American gastroenterological association institute guideline. The 2012 revised atlanta classification is an update of the original 1992 atlanta classification, a standardized clinical and radiologic nomenclature for acute pancreatitis and associated complications based on research advances made over the past 2 decades. Acute pancreatitis is one of the most common gastrointestinal disorders requiring hospitalization. This document presents the official recommendations of the american gastroenterological association aga on the initial management of acute pancreatitis ap. Acute pancreatitis ap, especially severe cases, is a major clinical and financial burden in the united states.
Pancreatitis aguda dano tisular tambien influyen en este proceso. The 3 main causes in order of importance gallstones, prolonged consumption of alcohol and hypertriglyceridemia. The new england journal of medicine 1972 n engl j med 375. Crockett sd1, wani s2, gardner tb3, falckytter y4, barkun an5. Acute pancreatitis, defined as the acute noninfectious inflammation of the. American gastroenterological association institute guideline on initial management of acute pancreatitis. Recent advances in understanding and managing acute. Acute pancreatitis ap is one of the most common diseases of the gastrointestinal tract, leading to tremendous emotional, physical, and financial human burden 1,2. Several major clinical guidelines provide evidencebased recommendations for the clinical management decisions in ap. Recent advances in understanding and managing acute pancreatitis. Pdf the atlanta classification of acute pancreatitis. Pancreatitis alcoholica mortalidad global del 10 %. Pdf r e v i s i o n e s medicina intensiva pancreatitis.
Mechanical cleaning and removal of necrotic debris is then performed. American gastroenterological association institute. In the united states, in 2009, ap was the most common gastroenterology discharge diagnosis with a cost of 2. American gastroenterological association institute clinical guidelines committee. Pancreatitis aguda biliar, migracion del calculo, alcoholismo, lipidos trauma pancreatico pancreatitis posoperatoria, isquemia pancreatica, radicales libres, colocalizacion, lisosomas, hidroiasas, crinofagia. Symptoms, clinical findings, and diagnostic criteria are well established. Apr 05, 2018 the diagnosis of acute pancreatitis ap requires at least 2 of the following features. Pancreatitis aguda maria del mar perez calvo summary acute pancreatitis is an entity which can develop from a reversible inflammatory process. Ultimos avances en pancreatitis aguda gastroenterologia y. Complications arising from acute pancreatitis follow a progression from pancreaticperipancreatic fluid collections to pseudocysts and from pancreaticperipancreatic necrosis to walledoff necrosis that typically occur over the course of a 4week interval.