Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Apr;93(4):369-372.
doi: 10.1007/s00104-022-01598-8. Epub 2022 Mar 7.

[Overview of relevant clinical recommendations from the new S3 guidelines on acute and chronic pancreatitis]

[Article in German]
R Henker  1 , G Beyer  2 , M M Lerch  3   4 , J Mayerle  2 , A Hoffmeister  5
Affiliations
Review

[Overview of relevant clinical recommendations from the new S3 guidelines on acute and chronic pancreatitis]

[Article in German]
R Henker et al. Chirurg. 2022 Apr.

Abstract
in English, German

Acute pancreatitis is a primary sterile inflammation of the pancreas, which is characterized by an unphysiological enzyme activation. This leads to an inflammatory reaction with edema, vascular damage and cell decay. The first German interdisciplinary S3 guidelines on chronic pancreatitis were published in 2012. Under the auspices of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) and with the participation of various societies and patient representatives, the guidelines were recently revised and extended, Comprehensive S3 guidelines on acute and chronic pancreatitis were compiled and agreed by consensus. This article presents the important clinical aspects on acute pancreatitis from these guidelines in a compact form and the recommendations are justified.

Die akute Pankreatitis ist eine primär sterile Entzündung der Bauchspeicheldrüse, die durch eine unphysiologische Enzymaktivierung gekennzeichnet ist. Diese führt zu einer Entzündungsreaktion mit Ödem, Gefäßschädigung und Zelluntergang. Im Jahr 2012 wurde die erste deutsche interdisziplinäre S3-Leitlinie zur chronischen Pankreatitis publiziert. Unter Federführung der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) und unter Beteiligung verschiedener Gesellschaften sowie von Patientenvertretungen wurde die Leitlinie aktuell überarbeitet und erweitert. Es wurde eine umfassende S3-Leitlinie zur akuten und chronischen Pankreatitis erstellt und konsentiert. In diesem Beitrag werden wichtige klinische Aspekte zur akuten Pankreatitis aus dieser Leitlinie in kompakter Form dargestellt und Empfehlungen begründet.

Keywords: Follow-up control; Imaging; Inflammation; Pancreas; Treatment.

PubMed Disclaimer

References

Literatur

    1. Working group (2013) IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 13:e1–15 - DOI
    1. Banks PA, Bollen TL, Dervenis C et al (2013) Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut 62:102–111 - DOI
    1. Buxbaum J, Yan A, Yeh K et al (2014) Aggressive hydration with lactated Ringer’s solution reduces pancreatitis after endoscopic retrograde cholangiopancreatography. Clin Gastroenterol Hepatol 12:303–307.e1 - DOI
    1. Dachs RJ, Sullivan L, Shanmugathasan P (2015) Does early ED CT scanning of afebrile patients with first episodes of acute pancreatitis ever change management? Emerg Radiol 22:239–243 - DOI
    1. Dobbs NW, Budak MJ, Weir-Mccall JR et al (2016) Acute pancreatitis: a comparison of intervention rates precipitated by early vs guideline CT scan timing. Clin Radiol 71:993–996 - DOI

LinkOut - more resources