JPN Guidelines for the management of acute pancreatitis: treatment of gallstone-induced acute pancreatitis.
Gallstones, along with alcohol, are one of the primary etiological factors of acute pancreatitis, and knowledge of the etiology as well as the diagnosis and management of gallstones, is crucial for managing acute pancreatitis. Because of this, evidence regarding the management of gallstone-induced pancreatitis in Japan was collected, and recommendation levels were established by comparing current clinical practices with optimal clinical practices. The JPN Guidelines for managing gallstone-induced acute pancreatitis recommend two procedures: (1) an urgent endoscopic procedure should be performed in patients in whom biliary duct obstruction is suspected and in patients complicated by cholangitis (Recommendation A); and (2) after the attack of gallstone pancreatitis has subsided, a laparoscopic cholecystectomy should be performed during the same hospital stay (Recommendation B).
Kimura
Yasutoshi
Y
First Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido 060-8543, Japan.
Takada
Tadahiro
T
Kawarada
Yoshifumi
Y
Hirata
Koichi
K
Mayumi
Toshihiko
T
Yoshida
Masahiro
M
Sekimoto
Miho
M
Hirota
Masahiko
M
Takeda
Kazunori
K
Isaji
Shuji
S
Koizumi
Masaru
M
Satake
Katsusuke
K
Otsuki
Makoto
M
Matsuno
Seiki
S
D002763:Cholecystectomy / Q000379:methods*; D042882:Gallstones / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007564:Japan; D010195:Pancreatitis / Q000209:etiology* / Q000601:surgery*