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Assessment of severity of acute pancreatitis according to new prognostic factors and CT grading |
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| Authors: | Kazunori Takeda Masamichi Yokoe Tadahiro Takada Keisho Kataoka Masahiro Yoshida Toshifumi Gabata Masahiko Hirota Toshihiko Mayumi Masumi Kadoya Eigoro Yamanouchi Takayuki Hattori Miho Sekimoto Hodaka Amano Keita Wada Yasutoshi Kimura Seiki Kiriyama Shinju Arata Yoshifumi Takeyama Morihisa Hirota Koichi Hirata Tooru Shimosegawa |
| Affiliation: | 1. Department of Surgery, National Hospital Organization Sendai Medical Center, 2-2-8 Miyagino, Miyagino-ku, Sendai, 983-8520, Japan 2. General Internal Medicine, Japanese Red Cross Society Nagoya Daini Hospital, Nagoya, Japan 3. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan 4. Otsu Municipal Hospital, Otsu, Japan 5. Department of Hemodialysis and Surgery, Clinical Research Center, Kaken Hospital, International University of Health and Welfare, Chiba, Japan 6. Department of Radiology, Graduate School of Medical Science, Kanazawa University, Ishikawa, Japan 7. Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan 8. Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan 9. Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan 10. Department of Radiology, St. Marianna University Yokohama Seibu Hospital, Yokohama, Japan 11. Department of Radiology, National Hospital Organization Disaster Medical Center, Tokyo, Japan 12. Department of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine, Kyoto, Japan 13. Department of Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University Graduate School of Medicine, Sapporo, Japan 14. Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Japan 15. Critical Care and Emergency Center, Yokohama City University Medical Center, Yokohama, Japan 16. Department of Surgery, Kinki University School of Medicine, Osaka, Japan 17. Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan |
| Abstract: | The assessment of severity at the initial medical examination plays an important role in introducing adequate early treatment and the transfer of patients to a medical facility that can cope with severe acute pancreatitis. Under these circumstances, “criteria for severity assessment” have been prepared in various countries, including Japan, and these criteria are now being evaluated. The criteria for severity assessment of acute pancreatitis in Japan were determined in 1990 (of which a partial revision was made in 1999). In 2008, an overall revision was made and the new Japanese criteria for severity assessment of acute pancreatitis were prepared. In the new criteria for severity assessment, the diagnosis of severe acute pancreatitis can be made according to 9 prognostic factors and/or the computed tomography (CT) grades based on contrast-enhanced CT. Patients with severe acute pancreatitis are expected to be transferred to a specialist medical center or to an intensive care unit to receive adequate treatment there. In Japan, severe acute pancreatitis is recognized as being a specified intractable disease on the basis of these criteria, so medical expenses associated with severe acute pancreatitis are covered by Government payment. |
| Keywords: | acute pancreatitis severity assessment contrast-enhanced computed tomography prognostic factor |
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