JPN Guidelines for the management of acute pancreatitis: severity assessment of acute pancreatitis |
| |
Authors: | Hirota Masahiko Takada Tadahiro Kawarada Yoshifumi Hirata Koichi Mayumi Toshihiko Yoshida Masahiro Sekimoto Miho Kimura Yasutoshi Takeda Kazunori Isaji Shuji Koizumi Masaru Otsuki Makoto Matsuno Seiki;JPN |
| |
Institution: | (1) Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto 860-0811, Japan;(2) Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan;(3) Ueno Municipal Hospital, Mie, Japan;(4) First Department of Surgery, Sapporo Medical University School of Medicine, Hokkaido, Japan;(5) Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan;(6) Department of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine, Kyoto, 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 |
| |
Abstract: | This article addresses the criteria for severity assessment and the severity scoring system of the Ministry of Health and
Welfare of Japan; now the Japanese Ministry of Health, Labour, and Welfare (the JPN score). It also presents data comparing
the JPN score with the Acute Physiology and Chronic Health Evaluation (APACHE) II score and the Ranson score, which are the
major measuring scales used in the United States and Europe. The goal of investigating these scoring systems is the achievement
of earlier diagnosis and more appropriate and successful treatment of severe or moderate acute pancreatitis, which has a high
mortality rate. This article makes the following recommendations in terms of assessing the severity of acute pancreatitis:
(1) Severity assessment is indispensable to the selection of proper initial treatment in the management of acute pancreatitis
(Recommendation A).
(2) Assessment by a severity scoring system (JPN score, APACHE II score) is important for determining treatment policy and
identifying the need for transfer to a specialist unit (Recommendation A).
(3) C-reactive protein (CRP) is a useful indicator for assessing severity (Recommendation A).
(4) Contrast-enhanced computed tomography (CT) scanning and contrast-enhanced magnetic resonance imaging (MRI) play an important
role in severity assessment (Recommendation A).
(5) A JPN score of 2 or more (severe acute pancreatitis) has been established as the criterion for hospital transfer (Recommendation
A).
(6) It is preferable to transfer patients with severe acute pancreatitis to a specialist medical institution where they can
receive continuous monitoring and systemic management. |
| |
Keywords: | Severity assessment Acute pancreatitis JPN score APACHE II score |
本文献已被 PubMed SpringerLink 等数据库收录! |
|