Matches in SemOpenAlex for { <https://semopenalex.org/work/W4240942011> ?p ?o ?g. }
- W4240942011 endingPage "573" @default.
- W4240942011 startingPage "565" @default.
- W4240942011 abstract "During 2002 the International Association of Pancreatology developed evidenced-based guidelines on the surgical management of acute pancreatitis. There were 11 guidelines, 10 of which were recommendations grade B and one (the second) grade A. (1) Mild acute pancreatitis is not an indication for pancreatic surgery. (2) The use of prophylactic broad-spectrum antibiotics reduces infection rates in computed tomography-proven necrotizing pancreatitis but may not improve survival. (3) Fine-needle aspiration for bacteriology should be performed to differentiate between sterile and infected pancreatic necrosis in patients with sepsis syndrome. (4) Infected pancreatic necrosis in patients with clinical signs and symptoms of sepsis is an indication for intervention including surgery and radiological drainage. (5) Patients with sterile pancreatic necrosis (with negative fine-needle aspiration for bacteriology) should be managed conservatively and only undergo intervention in selected cases. (6) Early surgery within 14 days after onset of the disease is not recommended in patients with necrotizing pancreatitis unless there are specific indications. (7) Surgical and other forms of interventional management should favor an organ-preserving approach, which involves debridement or necrosectomy combined with a postoperative management concept that maximizes postoperative evacuation of retroperitoneal debris and exudate. (8) Cholecystectomy should be performed to avoid recurrence of gallstone-associated acute pancreatitis. (9) In mild gallstone-associated acute pancreatitis, cholecystectomy should be performed as soon as the patient has recovered and ideally during the same hospital admission. (10) In severe gallstone-associated acute pancreatitis, cholecystectomy should be delayed until there is sufficient resolution of the inflammatory response and clinical recovery. (11) Endoscopic sphincterotomy is an alternative to cholecystectomy in those who are not fit to undergo surgery in order to lower the risk of recurrence of gallstone-associated acute pancreatitis. There is however a theoretical risk of introducing infection into sterile pancreatic necrosis. These guidelines should now form the basis for audit studies in order to determine the quality of patient care delivery. The following is a summary of the official IAP guidelines on the surgical management of acute pancreatitis. The grading of each recommendation is given and these are based on the evidence reviewed in the text. These guidelines should now form the basis for audit studies in order to determine the quality of patient care delivery. 1 Mild acute pancreatitis is not an indication for pancreatic surgery (recommendation grade B). 2 The use of prophylactic broad-spectrum antibiotics reduces infection rates in CT-proven necrotizing pancreatitis but may not improve survival (recommendation grade A). 3 FNAB should be performed to differentiate between sterile and infected pancreatic necrosis in patients with sepsis syndrome (recommendation grade B). 4 Infected pancreatic necrosis in patients with clinical signs and symptoms of sepsis is an indication for intervention including surgery and radiological drainage (recommendation grade B). 5 Patients with sterile pancreatic necrosis (FNAB negative) should be managed conservatively and only undergo intervention in selected cases (recommendation grade B). 6 Early surgery within 14 days after onset of the disease is not recommended in patients with necrotizing pancreatitis unless there are specific indications (recommendation grade B). 7 Surgical and other forms of interventional management should favor an organ-preserving approach, which involves debridement or necrosectomy combined with a postoperative management concept that maximizes postoperative evacuation of retroperitoneal debris and exudate (recommendation grade B). 8 Cholecystectomy should be performed to avoid recurrence of gallstone-associated acute pancreatitis (recommendation grade B). 