dc.contributor.author |
Banks, Peter A |
en |
dc.contributor.author |
Bollen, Thomas L |
en |
dc.contributor.author |
Dervenis, Christos |
en |
dc.contributor.author |
Gooszen, Hein G |
en |
dc.contributor.author |
Johnson, Colin D |
en |
dc.contributor.author |
Sarr, Michael G |
en |
dc.contributor.author |
Tsiotos, Gregory G |
en |
dc.contributor.author |
Vege, Santhi Swaroop |
en |
dc.contributor.author |
Acute Pancreatitis Classification Working Group |
en |
dc.date.accessioned |
2018-11-12T22:19:32Z |
en |
dc.date.issued |
2013-01 |
en |
dc.identifier.issn |
0017-5749 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/44142 |
en |
dc.description.abstract |
BACKGROUND AND OBJECTIVE: The Atlanta classification of acute pancreatitis enabled standardised reporting of research and aided communication between clinicians. Deficiencies identified and improved understanding of the disease make a revision necessary. METHODS: A web-based consultation was undertaken in 2007 to ensure wide participation of pancreatologists. After an initial meeting, the Working Group sent a draft document to 11 national and international pancreatic associations. This working draft was forwarded to all members. Revisions were made in response to comments, and the web-based consultation was repeated three times. The final consensus was reviewed, and only statements based on published evidence were retained. RESULTS: The revised classification of acute pancreatitis identified two phases of the disease: early and late. Severity is classified as mild, moderate or severe. Mild acute pancreatitis, the most common form, has no organ failure, local or systemic complications and usually resolves in the first week. Moderately severe acute pancreatitis is defined by the presence of transient organ failure, local complications or exacerbation of co-morbid disease. Severe acute pancreatitis is defined by persistent organ failure, that is, organ failure >48 h. Local complications are peripancreatic fluid collections, pancreatic and peripancreatic necrosis (sterile or infected), pseudocyst and walled-off necrosis (sterile or infected). We present a standardised template for reporting CT images. CONCLUSIONS: This international, web-based consensus provides clear definitions to classify acute pancreatitis using easily identified clinical and radiologic criteria. The wide consultation among pancreatologists to reach this consensus should encourage widespread adoption. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Gut |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Acute Pancreatitis Classification Working Group |
en |
dc.subject |
Humans |
en |
dc.subject |
Pancreatitis |
en |
dc.subject |
Acute Disease |
en |
dc.subject |
Disease Progression |
en |
dc.subject |
Tomography, X-Ray Computed |
en |
dc.subject |
Severity of Illness Index |
en |
dc.title |
Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1136/gutjnl-2012-302779 |
en |
pubs.issue |
1 |
en |
pubs.begin-page |
102 |
en |
pubs.volume |
62 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
23100216 |
en |
pubs.end-page |
111 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Consensus Development Conference |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
487800 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Science Research |
en |
pubs.org-id |
Maurice Wilkins Centre (2010-2014) |
en |
dc.identifier.eissn |
1468-3288 |
en |
pubs.record-created-at-source-date |
2012-12-11 |
en |
pubs.dimensions-id |
23100216 |
en |