Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Gut Liver. 2023 Jan 15;17(1):34-48. doi: 10.5009/gnl220108. Epub 2022 Aug 17.
Acute pancreatitis can range from a mild, self-limiting disease requiring no more than supportive care, to severe disease with life-threatening complications. With the goal of providing a recommendation framework for clinicians to manage acute pancreatitis, and to contribute to improvements in national health care, the Korean Pancreatobiliary Association (KPBA) established the Korean guidelines for acute pancreatitis management in 2013. However, many challenging issues exist which often lead to differences in clinical practices. In addition, with newly obtained evidence regarding acute pancreatitis, there have been great changes in recent knowledge and information regarding this disorder. Therefore, the KPBA committee underwent an extensive revision of the guidelines. The revised guidelines were developed using the Delphi method, and the main topics of the guidelines include the following: diagnosis, severity assessment, initial treatment, nutritional support, convalescent treatment, and the treatment of local complications and necrotizing pancreatitis. Specific recommendations are presented, along with the evidence levels and recommendation grades.
急性胰腺炎的病情可轻可重，轻者为自限性疾病，仅需支持治疗，重者可出现危及生命的并发症。为了为临床医生提供急性胰腺炎管理的推荐框架，并为改善国家卫生保健做出贡献，韩国胰腺病学会（KPBA）于 2013 年制定了韩国急性胰腺炎管理指南。然而，存在许多具有挑战性的问题，这些问题往往导致临床实践存在差异。此外，随着急性胰腺炎新获得的证据，关于这种疾病的新知识和信息发生了很大变化。因此，KPBA 委员会对指南进行了广泛修订。修订后的指南使用 Delphi 方法制定，指南的主要内容包括以下几个方面：诊断、严重程度评估、初始治疗、营养支持、康复治疗以及局部并发症和坏死性胰腺炎的治疗。同时还提出了具体的建议，并附有证据水平和推荐等级。
