizing pancreatitis, J) timing of intervention in necrotizing pancreatitis, K) intervention strategies in necrotizing pancreatitis, and L) timing of cholecystectomy. Using the GRADE system, 21 of the 38 (55%) recommendations, were rated as 'strong' and plenary voting revealed 'strong agreement' for 34 (89%) recommendations. Conclusions: The 2012 IAP/APA guidelines provide recommendations concerning key aspects of medical and surgical management of acute pancreatitis based on the currently available evidence. These recommendations should serve as a reference standard for current management and guide future clinical research on acute pancreatitis. Copyright © 2013, IAP and EPC.},

note = {Cited by: 1049; All Open Access, Green Open Access, Hybrid Gold Open Access},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tenner20131400,

title = {American college of gastroenterology guideline: Management of acute pancreatitis},

author = {Scott Tenner and John Baillie and John Dewitt and Santhi Swaroop Vege},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84883744291&doi=10.1038%2fajg.2013.218&partnerID=40&md5=d164a194d5a4cd018436eb7c9ed2be7d},

doi = {10.1038/ajg.2013.218},

issn = {00029270},

year  = {2013},

date = {2013-01-01},

urldate = {2013-01-01},

journal = {American Journal of Gastroenterology},

volume = {108},

number = {9},

pages = {1400 – 1415},

publisher = {Nature Publishing Group},

abstract = {This guideline presents recommendations for the management of patients with acute pancreatitis (AP). During the past decade, there have been new understandings and developments in the diagnosis, etiology, and early and late management of the disease. As the diagnosis of AP is most often established by clinical symptoms and laboratory testing, contrast-enhanced computed tomography (CECT) and/or magnetic resonance imaging (MRI) of the pancreas should be reserved for patients in whom the diagnosis is unclear or who fail to improve clinically. Hemodynamic status should be assessed immediately upon presentation and resuscitative measures begun as needed. Patients with organ failure and/or the systemic inflammatory response syndrome (SIRS) should be admitted to an intensive care unit or intermediary care setting whenever possible. Aggressive hydration should be provided to all patients, unless cardiovascular and/or renal comorbidites preclude it. Early aggressive intravenous hydration is most beneficial within the first 12-24 h, and may have little benefit beyond. Patients with AP and concurrent acute cholangitis should undergo endoscopic retrograde cholangiopancreatography (ERCP) within 24 h of admission. Pancreatic duct stents and/or postprocedure rectal nonsteroidal anti-inflammatory drug (NSAID) suppositories should be utilized to lower the risk of severe post-ERCP pancreatitis in high-risk patients. Routine use of prophylactic antibiotics in patients with severe AP and/or sterile necrosis is not recommended. In patients with infected necrosis, antibiotics known to penetrate pancreatic necrosis may be useful in delaying intervention, thus decreasing morbidity and mortality. In mild AP, oral feedings can be started immediately if there is no nausea and vomiting. In severe AP, enteral nutrition is recommended to prevent infectious complications, whereas parenteral nutrition should be avoided. Asymptomatic pancreatic and/or extrapancreatic necrosis and/or pseudocysts do not warrant intervention regardless of size, location, and/or extension. In stable patients with infected necrosis, surgical, radiologic, and/or endoscopic drainage should be delayed, preferably for 4 weeks, to allow the development of a wall around the necrosis. © 2013 by the American College of Gastroenterology.},

note = {Cited by: 1244},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Johnson2005iii1,

title = {UK guidelines for the management of acute pancreatitis},

author = {C. D. Johnson},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-17644411133&doi=10.1136%2fgut.2004.057026&partnerID=40&md5=099ba7fd35367d060dcce886de617ab3},

doi = {10.1136/gut.2004.057026},

issn = {00175749},

year  = {2005},

date = {2005-01-01},

urldate = {2005-01-01},

journal = {Gut},

volume = {54},

number = {SUPPL. 3},

pages = {iii1–iii9},

note = {Cited by: 760; All Open Access, Bronze Open Access, Green Open Access},

keywords = {},

pubstate = {published},

tppubtype = {article}

}