JPN Guidelines for the management of acute pancreatitis: treatment of gallstone-induced acute pancreatitis

被引：64

作者：

Kimura, Y

Takada, T

Kawarada, Y

Hirata, K

Mayumi, T

Yoshida, M

Sekimoto, M

Hirota, M

Takeda, K

Isaji, S

Koizumi, M

Satake, K

Otsuki, M

Matsuno, S

机构：

[1] Sapporo Med Univ, Sch Med, Dept Surg 1, Chuo Ku, Sapporo, Hokkaido 0608543, Japan

[2] Teikyo Univ, Sch Med, Dept Surg, Tokyo 173, Japan

[3] Ueno Municipal Hosp, Ueno, Mie, Japan

[4] Nagoya Univ, Grad Sch Med, Dept Emergency & Crit Care Med, Nagoya, Aichi, Japan

[5] Kyoto Univ, Grad Sch Med, Dept Healthcare Econ & Qual Management, Kyoto, Japan

[6] Kumamoto Univ, Grad Sch Med Sci, Dept Surg Gastroenterol, Kumamoto, Japan

[7] Natl Hosp Org Sendai Med Ctr, Dept Surg, Sendai, Miyagi, Japan

[8] Mie Univ, Grad Sch Med, Dept Hepatobiliary Pancreat Surg & Breast Surg, Tsu, Mie, Japan

[9] Ohara Med Ctr Hosp, Fukushima, Japan

[10] Kinki Univ, Sch Med, Dept Surg, Osaka 589, Japan

[11] Univ Occupat & Environm Hlth, Sch Med, Dept Gastroenterol & Metab, Kitakyushu, Fukuoka 807, Japan

[12] Tohoku Univ, Grad Sch Med, Div Gastroenterol Surg, Sendai, Miyagi 980, Japan

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY | 2006年 / 13卷 / 01期

关键词：

gallstone pancreatitis; emergency endoscopy; laparoscopic cholecystectomy;

D O I：

10.1007/s00534-005-1052-6

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Gallstones, along with alcohol, are one of the primary etiological factors of acute pancreatitis, and knowledge of the etiology as well as the diagnosis and management of gallstones. is crucial for managing acute pancreatitis. Because of this, evidence regarding the management of gallstone-induced pancreatitis in Japan was collected, and recommendation levels were established by comparing Current clinical practices with optimal clinical practices. The JPN Guidelines for managing gallstone-induced acute pancreatitis recommend two procedures: (1) an urgent endoscopic procedure should be performed in patients in whom biliary duct obstruction is suspected and in patients complicated by cholangitis (Recommendation A); and (2) after the attack of gallstone pancreatitis has subsided, a laparoscopic cholecystectomy should be performed during the same hospital stay (Recommendation B).

引用

页码：56 / 60

页数：5

共 23 条

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