关键词: 急性胰腺炎, 指南

Abstract:

A review of JPN guidelines for the management of acute pancreatitis(2015)        YANG Yin-mo, CHEN Yi-ran.Department of Surgery,Beijing University First Hospital,Beijing 100034, China
Corresponding author:YANG Yin-Mo,E-mail: yangyinmo@263.net
Abstract    JPN guidelines for the management of acute pancreatitis was published in 2006 and revised in 2010. Following the 2012 revision of the Atlanta Classifications of Acute Pancreatitis, JPN guidelines was revised again in 2015. In Japanese guidelines 2015, thirty-nine questions were prepared in 17 subject areas, for which 43 recommendations were made. Meta-analysis was  conducted in the following four subject areas based on randomized controlled trials: (1) prophylactic antibiotics use; (2) prophylactic pancreatic stent placement for the prevention of post-ERCP pancreatitis; (3) prophylactic non-steroidal anti-inflammatory drugs (NSAIDs) for the prevention of post-ERCP pancreatitis; and (4) peritoneal lavage. JPN guidelines 2015 achieve further evolutions with new evidence from meta-analysis data and contain a lot of recommendations using the GRADE system.

Key words: acute pancreatitis, guidelines