Shuji Isaji1, Tadahiro Takada2, Toshihiro Mayumi3, Masahiro Yoshida4, Keita Wada2, Masamichi Yokoe5, Takao Itoi6, Toshifumi Gabata7. 1. Hepatobiliary Pancreatic & Transplant Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. 2. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan. 3. Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan. 4. Department of Hemodialysis and Surgery, Chemotherapy Research Institute, International University of Health and Welfare, Ichikawa, Japan. 5. General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan. 6. Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. 7. Department of Radiology, School of Medical Science, Kanazawa University, Kanazawa, Japan.
Abstract
BACKGROUND: Taking together the recent dramatic changes of the revised Atlanta classification and evidence newly obtained such as the role of step-up approach for necrotizing pancreatitis, the revision committee of the Japanese (JPN) Guidelines 2015 was prompted to perform an extensive revision of the guidelines. METHODS: The JPN Guidelines 2015 was compared to the former edition 2010, and revision concepts and major revision points were reviewed. We compared the JPN 2015 with the other two guidelines, International Association of Pancreatology (IAP)/American Pancreas Association (APA) 2013 and American College of Gastroenterology (ACG) 2013, in order to clarify the distinct points. RESULTS: The meta-analysis team conducted a new meta-analysis of four subjects that have been associated with conflicting results. It is apparent that the revised guidelines have been created more systematically and more objectively. As of antibiotics prophylaxis, its use in early phase (within 72 h of onset) for severe acute pancreatitis is recommended in JPN 2015 according to the results of original meta-analysis, whereas the other two guidelines do not recommend its routine use. An approach and management of local complications in necrotizing pancreatitis including infected necrosis are almost similar in the three guidelines. JPN 2015 alone emphasizes the implementation of the pancreatitis bundles that specify the management and treatment within the first 48 h after the onset of severe acute pancreatitis. CONCLUSION: The JPN Guidelines 2015 prove to be the highest quality in terms of systematic literature review conducting original analyses by the meta-analysis team, determining the grading of recommendations and providing pancreatitis bundles.
BACKGROUND: Taking together the recent dramatic changes of the revised Atlanta classification and evidence newly obtained such as the role of step-up approach for necrotizing pancreatitis, the revision committee of the Japanese (JPN) Guidelines 2015 was prompted to perform an extensive revision of the guidelines. METHODS: The JPN Guidelines 2015 was compared to the former edition 2010, and revision concepts and major revision points were reviewed. We compared the JPN 2015 with the other two guidelines, International Association of Pancreatology (IAP)/American Pancreas Association (APA) 2013 and American College of Gastroenterology (ACG) 2013, in order to clarify the distinct points. RESULTS: The meta-analysis team conducted a new meta-analysis of four subjects that have been associated with conflicting results. It is apparent that the revised guidelines have been created more systematically and more objectively. As of antibiotics prophylaxis, its use in early phase (within 72 h of onset) for severe acute pancreatitis is recommended in JPN 2015 according to the results of original meta-analysis, whereas the other two guidelines do not recommend its routine use. An approach and management of local complications in necrotizing pancreatitis including infected necrosis are almost similar in the three guidelines. JPN 2015 alone emphasizes the implementation of the pancreatitis bundles that specify the management and treatment within the first 48 h after the onset of severe acute pancreatitis. CONCLUSION: The JPN Guidelines 2015 prove to be the highest quality in terms of systematic literature review conducting original analyses by the meta-analysis team, determining the grading of recommendations and providing pancreatitis bundles.
Authors: Mohamed M Abdelfatah; Eric Gochanour; Nicholas J Koutlas; Ahmed Hamed; Glenn Harvin; Mohamed O Othman Journal: Ann Gastroenterol Date: 2020-05-15
Authors: Andrea Párniczky; Péter Hegyi; Klementina Ocskay; Márk Félix Juhász; Nelli Farkas; Noémi Zádori; Lajos Szakó; Zsolt Szakács; Andrea Szentesi; Bálint Erőss; Emőke Miklós; Antal Zemplényi; Béla Birkás; Árpád Csathó; István Hartung; Tamás Nagy; László Czopf; Ferenc Izbéki; László Gajdán; Mária Papp; László Czakó; Dóra Illés; Marco V Marino; Antonello Mirabella; Ewa Małecka-Panas; Hubert Zatorski; Yaroslav Susak; Kristina Opalchuk; Gabriele Capurso; Laura Apadula; Cristian Gheorghe; Ionut Adrian Saizu; Ole H Petersen; Enrique de-Madaria; Jonas Rosendahl Journal: BMJ Open Date: 2022-01-04 Impact factor: 2.692