JPN Guidelines for the management of acute pancreatitis: cutting-edge information |
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Authors: | Takada Tadahiro Kawarada Yoshifumi Hirata Koichi Mayumi Toshihiko Yoshida Masahiro Sekimoto Miho Hirota Masahiko Kimura Yasutoshi Takeda Kazunori Isaji Shuji Koizumi Masaru Otsuki Makoto Matsuno Seiki;JPN |
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Institution: | (1) Department of Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi-Ku, Tokyo 173-8605, Japan;(2) Ueno Municipal Hospital, Mie, Japan;(3) First Department of Surgery, Sapporo Medical University School of Medicine, Hokkaido, Japan;(4) Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan;(5) Department of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine, Kyoto, Japan;(6) Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Science, Kumamoto, Japan;(7) Department of Surgery, National Hospital Organization Sendai Medical Center, Sendai, Japan;(8) Department of Hepatobiliary Pancreatic Surgery and Breast Surgery, Mie University Graduate School of Medicine, Mie, Japan;(9) Ohara Medical Center Hospital, Fukushima, Japan;(10) Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyushu, Japan;(11) Division of Gastroenterological Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan |
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Abstract: | The JPN Guidelines for the Management of Acute Pancreatitis are organized under the subject headings: epidemiology, diagnosis,
management strategy, severity assessment and transfer criteria, management of gallstone pancreatitis, nonsurgical management,
and surgical management. The Guidelines contain cutting-edge information on each of these subjects, as well as a section on
the Japanese medical insurance system which provides information that should prove useful to physicians in other countries.
The quality of the evidence was evaluated by the evidence-based classification method used at the Cochrane Library. The levels
of recommendation of the individual management methods contained in the Guidelines were determined on the basis of the evaluation
of evidence by the consensus of the members of the Working Group (see below). The Japanese Society for Abdominal Emergency
Medicine, the Japan Pancreas Society, and the Research Group for Intractable Diseases and Refractory Pancreatic Diseases (which
is sponsored by the Japanese Ministry of Health, Labour, and Welfare) were commissioned to produce the JPN Guidelines for
the Management of Acute Pancreatitis. A Working Group of 20 physicians specializing in pancreatic diseases and emergency medicine
investigated and analyzed 14821 cases retrieved by means of a Medline (1960–2004) search and discussed the available literature
on acute pancreatitis (limited to human pancreatitis). The Working Group held many general discussions in order to reach a
consensus on the content of the Guidelines. After producing a draft, the Publishing Committee of the JPN Guidelines for the
Management of Acute Pancreatitis posted it on a website and asked for comments and criticisms. Subsequently, a final version
of the Guidelines was published in Japanese in 2003. The Publishing Committee is now making the Guidelines available to a
much wider readership by bringing out an English version. |
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Keywords: | EBM Acute pancreatitis Gallstone pancreatitis Pancreatitis epidemiology Pancreatitis etiology |
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