9 In mild gallstone-associated acute pancreatitis chole- cystectomy should be performed as soon as the patient has recovered and ideally during the same hospital admission (recommendation grade B). 10 In severe gallstone-associated acute pancreatitis, chole- cystectomy should be delayed until there is sufficient resolution of the inflammatory response and clinical recovery (recommendation grade B). 11 Endoscopic sphincterotomy is an alternative to chole- cystectomy, in those who are not fit to undergo surgery in order to lower the risk of recurrence of gallstone- associated acute pancreatitis. There is, however, a theoretical risk of introducing infection into sterile pancreatic necrosis (recommendation grade B). Acknowledgements The following were participants at the IAP meeting to discuss the Guidelines on June 22nd 2002 and made active contributions to their formulation - Brazil: Jose Eduardo Cunha, Sonia Penteado (Sao Paulo); Bulgaria: Oleg Tcholakav (Sofia); Czech Republic: Peter Balaz (Prague); Denmark: Steen Larsen (Glostrup), Else K Philipsen (Bispebjerg); Finland: Marko Lempinen (Helsinki); France: René Laugier (Marseille); Germany: Hans-Guenter Becker (Kaiserslautern), Pascal Berberat, Markus W. Buechler, Fabio F. Di Mola, Pierluigi Di Sebastiano, Ahmed Guweidhi, Mark Hartel, Werner Hartwig, Jorg Kleeff, Christophe Mueller, Bruno Schmied, Waldemar Uhl, Jens Werner (Heidelberg), Tobias Keck (Freiburg); Greece: E. Chatzitheoklitos (Thessaloniki), Gregory Tsiotos (Athens); Hungary: Laszlo Czako, Tamas Takacs (Szeged), D. Dezso Kelemen (Pecs), Attila Olah (Gyor), Tibor F. Tihanyi (Hungary); Ireland: Gerry Mc Entee (Dublin); Italy: Claudio Bassi (Verona); Japan: Kat Satake (Osaka), Tooru Shimosegawa (Sendai); Mexico: Guillermo Robles- Diaz, Andres Duarte-Rojo (Mexico DF); : Andrzej Dabrowski, Jan Dlugosz, Wereszczynska-Sremietkowska (Bialystok), Zycmuni Warzecha (Krakow); Portugal, Antonio Marques (Lisbon), Faustino P Reis (Amarente); Romania: Barbu Traian-Sorin (Cluj-Napoca); Slovenia: Alojz Pleskovic (Ljubljana); Spain: J. Enrique Dominguez- Munoz, Julio Iglesias Garcia, Augusto Villanueva (Santiago De Compostela), Luisa Guarner, Donald-Jose Vasquez-Cruz (Barcelona), Miguel Perez-Mateo (Alicante); Sweden: Anders Borgstöm (Malmö), Fernando Ruizjasbon (Göthenburg), Berit Sternby (Lund); Switzerland; Beat Gloor (Bern); UK: Malcolm Aldridge (Welwyn Garden City), Derek O'Reilly, Paula Ghaneh, John P. Neoptolemos (Liverpool), Peter Hegyi (Newcastle), Clement Imrie, Colin J. Mc Kay (Glasgow), Rohit Makhija (Plymouth), Mark Midwinter (Southampton), Satvinder S. Mudan (London), Ioannis Virlos (London); Ukraine: Andre A. Perejaslov, Roman E. Vatseba (Lviv); USA: Peter A. Banks, Andrew L. Warshaw (Boston), Woody Denham (Chicago), E.P. Di Magno (Rochester), William H. Nealon (Galveston), Charles D. Ulrich (Cincinnati), David Whitcomb (Pittsburgh); Yugoslavia: Tamara Alempijevic, Knezevic Djordje, Lili Petronije- vic, Dejad Radeukovic, Dugalic Vladimir (Belgrade). The following IAP Council members reviewed and approved the final version of the IAP Guidelines: Prof. J.P. Neoptolemos, Liverpool, UK (President); Prof. A.L. Warshaw, Boston, USA (Past-President); Prof. S. Matsuno, Sendai, Japan (President-Elect); Prof. P.G. Lankisch, Lüneburg, Germany (Secretary); Prof. M. Büchler, Heidelberg, Germany (Treasurer); Prof. K. Kashima, Kyoto, Japan (Co- Treasurer); Prof. M.V. Singer, Mannheim, Germany and Prof. C.W. Imrie, Glasgow, UK (Co-Editors, Pancreatology); Prof. C. Bassi, Verona, Italy; Prof. P. Bornman, Cape Town, South Africa; Prof. E. Dominguez-Monoz, Santiago de Compostela, Spain; Dr. C.F. del Castillo, Boston, USA; Prof. K. Inoue, Kyoto, Japan; Prof. M. Lerch, Münster, Germany; Prof. P. Levy, Clichy, France; Prof. J.E. Monteiro Cunha, Brazil; Prof. A. Pap, Budapest, Hungary; Prof. R. Pezzili, S. Lazzaro di Savena, Italy; Prof. C. Pitchumoni, New York, USA; Prof. G. Robles-Diaz, Co Toriello-Guerral, Mexico; Prof. K. Satake, Youkouchoi Ashiya, Japan; Prof. R. Schmid, Heidelberg, Germany; Prof. T. Shimosegawa, Sendai, Japan; Prof. M. Tempero, San Francisco, USA; Dr. G.G. Tsiotos, Athens, Greece; Dr. M. Vaccaro, Buenos Aires, Argentina; Prof. D. Whitcomb, Pittsburgh, USA; Prof. J. Wilson, New South Wales, Australia." @default.
- W4240942011 created "2022-05-12" @default.
- W4240942011 creator A5009676742 @default.
