Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines

doi:10.20452/wiitm.2025.17941

. 2025 Apr 9;20(1):1-29.

doi: 10.20452/wiitm.2025.17941.

Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines

Jacek Szeliga¹, Mateusz Jagielski¹, Jacek Sobocki², Michał Borys³, Mirosław Czuczwar⁴, Adam Durczyński⁵, Tomasz Gach⁶, Piotr Hogendorf⁵, Andrzej Kawiński⁷, Katarzyna Kuśnierz⁸, Piotr Major⁹, Michał Mik¹⁰, Michał Pędziwiatr⁹, Paweł Piwowarczyk¹¹, Marek Sierżęga¹², Michał Spychalski^{13

14}, Wojciech Szczeklik¹⁵, Mirosław Szura⁶, Mateusz Wierdak⁹, Witold Zgodziński¹⁶, Andrzej Budzyński¹⁷, Stanisław Hać¹⁸, Marek Jackowski¹, Wojciech Kielan¹⁹, Michał Kukla^{20

21}, Sławomir Mrowiec⁸, Piotr Myśliwiec²², Jerzy Sieńko^{23

24}, Maciej Słodkowski²⁵, Wiesław Tarnowski²⁶, Grzegorz Wallner²⁷, Marek Zawadzki²⁸, Krzysztof Zieniewicz²⁹

Affiliations

¹ Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Toruń, Poland.
² Department of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education in Warsaw, Warszawa, Poland.
³ Faculty of Medicine, Centre of Oncology, The John Paul II Catholic University of Lublin, Lublin, Poland.
⁴ Department of Anesthesiology and Intensive Therapy, Multispecialist Regional Hospital in Gorzow Wielkopolski, Gorzów Wielkopolski, Poland.
⁵ Department of General and Transplant Surgery, Norbert Barlicki Memorial University Teaching Hospital, Medical University of Lodz, Łódź, Poland.
⁶ Department of Surgery, Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.
⁷ Department of General and Colorectal Surgery, The Military Medical Academy Memorial Teaching Hospital No. 2 in Lodz, Łodź, Poland.
⁸ Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
⁹ Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
¹⁰ Department of General and Colorectal Surgery, Medical University of Lodz, Łódź, Poland.
¹¹ Faculty of Medicine, Institute of Medical Sciences, The John Paul II Catholic University of Lublin, Lublin, Poland.
¹² First Department of Surgery, Jagiellonian University Medical College, Kraków, Poland.
¹³ Department of General and Oncological Surgery, Medical University of Lodz, Łódź, Poland.
¹⁴ Specialist Hospital Brzeziny, Brzeziny, Poland.
¹⁵ Center for Intensive Therapy and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.
¹⁶ First Department of General Surgery and Transplant Surgery and Nutritional Treatment, Medical University of Lublin, Lublin, Poland.
¹⁷ Department of General and Oncologic Surgery, Ludwik Rydygier Memorial Hospital in Krakow, Kraków, Poland.
¹⁸ Department of Surgical Oncology, Transplant Surgery and General Surgery, Medical University of Gdansk, Gdańsk, Poland.
¹⁹ University Centre of General and Oncological Surgery, Wroclaw Medical University, Wrocław, Poland, Poland.
²⁰ Department of Internal Medicine and Geriatrics, Jagiellonian University Medical College, Kraków, Poland.
²¹ Endoscopy Department, University Hospital No. 1 in Krakow, Kraków, Poland.
²² First Clinical Department of General and Endocrine Surgery, Medical University of Bialystok, Białystok, Poland.
²³ Institute of Physical Culture Sciences, University of Szczecin, Poland.
²⁴ National Consultant in General Surgery, Poland.
²⁵ Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Warszawa, Poland.
²⁶ Department of General, Oncologic and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warszawa, Poland.
²⁷ Second Chair and Department of General, Gastrointestinal Surgery and Surgical Oncology of the Digestive Tract, Medical University of Lublin, Lublin, Poland.
²⁸ Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.
²⁹ Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warszawa, Poland.

PMID: 40547833
PMCID: PMC12177351
DOI: 10.20452/wiitm.2025.17941

Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines

Jacek Szeliga et al. Wideochir Inne Tech Maloinwazyjne. 2025.

. 2025 Apr 9;20(1):1-29.

doi: 10.20452/wiitm.2025.17941.

