Ince Ali Tüzün, Baysal Birol
Department of Gastroenterology, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.
Turk J Gastroenterol. 2014 Aug;25(4):351-7. doi: 10.5152/tjg.2014.13005.
Acute pancreatitis (AP) constitutes the majority of cases requiring hospital admission in gastroenterology. We are yet to know many things about its pathophysiology which is a certain drawback for the progress in its treatment. Prediction of severity is necessary for the plan of the management. The existing scoring systems are yet to be satisfactory. However our progress in the field was significant in the recent decade and a leap forward is expected in this cumbersome-to-manage condition which has many unmet needs. In this review, we are going to summarize the hitherto data in pathogenesis and would weigh the usefulnes and weaknes of each of existing scoring systems in the management of AP.
急性胰腺炎（AP）是胃肠病学中需要住院治疗的主要病例类型。我们对其病理生理学仍有许多未知之处，这对其治疗进展而言无疑是一个缺陷。病情严重程度的预测对于治疗方案的制定至关重要。现有的评分系统仍不尽人意。然而，近十年来我们在该领域取得了显著进展，预计在这种管理起来较为棘手且存在诸多未满足需求的疾病方面会有重大突破。在本综述中，我们将总结迄今为止关于发病机制的数据，并权衡现有各评分系统在急性胰腺炎管理中的优缺点。
