Clinical practice guideline: management of acute pancreatitis

被引：370

作者：

Greenberg, Joshua A. ^{[1
]}

Hsu, Jonathan ^{[2
,6
]}

Bawazeer, Mohammad ^{[1
,4
]}

Marshall, John ^{[9
]}

Friedrich, Jan O. ^{[2
,4
,10
]}

Nathens, Avery ^{[1
,8
]}

Coburn, Natalie ^{[1
,8
]}

May, Gary R. ^{[2
]}

Pearsall, Emily ^{[1
,6
]}

McLeod, Robin S. ^{[1
,3
,5
,6
,7
]}

机构：

[1] Univ Toronto, Dept Surg, Toronto, ON, Canada

[2] Univ Toronto, Dept Med, Toronto, ON, Canada

[3] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada

[4] Univ Toronto, Interdept Div Crit Care, Toronto, ON, Canada

[5] Mt Sinai Hosp, Div Gen Surg, Toronto, ON M5G 1X5, Canada

[6] Mt Sinai Hosp, Zane Cohen Ctr Digest Dis, Toronto, ON M5G 1X5, Canada

[7] Mt Sinai Hosp, Samuel Lunenfeld Res Inst, 600 Univ Ave, Toronto, ON M5G 1X5, Canada

[8] Sunnybrook Hlth Sci Ctr, Div Gen Surg, Toronto, ON M4N 3M5, Canada

[9] St Michaels Hosp, Div Gastroenterol & Gen Surg, 30 Bond St, Toronto, ON M5B 1W8, Canada

[10] St Michaels Hosp, Div Crit Care, 30 Bond St, Toronto, ON M5B 1W8, Canada

来源：

CANADIAN JOURNAL OF SURGERY | 2016年 / 59卷 / 02期

关键词：

ACUTE NECROTIZING PANCREATITIS; C-REACTIVE PROTEIN; VENTILATOR-ASSOCIATED PNEUMONIA; SYSTEMIC INFLAMMATORY RESPONSE; ACUTE GALLSTONE PANCREATITIS; EARLY ANTIBIOTIC-TREATMENT; OF-THE-LITERATURE; ENTERAL NUTRITION; NATURAL-HISTORY; ORGAN FAILURE;

D O I：

10.1503/cjs.015015

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

There has been an increase in the incidence of acute pancreatitis reported worldwide. Despite improvements in access to care, imaging and interventional techniques, acute pancreatitis continues to be associated with significant morbidity and mortality. Despite the availability of clinical practice guidelines for the management of acute pancreatitis, recent studies auditing the clinical management of the condition have shown important areas of noncompliance with evidence-based recommendations. This underscores the importance of creating understandable and implementable recommendations for the diagnosis and management of acute pancreatitis. The purpose of the present guideline is to provide evidence-based recommendations for the management of both mild and severe acute pancreatitis as well as the management of complications of acute pancreatitis and of gall stone-induced pancreatitis. Une hausse de l'incidence de pancreatite aigue a ete constatee a l'echelle mondiale. Malgre l'amelioration de l'acces aux soins et aux techniques d'imagerie et d'intervention, la pancreatite aigue est toujours associee a une morbidite et une mortalite importantes. Bien qu'il existe des guides de pratique clinique pour la prise en charge de la pancreatite aigue, des etudes recentes sur la verification de la prise en charge clinique de cette affection revelent des lacunes importantes dans la conformite aux recommandations fondees sur des donnees probantes. Ces resultats mettent en relief l'importance de formuler des recommandations comprehensibles et applicables pour le diagnostic et la prise en charge de la pancreatite aigue. La presente ligne directrice vise a fournir des recommandations fondees sur des donnees probantes pour la prise en charge de la pancreatite aigue, qu'elle soit benigne ou grave, ainsi que de ses complications et de celles de la pancreatite causee par un calcul biliaire.

引用

页码：128 / 140

页数：13

共 135 条

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