- W4240942011 creator A5011077706 @default.
- W4240942011 creator A5020254111 @default.
- W4240942011 creator A5021037951 @default.
- W4240942011 creator A5036032282 @default.
- W4240942011 creator A5043152516 @default.
- W4240942011 creator A5045171401 @default.
- W4240942011 creator A5046624072 @default.
- W4240942011 creator A5052825850 @default.
- W4240942011 creator A5054206974 @default.
- W4240942011 creator A5063748717 @default.
- W4240942011 creator A5067125554 @default.
- W4240942011 creator A5071927479 @default.
- W4240942011 creator A5074748035 @default.
- W4240942011 creator A5075282560 @default.
- W4240942011 creator A5078953569 @default.
- W4240942011 creator A5079180343 @default.
- W4240942011 creator A5081229300 @default.
- W4240942011 creator A5091372233 @default.
- W4240942011 date "2003-01-01" @default.
- W4240942011 modified "2023-10-15" @default.
- W4240942011 title "IAP Guidelines for the Surgical Management of Acute Pancreatitis" @default.
- W4240942011 cites W12379035 @default.
- W4240942011 cites W1523864561 @default.
- W4240942011 cites W1622689371 @default.
- W4240942011 cites W1926714676 @default.
- W4240942011 cites W1927621184 @default.
- W4240942011 cites W1963641293 @default.
- W4240942011 cites W1968547177 @default.
- W4240942011 cites W1983991013 @default.
- W4240942011 cites W1985045980 @default.
- W4240942011 cites W1989235627 @default.
- W4240942011 cites W1991469051 @default.
- W4240942011 cites W1992426940 @default.
- W4240942011 cites W1997371163 @default.
- W4240942011 cites W2000710701 @default.
- W4240942011 cites W2006194040 @default.
- W4240942011 cites W2008597505 @default.
- W4240942011 cites W2011460762 @default.
- W4240942011 cites W2011790172 @default.
- W4240942011 cites W2013062386 @default.
- W4240942011 cites W2018158283 @default.
- W4240942011 cites W2019662317 @default.
- W4240942011 cites W2023175117 @default.
- W4240942011 cites W2023321710 @default.
- W4240942011 cites W2023344301 @default.
- W4240942011 cites W2026829176 @default.
- W4240942011 cites W2030967681 @default.
- W4240942011 cites W2031089113 @default.
- W4240942011 cites W2035527363 @default.
- W4240942011 cites W2035786448 @default.
- W4240942011 cites W2037478453 @default.
- W4240942011 cites W2039725544 @default.
- W4240942011 cites W2042547416 @default.
- W4240942011 cites W2048921985 @default.
- W4240942011 cites W2052525713 @default.
- W4240942011 cites W2053212604 @default.
- W4240942011 cites W2054934999 @default.
- W4240942011 cites W2057775030 @default.
- W4240942011 cites W2059404775 @default.
- W4240942011 cites W2063231602 @default.
- W4240942011 cites W2067904864 @default.
- W4240942011 cites W2068268074 @default.
- W4240942011 cites W2075974548 @default.
- W4240942011 cites W2076165801 @default.
- W4240942011 cites W2080455891 @default.
- W4240942011 cites W2081886420 @default.
- W4240942011 cites W2084015287 @default.
- W4240942011 cites W2085289350 @default.
- W4240942011 cites W2085546839 @default.
- W4240942011 cites W2086471516 @default.
- W4240942011 cites W2091995287 @default.
- W4240942011 cites W2093289343 @default.
- W4240942011 cites W2094465311 @default.
- W4240942011 cites W2094494374 @default.
- W4240942011 cites W2094576856 @default.
- W4240942011 cites W2108291730 @default.
- W4240942011 cites W2120056556 @default.
- W4240942011 cites W2120080315 @default.
- W4240942011 cites W2129388697 @default.
- W4240942011 cites W2132479898 @default.
- W4240942011 cites W2139307681 @default.
- W4240942011 cites W2153076407 @default.
- W4240942011 cites W2155548790 @default.
- W4240942011 cites W2165339918 @default.
- W4240942011 cites W2168091041 @default.
- W4240942011 cites W2170948705 @default.
- W4240942011 cites W2171228651 @default.
- W4240942011 cites W2312369705 @default.
- W4240942011 cites W2340505485 @default.
- W4240942011 cites W2911309828 @default.
- W4240942011 cites W4322703266 @default.
- W4240942011 cites W66690378 @default.
- W4240942011 doi "https://doi.org/10.1159/000071181" @default.
- W4240942011 hasPublicationYear "2003" @default.
- W4240942011 type Work @default.