Bollen T L, van Santvoort H C, Besselink M G, van Leeuwen M S, Horvath K D, Freeny P C, Gooszen H G
Department of Radiology, St Antonius Hospital Nieuwegein, The Netherlands.
Br J Surg. 2008 Jan;95(1):6-21. doi: 10.1002/bjs.6010.
In a complex disease such as acute pancreatitis, correct terminology and clear definitions are important. The clinically based Atlanta Classification was formulated in 1992, but in recent years it has been increasingly criticized. No formal evaluation of the use of the Atlanta definitions in the literature has ever been performed.
A Medline literature search sought studies published after 1993. Guidelines, review articles and their cross-references were reviewed to assess whether the Atlanta or alternative definitions were used.
A total of 447 articles was assessed, including 12 guidelines and 82 reviews. Alternative definitions of predicted severity of acute pancreatitis, actual severity and organ failure were used in more than half of the studies. There was a large variation in the interpretation of the Atlanta definitions of local complications, especially relating to the content of peripancreatic collections.
The Atlanta definitions for acute pancreatitis are often used inappropriately, and alternative definitions are frequently applied. Such lack of consensus illustrates the need for a revision of the Atlanta Classification.
在诸如急性胰腺炎这样的复杂疾病中，正确的术语和清晰的定义很重要。基于临床的亚特兰大分类法于1992年制定，但近年来受到越来越多的批评。文献中从未对亚特兰大定义的使用进行过正式评估。
对Medline文献进行检索，查找1993年后发表的研究。对指南、综述文章及其参考文献进行审查，以评估是否使用了亚特兰大定义或替代定义。
共评估了447篇文章，包括12篇指南和82篇综述。超过半数的研究使用了急性胰腺炎预测严重程度、实际严重程度和器官衰竭的替代定义。对于亚特兰大分类法中局部并发症的定义，尤其是关于胰周积液的内容，解读存在很大差异。
急性胰腺炎的亚特兰大定义经常被不恰当地使用，替代定义也经常被应用。这种缺乏共识的情况表明需要对亚特兰大分类法进行修订。
