Takada Tadahiro, Kawarada Yoshifumi, Hirata Koichi, Mayumi Toshihiko, Yoshida Masahiro, Sekimoto Miho, Hirota Masahiko, Kimura Yasutoshi, Takeda Kazunori, Isaji Shuji, Koizumi Masaru, Otsuki Makoto, Matsuno Seiki
Department of Surgery, Teikyo University School of Medicine, Itabashi-Ku, Tokyo 173-8605, Japan.
J Hepatobiliary Pancreat Surg. 2006;13(1):2-6. doi: 10.1007/s00534-005-1045-5.
The JPN Guidelines for the Management of Acute Pancreatitis are organized under the subject headings: epidemiology, diagnosis, management strategy, severity assessment and transfer criteria, management of gallstone pancreatitis, nonsurgical management, and surgical management. The Guidelines contain cutting-edge information on each of these subjects, as well as a section on the Japanese medical insurance system which provides information that should prove useful to physicians in other countries. The quality of the evidence was evaluated by the evidence-based classification method used at the Cochrane Library. The levels of recommendation of the individual management methods contained in the Guidelines were determined on the basis of the evaluation of evidence by the consensus of the members of the Working Group (see below). The Japanese Society for Abdominal Emergency Medicine, the Japan Pancreas Society, and the Research Group for Intractable Diseases and Refractory Pancreatic Diseases (which is sponsored by the Japanese Ministry of Health, Labour, and Welfare) were commissioned to produce the JPN Guidelines for the Management of Acute Pancreatitis. A Working Group of 20 physicians specializing in pancreatic diseases and emergency medicine investigated and analyzed 14821 cases retrieved by means of a Medline (1960-2004) search and discussed the available literature on acute pancreatitis (limited to human pancreatitis). The Working Group held many general discussions in order to reach a consensus on the content of the Guidelines. After producing a draft, the Publishing Committee of the JPN Guidelines for the Management of Acute Pancreatitis posted it on a website and asked for comments and criticisms. Subsequently, a final version of the Guidelines was published in Japanese in 2003. The Publishing Committee is now making the Guidelines available to a much wider readership by bringing out an English version.
《日本急性胰腺炎管理指南》按照以下主题进行编排：流行病学、诊断、管理策略、严重程度评估与转诊标准、胆石性胰腺炎的管理、非手术治疗以及手术治疗。该指南包含了关于上述各主题的前沿信息，还有一部分关于日本医疗保险系统的内容，这些信息对其他国家的医生应该会很有用。证据质量采用Cochrane图书馆使用的循证分类方法进行评估。指南中各项管理方法的推荐级别是根据工作组成员的共识对证据进行评估后确定的（见下文）。日本腹部急诊医学学会、日本胰腺学会以及难治性疾病和难治性胰腺疾病研究组（由日本厚生劳动省赞助）受委托编写《日本急性胰腺炎管理指南》。一个由20名胰腺疾病和急诊医学专家组成的工作组对通过Medline（1960 - 2004年）检索获得的14821例病例进行了调查和分析，并讨论了关于急性胰腺炎（仅限于人类胰腺炎）的现有文献。工作组进行了多次一般性讨论，以便就指南内容达成共识。在形成初稿后，《日本急性胰腺炎管理指南》出版委员会将其发布在网站上，征求意见和批评。随后，该指南的最终版本于2003年以日语出版。出版委员会现正通过推出英文版，使更多读者能够获取该指南。
