| Theme | Management of Acute Pancreatitis Based on the Revised JPN Guidelines | |
|---|---|---|
| Title | Treatment Strategy for Acute Pancreatitis | |
| Publish Date | 2016/05 | |
| Author | Hisato Igarashi | Igarashi Medical Clinic / Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Ken Kawabe | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Lingaku Lee | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Yuichi Tachibana | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Tetsuhide Ito | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| [ Summary ] | The prevalence of acute pancreatitis in Japan is recently increasing, and the prognosis of the severe form of the disease is still poor with a morality rate of 10.1 %. Once the patient is diagnosed with acute pancreatitis, the basic treatment, including, fasting, appropriate initial infusion, and analgesia, should be started immediately after hospitalization. However, in severe cases, immediate transfer of the patient to a facility with availability of treatment for severe acute pancreatitis should be arranged. In severe cases, under strict monitoring, the infusion rate should be managed, prophylactic administration of antibiotics should be provided within 72 hours of onset, and enteral nutrition should be initiated. For improving the prognosis, the management of acute compartment syndrome and intervention for infected local complications are important. Early ERCP/ES should be performed in gallstone‒induced acute pancreatitis. | |