中国实用外科杂志 ›› 2024, Vol. 44 ›› Issue (11): 1254-1258.DOI: 10.19538/j.cjps.issn1005-2208.2024.11.13

• 指南(共识)解读 • 上一篇    下一篇

2024年美国胃肠病学会《急性胰腺炎诊治指南》更新解读

郭    蓉,黄耿文   

  1. 中南大学湘雅医院普通外科胰腺外科亚专科,湖南长沙 410008
  • 出版日期:2024-11-01 发布日期:2024-11-26

  • Online:2024-11-01 Published:2024-11-26

摘要: 2024年3月,美国胃肠病学会更新了《急性胰腺炎诊治指南》(简称新版指南)。基于近年的流行病学数据和急性胰腺炎诊治相关临床研究,新版指南对急性胰腺炎的诊断、病因、早期评估和危险程度分层、早期内科处理、内镜逆行胰胆管造影术(ERCP)、ERCP术后胰腺炎的预防、抗生素应用、营养支持和外科干预等内容进行了更新,形成了11条推荐意见和23条重要观点,全面阐述了急性胰腺炎的诊治流程。新版指南制定了更加详细、具体和严谨的指导意见,优化了急性胰腺炎的诊断和治疗流程,以提高临床医师操作的规范性,有助于改善病人的预后,并促进医疗资源的合理利用。

关键词: 急性胰腺炎, 美国胃肠病学会, 指南, 解读

Abstract: In March 2024, the American College of Gastroenterology updated the American College of Gastroenterology Guidelines: management of acute pancreatitis, based on recent epidemiological data and clinical researches associated with the diagnosis and treatment of acute pancreatitis. These updates cover various aspects, including diagnosis, etiology, initial assessment and risk stratification, initial management, endoscopic retrograde cholangiopancreatography (ERCP), preventing post-ERCP pancreatitis, antibiotic application, nutrition support and surgical intervention in acute pancreatitis, forming 11 recommendations and 23 key con-cepts. The new guidelines comprehensively describe the diagnosis and treatment processes of acute pancreatitis. The new guideline offers more detailed, specific and rigorous directions to optimize the diagnosis and treatment processes for acute pancreatitis, enhance the standardization of clinical practice, improve patients' prognosis, and promote the rational use of healthcare resources. 

Key words: acute pancreatitis, American College of Gastroenterology, guidelines, interpretation