Authors

Affiliations

¹ Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Toruń, Poland.
² Department of General Surgery and Clinical Nutrition, Centre of Postgraduate Medical Education in Warsaw, Warszawa, Poland.
³ Faculty of Medicine, Centre of Oncology, The John Paul II Catholic University of Lublin, Lublin, Poland.
⁴ Department of Anesthesiology and Intensive Therapy, Multispecialist Regional Hospital in Gorzow Wielkopolski, Gorzów Wielkopolski, Poland.
⁵ Department of General and Transplant Surgery, Norbert Barlicki Memorial University Teaching Hospital, Medical University of Lodz, Łódź, Poland.
⁶ Department of Surgery, Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.
⁷ Department of General and Colorectal Surgery, The Military Medical Academy Memorial Teaching Hospital No. 2 in Lodz, Łodź, Poland.
⁸ Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
⁹ Second Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
¹⁰ Department of General and Colorectal Surgery, Medical University of Lodz, Łódź, Poland.
¹¹ Faculty of Medicine, Institute of Medical Sciences, The John Paul II Catholic University of Lublin, Lublin, Poland.
¹² First Department of Surgery, Jagiellonian University Medical College, Kraków, Poland.
¹³ Department of General and Oncological Surgery, Medical University of Lodz, Łódź, Poland.
¹⁴ Specialist Hospital Brzeziny, Brzeziny, Poland.
¹⁵ Center for Intensive Therapy and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland.
¹⁶ First Department of General Surgery and Transplant Surgery and Nutritional Treatment, Medical University of Lublin, Lublin, Poland.
¹⁷ Department of General and Oncologic Surgery, Ludwik Rydygier Memorial Hospital in Krakow, Kraków, Poland.
¹⁸ Department of Surgical Oncology, Transplant Surgery and General Surgery, Medical University of Gdansk, Gdańsk, Poland.
¹⁹ University Centre of General and Oncological Surgery, Wroclaw Medical University, Wrocław, Poland, Poland.
²⁰ Department of Internal Medicine and Geriatrics, Jagiellonian University Medical College, Kraków, Poland.
²¹ Endoscopy Department, University Hospital No. 1 in Krakow, Kraków, Poland.
²² First Clinical Department of General and Endocrine Surgery, Medical University of Bialystok, Białystok, Poland.
²³ Institute of Physical Culture Sciences, University of Szczecin, Poland.
²⁴ National Consultant in General Surgery, Poland.
²⁵ Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Warszawa, Poland.
²⁶ Department of General, Oncologic and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warszawa, Poland.
²⁷ Second Chair and Department of General, Gastrointestinal Surgery and Surgical Oncology of the Digestive Tract, Medical University of Lublin, Lublin, Poland.
²⁸ Faculty of Medicine, Wroclaw University of Science and Technology, Wrocław, Poland.
²⁹ Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warszawa, Poland.

PMID: 40547833
PMCID: PMC12177351
DOI: 10.20452/wiitm.2025.17941

No abstract available

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Conflict of interest statement

Conflict of Interest: None declared.

References

1. Going from evidence to recommendations. Guyatt G.H., Oxman A.D., Kunz R. BMJ. 2008;336:1049-1051. - PMC - PubMed
1. Prognostic significance of organ failure and infected pancreatic necrosis in acute pancreatitis: an updated systemat‐ ic review and meta‐analysis. Hu W.M., Hua T.R., Zhang Y.L. J Dig Dis. 2023;24:648-659. - PubMed
1. Global incidence of acute pancre‐ atitis is increasing over time: a systematic review and meta‐analysis. Iannuzzi J.P., King J.A., Leong J.H. Gas‐ troenterology. 2022;162:122-134. - PubMed
1. Epidemiolo‐ gy and etiology of acute pancreatitis [in Polish. Konończuk T., Krzyżak M., Żendzian‐Piotrowska M., Kurek K. Medycyna Rodzinna. 2018;2a:51-60.
1. Epidemiology of acute pancreatitis in Poland – se‐ lected problems. Kozieł D., Głuszek S. Med Stud. 2016;32:1-3.

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[1] Going from evidence to recommendations. Guyatt G.H., Oxman A.D., Kunz R. BMJ. 2008;336:1049-1051. - PMC - PubMed

[2] Going from evidence to recommendations. Guyatt G.H., Oxman A.D., Kunz R. BMJ. 2008;336:1049-1051. - PMC - PubMed

[3] Prognostic significance of organ failure and infected pancreatic necrosis in acute pancreatitis: an updated systemat‐ ic review and meta‐analysis. Hu W.M., Hua T.R., Zhang Y.L. J Dig Dis. 2023;24:648-659. - PubMed

[4] Prognostic significance of organ failure and infected pancreatic necrosis in acute pancreatitis: an updated systemat‐ ic review and meta‐analysis. Hu W.M., Hua T.R., Zhang Y.L. J Dig Dis. 2023;24:648-659. - PubMed

[5] Global incidence of acute pancre‐ atitis is increasing over time: a systematic review and meta‐analysis. Iannuzzi J.P., King J.A., Leong J.H. Gas‐ troenterology. 2022;162:122-134. - PubMed

[6] Global incidence of acute pancre‐ atitis is increasing over time: a systematic review and meta‐analysis. Iannuzzi J.P., King J.A., Leong J.H. Gas‐ troenterology. 2022;162:122-134. - PubMed

[7] Epidemiolo‐ gy and etiology of acute pancreatitis [in Polish. Konończuk T., Krzyżak M., Żendzian‐Piotrowska M., Kurek K. Medycyna Rodzinna. 2018;2a:51-60.

[8] Epidemiolo‐ gy and etiology of acute pancreatitis [in Polish. Konończuk T., Krzyżak M., Żendzian‐Piotrowska M., Kurek K. Medycyna Rodzinna. 2018;2a:51-60.

[9] Epidemiology of acute pancreatitis in Poland – se‐ lected problems. Kozieł D., Głuszek S. Med Stud. 2016;32:1-3.

[10] Epidemiology of acute pancreatitis in Poland – se‐ lected problems. Kozieł D., Głuszek S. Med Stud. 2016;32:1-3.

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Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines

Affiliations

Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines

Authors

Affiliations

Conflict of interest statement

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References

LinkOut - more resources

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